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https://ptsldigital.ukm.my/jspui/handle/123456789/475775| Title: | Prevalence of urinary incontinence and its relationship with cognitive and physical function among community dwelling older adults |
| Authors: | Resshaya Roobini Murukesu (P83878) |
| Supervisor: | Devinder Kaur Ajit Singh, Prof. Dr. |
| Keywords: | Inkontinen urinari Urinary incontinence adults dewasa Dissertations, Academic -- Malaysia |
| Issue Date: | 27-May-2011 |
| Description: | Urinary incontinence (UI) is associated with reduced quality of life (QoL) and is a cause of morbidity in older adults. The prevalence and risk factors of UI remains unclear among community dwelling older adults, more so in the Malaysian context. We aimed to determine the prevalence of UI and its relationship with cognitive and physical function among Malaysian community dwelling older adults. Impact of UI on QoL and the difference in QoL among incontinent older adults with and without mild cognitive impairment (MCI) was also examined. This study was part of the third phase longitudinal study “Neuroprotective Model for Health Longevity among Malaysian Elderly” (LRGS TUA). Total of 1560 community dwelling older adults (age:72.2±5.8 years) participated in this cross-sectional study. Cognitive function was assessed using Mini Mental State Examination (MMSE), Rey Auditory Verbal Learning Test (RAVLT) and Digit Span Test (DS). Physical function was tested using the Timed Up and Go (TUG), Handgrip Strength (HGS), Chair Stand (CST) tests and the Lawton Instrumental Activities of Daily Living scale (IADL). Participants who self-reported UI were further assessed for severity and QoL using King’s Health Questionnaire (KHQ). Findings showed that prevalence of UI was 15.7%. Binary logistic regression indicated that increasing age [OR: 1.572, 95% C.I: 1.027-2.407, p=0.037], chronic constipation [OR: 2.557, 95% C.I: 1.657-3.946, p<0.001], lower MMSE scores [OR: 0.940, 95% C.I: 0.903-0.978, p=0.002] and longer TUG completion time [OR: 1.070, 95% C.I: 1.017-1.125, p=0.009] were risk factors of UI. These results indicated that a decline in global cognition and impaired mobility and balance increased the likelihood of having UI. Overall, the domain of ‘physical limitation’ was the most affected domain of QoL (49%). When stratified by gender, ‘personal relationships’ and ‘emotions’ affected incontinent men more than women (p<0.01); whilst ‘severity measures’ affected women more than men (p<0.001). Incontinent older adults with MCI were found to be more emotionally disturbed as compared to incontinent older adults without MCI (p<0.05). In conclusion, there is a need to address cognitive and physical functional decline in the management of UI in addition to other risk factors as a part of rehabilitation and in the aide of improving QoL in older adults.,Sarjana Sains Kesihatan |
| Pages: | 165 |
| Call Number: | WJ146.M984p 2018 9 |
| Publisher: | UKM, Kuala Lumpur |
| Appears in Collections: | Faculty of Health Sciences / Fakulti Sains Kesihatan |
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