Physical performance measures in older women with urinary incontinence: pelvic floor disorder or geriatric syndrome?
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ORIGINAL ARTICLE
Physical performance measures in older women with urinary incontinence: pelvic floor disorder or geriatric syndrome? Tatiana V. D. Sanses 1,2 & Sharee Pearson 1 & Derik Davis 3 & Chi Chiung Grace Chen 4 & Soren Bentzen 5 & Jack Guralnik 5 & Holly E. Richter 6 & Alice S. Ryan 7 Received: 10 August 2020 / Accepted: 4 November 2020 # The International Urogynecological Association 2020
Abstract Introduction and hypothesis To evaluate physical performance measures of mobility and functional impairments and assess their association with urinary incontinence (UI) severity and impact on quality of life among older women with UI. Methods In a cross-sectional pilot study, 20 women aged ≥ 70 years with UI completed UI questionnaires (Global Impression of Severity, Incontinence Impact Questionnaire [IIQ-7]) and functional status evaluation. Functional status evaluation included the Modified Physical Performance Test (MPPT; range 0–36), Short Physical Performance Battery (SPPB; range 0–12), and other physical performance measures (e.g., Timed Up and Go [TUG]). MPPT and SPPB scores < 32 and < 10, respectively, indicated impaired mobility and function. Descriptive statistics and Spearman correlation coefficients evaluated study variables and associations between UI and physical performance measures. Results Women were 76.6 ± 4.7 years old with mean body mass index 33.5 ± 9.0 kg/m2. Mixed UI was the most prevalent (n = 17; 85%), and 14 (70%) participants rated their UI as moderate or severe. Low MPPT (< 32) and SPPB (< 10) scores were present in 65% (n = 13) and 35% (n = 7) of participants, respectively. Lower MPPT score (r = −0.46; P = 0.04) and worse TUG performance (r = 0.50; P = 0.03) were associated with greater UI impact on quality of life based on IIQ-7. SPPB did not correlate (P > 0.05) with UI measures. Conclusions Mobility and functional impairments are common among older women with UI. Associations between MPPT score and TUG performance with UI impact on quality of life suggest these physical performance measures could be markers of mobility and functional impairments in future research on UI in older women.
* Tatiana V. D. Sanses [email protected]
Keywords Urinary incontinence . Mobility . Physical performance measures . Geriatric syndrome . Functional impairment
1
Department of Obstetrics and Gynecology, Howard University College of Medicine, Washington, DC, USA
Introduction
2
Howard University Hospital, OBGYN 3C-16, 2041 Georgia Ave. NW, Washington, DC 20060, USA
3
Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
4
Department of Gynecology and Obstetrics, John Hopkins University School of Medicine, Baltimore, MD, USA
5
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA
6
Department of Obstetrics and Gynecology, University of Alabama School of Medicine, Birmingham, AL, USA
7
Department of Medicine, University of Maryland School of Medicine, Baltimore
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