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Article

Cross-Sectional Study of the Prevalence and Symptoms of Urinary Incontinence among Japanese Older Adults: Associations with Physical Activity, Health-Related Quality of Life, and Well-Being

by
Noriaki Maeda
1,*,
Yukio Urabe
1,
Yuta Suzuki
1,2,
Daigo Hirado
2,
Masanori Morikawa
1,
Makoto Komiya
1,
Rami Mizuta
1,
Koichi Naito
3 and
Taizan Shirakawa
4
1
Department of Sports Rehabilitation, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan
2
Department of Rehabilitation, Matterhorn Rehabilitation Hospital, Hiroshima 737-0046, Japan
3
Department of Physical Therapy, Hakuho College, Nara 636-0011, Japan
4
Department of Orthopedics, Matterhorn Rehabilitation Hospital, Hiroshima 737-0046, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(2), 360; https://doi.org/10.3390/ijerph18020360
Submission received: 26 November 2020 / Revised: 30 December 2020 / Accepted: 1 January 2021 / Published: 6 January 2021
(This article belongs to the Special Issue Feature Papers in Public Health Statistics and Risk Assessment)
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Abstract

Urinary incontinence (UI) is a major social problem for older adults and leads to a decline in health-related quality of life (HRQoL), mental health, and physical activity. This study assessed the prevalence and symptoms of UI among older adults discharged from the hospital in Japan and investigated the association of UI symptoms with physical activity, HRQoL, and subjective well-being (SWB). By an international consultation, the Incontinence Questionnaire Short Form (ICIQ-SF) that assesses UI severity, was developed. Self-administered questionnaires were used to assess physical activity, HRQoL, SWB, and social demographic characteristics of the participants. In total, 145 participants (valid response rate, 48%; mean age, 78.6 ± 7.6 years) were included in the analysis. Multivariate logistic regression analysis was performed to identify significant factors associated with the presence of UI. Significant decreases in physical activity, HRQoL, and SWB were observed in patients with UI compared with those without UI (p < 0.05). Multivariate analysis revealed that age, number of reported conditions, and decreased SWB were associated with UI (p < 0.05). UI was associated with less physical activity and decreased mental health status in older adults (especially decreased SWB). Health-promoting measures for older adults with UI are essential for maintaining their well-being and extending healthy life expectancy.
Keywords: urinary incontinence; older adults; physical activity; mental health; health-related quality of life; well-being urinary incontinence; older adults; physical activity; mental health; health-related quality of life; well-being

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MDPI and ACS Style

Maeda, N.; Urabe, Y.; Suzuki, Y.; Hirado, D.; Morikawa, M.; Komiya, M.; Mizuta, R.; Naito, K.; Shirakawa, T. Cross-Sectional Study of the Prevalence and Symptoms of Urinary Incontinence among Japanese Older Adults: Associations with Physical Activity, Health-Related Quality of Life, and Well-Being. Int. J. Environ. Res. Public Health 2021, 18, 360. https://doi.org/10.3390/ijerph18020360

AMA Style

Maeda N, Urabe Y, Suzuki Y, Hirado D, Morikawa M, Komiya M, Mizuta R, Naito K, Shirakawa T. Cross-Sectional Study of the Prevalence and Symptoms of Urinary Incontinence among Japanese Older Adults: Associations with Physical Activity, Health-Related Quality of Life, and Well-Being. International Journal of Environmental Research and Public Health. 2021; 18(2):360. https://doi.org/10.3390/ijerph18020360

Chicago/Turabian Style

Maeda, Noriaki, Yukio Urabe, Yuta Suzuki, Daigo Hirado, Masanori Morikawa, Makoto Komiya, Rami Mizuta, Koichi Naito, and Taizan Shirakawa. 2021. "Cross-Sectional Study of the Prevalence and Symptoms of Urinary Incontinence among Japanese Older Adults: Associations with Physical Activity, Health-Related Quality of Life, and Well-Being" International Journal of Environmental Research and Public Health 18, no. 2: 360. https://doi.org/10.3390/ijerph18020360

APA Style

Maeda, N., Urabe, Y., Suzuki, Y., Hirado, D., Morikawa, M., Komiya, M., Mizuta, R., Naito, K., & Shirakawa, T. (2021). Cross-Sectional Study of the Prevalence and Symptoms of Urinary Incontinence among Japanese Older Adults: Associations with Physical Activity, Health-Related Quality of Life, and Well-Being. International Journal of Environmental Research and Public Health, 18(2), 360. https://doi.org/10.3390/ijerph18020360

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