老年女性压力性尿失禁与肌少症的相关性研究

doi:10.3969/j.issn.1003-9198.2025.07.011

Abstract

Abstract: Objective To investigate the relationship between stress urinary incontinence (SUI) and sarcopenia in the elderly women. Methods A total of 268 elderly women at the Affiliated Geriatric Hospital of Nanjing Medical University from September 2023 to August 2024 were collected, including 176 patients presenting with SUI (SUI group) and 92 without urinary incontinence (non-urinary incontinerce group). The sarcopenia-related parameters, sociodemographic characteristics, comprehensive geriatric assessment data, and laboratory biomarkers were recorded and compared between the two groups. Propensity score matching (PSM) was employed to control the potential confounding factors, and binary logistic regression analysis was performed to identify the influencing factors for SUI in the elderly women. Results After PSM, the difference in the prevalence of sarcopenia between the two groups was statistically significant (P<0.05). Binary logistic regression analysis indicated that sarcopenia was an independent risk factor for SUI in the elderly women. Conclusions SUI is closely associated with sarcopenia in the elderly women. Screening sarcopenia is important to reduce the risk of SUI and improve the quality of life in the elderly women.

Key words: aged, female, stress urinary incontinence, sarcopenia, propensity score matching

CLC Number:

R691.5

KANG Shengqin, WANG Xuefei, DENG Shunzhi, OUYANG Xiaaojun, WU Haidi, SHEN Xiaoxing, LIU Xiaoqin, MO Yongzhen. Correlation between stress urinary incontinence and sarcopenia in elderly women[J]. Practical Geriatrics, 2025, 39(7): 703-707.

References

[1] LUO Y, ZOU P, WANG K, et al. Prevalence and risk factors of urinary incontinence among elderly adults in rural China: a cross-sectional survey[J]. J Wound Ostomy Continence Nurs, 2022, 49(1): 78-86.
[2] LI Q, HUANG Y, WANG Q, et al. The prevalence and risk factors of different degrees of stress urinary incontinence in Chinese women: a community-based cross-sectional study[J]. Nurs Open, 2023, 10(8): 5079-5088.
[3] 余昆, 谢珍国, 余志海, 等. 中国成年女性尿失禁患病率的meta分析[J]. 中国循证医学杂志, 2019, 19(1): 36-43.
[4] LI H, ZOU X, ZHANG R, et al. Association of chronic conditions and physical multimorbidity with new-onset incontinence in a nationwide prospective cohort study of older adults ≥ 50 years in China[J]. Age Ageing, 2024, 53(1): afad258.
[5] BATMANI S, JALALI R, MOHAMMADI M, et al. Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies[J]. BMC Geriatr, 2021, 21(1): 212.
[6] 崔华, 王朝晖, 吴剑卿, 等. 老年人肌少症防控干预中国专家共识(2023)[J]. 中华老年医学杂志, 2023, 42(2): 144-153.
[7] ZENG B, JIN Y, SU X, et al. The association between sarcopenia and stress urinary incontinence among older adults in India: a cross-sectional study[J]. Int J Med Sci, 2024, 21(12): 2334-2342.
[8] 陈泽波, 来永庆, 曹群朵, 等. ICIQ-SF问卷中文版与尿动力学检查的相关性研究[J]. 现代泌尿外科杂志, 2011, 16(5): 403-405.
[9] CHEN L K, WOO J, ASSANTACHAI P, et al. Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment[J]. J Am Med Dir Assoc, 2020, 21(3): 300-307. e2.
[10] QIU Z, LI W, HUANG Y, et al. Urinary incontinence and health burden of female patients in China: subtypes, symptom severity and related factors[J]. Geriatr Gerontol Int, 2022, 22(3): 219-226.
[11] ERDOGAN T, BAHAT G, KILIC C, et al. The relationship between sarcopenia and urinary incontinence[J]. Eur Geriatr Med, 2019, 10(6): 923-929.
[12] LI L, CHEN F, LI X, et al. Association between calf circumference and incontinence in Chinese elderly[J]. BMC Public Health, 2023, 23(1): 471.
[13] CORRAL-PÉREZ J, ÁVILA-CABEZA-DE-VACA L, VALERO-CANTERO I, et al. Predictors of urinary and fecal incontinence in prefrail and frail older adults: a cross-sectional study of the FRAGSALUD project[J]. J Gerontol A Biol Sci Med Sci, 2024, 79(6): glae072.
[14] KAKEHI S, WAKABAYASHI H, ISONO E, et al. Association between sarcopenia and urinary dysfunction in patients with dysphagia[J]. Arch Gerontol Geriatr, 2024, 127: 105577.
[15] VENEMA P L, HEESAKKERS J P, DE VRIES A M, et al. The female urethral closure mechanism during physical stress[J]. Neurourol Urodyn, 2024, 43(7): 1647-1654.
[16] BURZYNSKI B, JURYS T, KNAPIK M, et al. Abdominal complex muscle in women with stress urinary incontinence-prospective case-control study[J]. Arch Med Sci, 2021, 19(4): 1016-1021.
[17] CRUZ-JENTOFT A J, BAHAT G, BAUER J, et al. Sarcopenia: revised European consensus on definition and diagnosis[J]. Age Ageing, 2019, 48(1): 16-31.

Correlation between stress urinary incontinence and sarcopenia in elderly women

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