Cross-Sectional Study of the Prevalence and Symptoms of Urinary Incontinence among Japanese Older Adults: Associations with Physical Activity, Health-Related Quality of Life, and Well-Being

Noriaki Maeda, Yukio Urabe, Yuta Suzuki, Daigo Hirado, Masanori Morikawa, Makoto Komiya, Rami Mizuta, Koichi Naito and Taizan Shirakawa
Additional contact information
Noriaki Maeda: Department of Sports Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
Yukio Urabe: Department of Sports Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
Yuta Suzuki: Department of Sports Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
Daigo Hirado: Department of Rehabilitation, Matterhorn Rehabilitation Hospital, Hiroshima 737-0046, Japan
Masanori Morikawa: Department of Sports Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
Makoto Komiya: Department of Sports Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
Rami Mizuta: Department of Sports Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
Koichi Naito: Department of Physical Therapy, Hakuho College, Nara 636-0011, Japan
Taizan Shirakawa: Department of Orthopedics, Matterhorn Rehabilitation Hospital, Hiroshima 737-0046, Japan

IJERPH, 2021, vol. 18, issue 2, 1-10

Abstract: Urinary incontinence (UI) is a major social problem for older adults and leads to a decline in health-related quality of life (HRQoL), mental health, and physical activity. This study assessed the prevalence and symptoms of UI among older adults discharged from the hospital in Japan and investigated the association of UI symptoms with physical activity, HRQoL, and subjective well-being (SWB). By an international consultation, the Incontinence Questionnaire Short Form (ICIQ-SF) that assesses UI severity, was developed. Self-administered questionnaires were used to assess physical activity, HRQoL, SWB, and social demographic characteristics of the participants. In total, 145 participants (valid response rate, 48%; mean age, 78.6 ± 7.6 years) were included in the analysis. Multivariate logistic regression analysis was performed to identify significant factors associated with the presence of UI. Significant decreases in physical activity, HRQoL, and SWB were observed in patients with UI compared with those without UI ( p < 0.05). Multivariate analysis revealed that age, number of reported conditions, and decreased SWB were associated with UI ( p < 0.05). UI was associated with less physical activity and decreased mental health status in older adults (especially decreased SWB). Health-promoting measures for older adults with UI are essential for maintaining their well-being and extending healthy life expectancy.

Keywords: urinary incontinence; older adults; physical activity; mental health; health-related quality of life; well-being (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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