Association of Urinary Incontinence With Depression, Insomnia, Frailty and Falls in Older Adults

NCT06627400 | Completed

• 1 other identifier: Medical Doctor
• Study Type: observational
• Target: 635
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of our study is to provide a holistic analysis of the geriatric syndromes associated with urinary incontinence, which can result in significant adverse outcomes in the elderly, and to explore the gender-specific relationships within these associations. The study revealed that urinary incontinence is highly prevalent among the older adults, particularly in women, and is associated strongly with depression, insomnia, frailty, and falls. Moreover, while older women with urinary incontinence exhibited more depressive symptoms than men, urinary incontinence was associated with similar frequencies of insomnia in both sexes. Considering the negative outcomes of depression, insomnia, frailty, and falls in older adults, as well as a decline in functionality, cognitive impairment, and prolonged hospitalizations and even mortality they cause, it becomes evident that urinary incontinence must be routinely assessed and treated by clinicians.

Conditions

Urinary Incontinence,Stress; Urinary Incontinence, Urge; Depressive Disorder; Insomnia; Frailty; Fall

Outcome Measures

Primary Outcomes (4)

• depression

  Yesavage Geriatric Depression Scale-short form;Scores above 4 were considered depression

  Baseline

• frailty

  Fried fraility index; Scores above 2 were considered frail

  Baseline

• insomnia

  The patient was asked if they had experienced complaints of insomnia in the last 1 months. if answer is yess, conisdered insomnia

  Baseline

• fall history

  The patient was asked if they had a history of falls in the past year.if answer is yess, conisdered fall history

  Baseline

Eligibility Criteria

• Age: 60 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The study was conducted using the electronic records of patients aged 60 and over who presented to the outpatient geriatric clinic from January 2024 to July 2024. The patients with comprehensive geriatric assessment data were included in the study. Patients with dementia, those who experienced cerebrovascular occlusion with resulting neuromuscular paralysis, individuals with active infections, schizoaffective disorder, epilepsy or other neuromuscular disorders, as well as those who were wheelchair or bed-bound, and patients with advanced chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) were excluded from the study.

You may qualify if:

• The patients with comprehensive geriatric assessment data

You may not qualify if:

• dementia,
• those who experienced cerebrovascular occlusion with resulting neuromuscular paralysis
• active infections,
• schizoaffective disorder,
• epilepsy
• neuromuscular disorders
• those who were wheelchair or bed-bound,
• advanced chronic obstructive pulmonary disease (COPD)
• advanced chronic heart failure (CHF)

Sponsors & Collaborators

• Kastamonu University: lead

Study Sites (1)

Kastamonu University

Kastamonu, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Urinary Incontinence, Stress; Urinary Incontinence, Urge; Depressive Disorder; Sleep Initiation and Maintenance Disorders; Frailty

Condition Hierarchy (Ancestors)

Urinary Incontinence; Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Lower Urinary Tract Symptoms; Urological Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mood Disorders; Mental Disorders; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Pathologic Processes

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Target Duration: 9 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 30, 2024
• First Posted: October 4, 2024
• Study Start: June 1, 2024
• Primary Completion: August 30, 2024
• Study Completion: September 10, 2024
• Last Updated: October 4, 2024

Record last verified: 2024-10

Locations

TU (1)