INTRODUCTION AND HYPOTHESIS: The objective of this study was to determine risk factors for urge urinary incontinence (UUI). METHODS: A multi-item survey was administered to a community sample of identical twin sisters from 2002-2008. Generalized estimating equations accounting for co-twin correlation were used to perform three different regression models on the outcome: UUI (yes vs. no). RESULTS: Mean age, median parity, and BMI were 41.4 +/- 16.4 (18-85), 1.0, and 26.0 +/- 6.5 (13.5-55.8), respectively. Thirty-five percent of women were post-menopausal, and 27.5% had UUI. Urge urinary incontinence was reported in 40.1% of parous versus 14.1% among nulliparous women (p < .0001). The rate of UUI was 40.6% after vaginal delivery, 36.7% after cesarean delivery, and 14.1% in nulliparous women (p < .0001). Obesity, age >40, and chronic constipation were also identified as risk factors for urge urinary incontinence. CONCLUSION: Risk factors for UUI include parity, age, obesity, and chronic constipation. There was a 2.5-fold increased risk of UUI after one or more births, regardless of type of delivery.
INTRODUCTION AND HYPOTHESIS: The objective of this study was to determine risk factors for urge urinary incontinence (UUI). METHODS: A multi-item survey was administered to a community sample of identical twin sisters from 2002-2008. Generalized estimating equations accounting for co-twin correlation were used to perform three different regression models on the outcome: UUI (yes vs. no). RESULTS: Mean age, median parity, and BMI were 41.4 +/- 16.4 (18-85), 1.0, and 26.0 +/- 6.5 (13.5-55.8), respectively. Thirty-five percent of women were post-menopausal, and 27.5% had UUI. Urge urinary incontinence was reported in 40.1% of parous versus 14.1% among nulliparous women (p < .0001). The rate of UUI was 40.6% after vaginal delivery, 36.7% after cesarean delivery, and 14.1% in nulliparous women (p < .0001). Obesity, age >40, and chronic constipation were also identified as risk factors for urge urinary incontinence. CONCLUSION: Risk factors for UUI include parity, age, obesity, and chronic constipation. There was a 2.5-fold increased risk of UUI after one or more births, regardless of type of delivery.
Authors: Jeanne-Marie Guise; Sarah Hamilton Boyles; Patricia Osterweil; Hong Li; Karen B Eden; Motomi Mori Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2008-10-24
Authors: John O L DeLancey; Janis M Miller; Rohna Kearney; Denise Howard; Pranathi Reddy; Wolfgang Umek; Kenneth E Guire; Rebecca U Margulies; James A Ashton-Miller Journal: Obstet Gynecol Date: 2007-08 Impact factor: 7.661
Authors: W F Stewart; J B Van Rooyen; G W Cundiff; P Abrams; A R Herzog; R Corey; T L Hunt; A J Wein Journal: World J Urol Date: 2002-11-15 Impact factor: 4.226