Prevalence of urinary incontinence in people aged 65 years and older: results from the EUCALYPTUS study
- Authors: Tkacheva O.N.1, Krivoborodov G.G.1, Vorobieva V.M.1, Kotovskaya Y.V.1, Efremov N.S.1, Gontar A.A.1, Shirin D.A.1
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Affiliations:
- N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
- Issue: No 4 (2024)
- Pages: 29-34
- Section: ORIGINAL ARTICLES
- URL: https://journals.rcsi.science/1728-2985/article/view/264885
- DOI: https://doi.org/10.18565/urology.2024.4.29-34
- ID: 264885
Cite item
Abstract
Introduction. Urinary incontinence (UI) is any involuntary leakage of urine. It is a common and distressing problem, which may have a large impact of quality of life.
Aim. To assess the prevalence of UI in people over the age of 65.
Materials and methods. Participants were 4308 elderly individuals (1292 men and 3016 women) with an average age of 78±8 years.
Results. UI was detected in 1953 patients (45,3%), including urgent UI in 25,8%, stress UI in 12,3% and mixed UI in 8,3% cases. There was a clear tendency to higher incidence of all types of UI with age. Our data show the need for mandatory consultation with a urologist for all person over the age of 65.
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##article.viewOnOriginalSite##About the authors
O. N. Tkacheva
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Author for correspondence.
Email: tkacheva@rgnkc.ru
ORCID iD: 0000-0002-4193-688X
PhD, MD, Professor, Deputy Director on Scientific Work of Russian Gerontological Scientific-Clinical Center
Russian Federation, MoscowG. G. Krivoborodov
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Email: Dr.krivoborodov@yandex.ru
ORCID iD: 0000-0001-8347-0531
Ph.D., MD, Professor at the Department of Urology and Andrology, Head of the Department of Urology of Russian Gerontological Scientific-Clinical Center
Russian Federation, MoscowV. M. Vorobieva
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Email: vorobyeva_nm@rgnkc.ru
ORCID iD: 0000-0002-6021-7864
PhD, MD, Senior Researcher at the Laboratory of the Clinical Pharmacology and Pharmacotherapy of Russian Gerontological Scientific-Clinical Center
Russian Federation, MoscowYu. V. Kotovskaya
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Email: kotovskaya_yv@rgnkc.ru
ORCID iD: 0000-0002-1628-5093
PhD, MD, Professor, Deputy Director on Scientific Work of Russian Gerontological Scientific-Clinical Center
Russian Federation, MoscowN. S. Efremov
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Email: nefr@yandex.ru
ORCID iD: 0000-0002-1536-219X
Ph.D., Associate Professor at the Department of Urology and Andrology, Urologist at the Russian Gerontological Scientific-Clinical Center
Russian Federation, MoscowA. A. Gontar
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Email: Dr.gontar@yahoo.com
ORCID iD: 0000-0002-7072-4026
Urologist at the Russian Gerontological Scientific-Clinical Center
Russian Federation, MoscowD. A. Shirin
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Email: Dok.shirin@mail.com
ORCID iD: 0000-0002-9037-5580
Urologist at the Russian Gerontological Scientific-Clinical Center
Russian Federation, MoscowReferences
- D’Ancona C.D., Haylen B.T., Oelke M., Herschorn S., Abranches-Monteiro L., Arnold E.P., Goldman H.B., Hamid R., Homma Y., Marcelissen T., Rademakers K., Schizas A., Singla A., Soto I., Tse V. de Wachter S. An International Continence Society (ICS) Report on the Terminology for Adult Male Lower Urinary Tract and Pelvic Floor Symptoms and Dysfunction. Neurourol. Urodyn. 2019. doi: 10.1002/nau.23897.
- Hannestad Y.S., Rortveit G., Sandvik H., Hunskaar S. Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trøndelag. J. Clin. Epidemiol. 2000 Nov;53(11):1150–1157. doi: 10.1016/s0895-4356(00)00232-8. PMID: 11106889.
- Hunskaar S., Lose G., Sykes D., Voss S. The prevalence of urinary incontinence in women in four European countries. BJU Int. 2004 Feb;93(3):324–330. doi: 10.1111/j.1464-410x.2003.04609.x. PMID: 14764130.
- https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-life-expectancy-and-healthy-life-expectancy
- Gadzhieva Z.K. The functional state of the lower urinary tract and drug correction of urinary disorders in women in the menopausal period: abstract of the dissertation of the candidate of medical sciences. M., 2001. 189 p. Russian (Гаджиева З.К. Функциональное состояние нижних мочевых путей и медикаментозная коррекция расстройств мочеиспускания у женщин в климактерическом периоде: автореферат дис. кан. мед. наук. М., 2001. 189 с.).
- Kizilov Yu.B. Features of diagnosis and treatment of various urinary disorders in residents of the Republic of Dagestan.: abstract of the dissertation of the candidate of medical sciences. M.: 2017. 185 p. Russian (Казилов Ю.Б. Особенности диагностики и лечения различных нарушений мочеиспускания у жителей республики Дагестан.: автореферат дис. кан. мед. наук. М.: 2017. 185 с.).
- Vorobyova N.M., Tkacheva O.N., Kotovskaya Yu.V., Ovcharova L.N., Selezneva E.V. on behalf of EUCALYPTUS researchers. Russian epidemiological study of EUCALYPTUS: protocol and basic characteristics of participants. Russian Journal of Geriatric Medicine. 2021;1(5):35–43. doi: 10.37586/2686-8636-1-2021-35-43. Russian (Воробьёва Н.М., Ткачёва О.Н., Котовская Ю.В., Овчарова Л.Н., Селезнева Е.В. от имени исследователей ЭВКАЛИПТ. Российское эпидемиологическое исследование ЭВКАЛИПТ: протокол и базовые характеристики участников. Российский журнал гериатрической медицины. 2021;1(5):35–43. doi: 10.37586/2686-8636-1-2021-35-43).
- Tkacheva O.N., Kotovskaya Yu.V., Runikhina N.K., Frolova E.V., Naumov A.V., Vorobyova N.M., Ostapenko V.S., Mkhitaryan E.A., Sharashkina N.V., Tyukhmenev E.A., Pereverzev A.P., Dudinskaya E.N. Clinical recommendations «Senile asthenia». Russian Journal of Geriatric Medicine. 2020;1:11–46. doi: 10.37586/2686-8636-1-2020-11-46. Russian (Ткачева О.Н., Котовская Ю.В., Рунихина Н.К., Фролова Е.В., Наумов А.В., Воробьева Н.М., Остапенко В.С., Мхитарян Э.А., Шарашкина Н.В., Тюхменев Е.А., Переверзев А.П., Дудинская Е.Н. Клинические рекомендации «Старческая астения». Российский журнал гериатрической медицины. 2020;1:11–46. doi: 10.37586/2686-8636-1-2020-11-46).
- Tkacheva O.N., Kotovskaya Yu.V., Runikhina N.K., Frolova E.V., Naumov A.V., Vorobyova N.M., Ostapenko V.S., Mkhitaryan E.A., Sharashkina N.V., Tyukhmenev E.A., Pereverzev A.P., Dudinskaya E.N. Clinical recommendations «Senile asthenia». Part 2. Russian Journal of Geriatric Medicine. 2020;2:115–130. doi: 10.37586/2686-8636-2-2020-115-130. Russian (Ткачева О.Н., Котовская Ю.В., Рунихина Н.К., Фролова Е.В., Наумов А.В., Воробьева Н.М., Остапенко В.С., Мхитарян Э.А., Шарашкина Н.В., Тюхменев Е.А., Переверзев А.П., Дудинская Е.Н. Клинические рекомендации «Старческая астения». Часть 2. Российский журнал гериатрической медицины. 2020;2:115–130. doi: 10.37586/2686-8636-2-2020-115-130).
- https://rosstat.gov.ru/free_doc/new_site/population/demo/progn7.htm
- Tkacheva O.N., Sharashkina N.V., Reshetova A.A., Karpenkov D.S., Runikhina N.K., Lysenkov S.N. Urinary incontinence in women aged 60 years and older: associations between multimorbid pathology, senile asthenia and other geriatric syndromes. Problems of standardization in healthcare. 2021;11-12:61-68. doi: 10.26347/1607-2502202111-12061-068. Russian (Ткачева О.Н., Шарашкина Н.В., Решетова А.А., Карпенков Д.С., Рунихина Н.К., Лысенков С.Н. Недержание мочи у женщин в возрасте 60 лет и старше: ассоциации между мультиморбидной патологией, старческой астенией и другими гериатрическими синдромами. Проблемы стандартизации в здравоохранении. 2021;11-12:61–68. doi: 10.26347/1607-2502202111-12061-068).
- Silva V.A., Souza K.L., D’Elboux M.J. Urinary incontinence and the criteria of frailness among the elderly outpatients. Rev. Esc. Enferm. USP. 2011 Jun;45(3):672–678. Portuguese. PMID: 21710074.
- Nakagawa H. et al. Impact of nocturia on bone fracture and mortality in older individuals: a Japanese longitudinal cohort study // J. Urol. - 2010;184:1413–1418.
- Shamliyan T.A., Wyman J.F., Ping R., Wilt T..J, Kane R.L. Male urinary incontinence: prevalence, risk factors, and preventive interventions. Rev. Urol. 2009 Summer;11(3):145–165. PMID: 19918340; PMCID: PMC2777062.
- Milsom I., Stewart W., Thüroff J. The prevalence of overactive bladder. Am J Manag Care. 2000 Jul;6(11 Suppl):S565–573. PMID: 11183899.
- Turusheva A.V. The prevalence of urinary incontinence syndrome and its relationship with indicators of physical and mental health in the elderly according to the research «Crystal» and «Eucalyptus». Russian Family Doctor. 2021;25(2):29–37. doi: https://doi.org/10.17816/RFD71196. Russian (Турушева А.В. Распространенность синдрома недержания мочи и его взаимосвязь с показателями физического и психического здоровья у пожилых людей по данным исследований «Хрусталь» и «Эвкалипт». Российский семейный врач. 2021;25(2):29–37. doi: https://doi.org/10.17816/RFD71196).
- Hunskaar S., Arnold E.P., Burgio K., Diokno A.C., Herzog A.R., Mallett V.T. Epidemiology and natural history of urinary incontinence. Int. Urogynecol. J. Pelvic Floor Dysfunct. 2000;11(5):301–319. doi: 10.1007/s001920070021. PMID: 11052566.
- Kogan M.I., Zachoval R., Ozyurt C., Schäfer T., Christensen N. Epidemiology and impact of urinary incontinence, overactive bladder, and other lower urinary tract symptoms: results of the EPIC survey in Russia, Czech Republic, and Turkey. Curr. Med. Res. Opin. 2014 Oct;30(10):2119–2130. doi: 10.1185/03007995.2014.934794. Epub 2014 Jun 30. PMID: 24932562.