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Correlates of 1‐Year Incidence of Urinary Incontinence in Older Latino Adults Enrolled in a Community‐Based Physical Activity Trial
Author(s) -
Morrisroe Shelby N.,
Rodriguez Larissa V.,
Wang PinChieh,
Smith Ariana L.,
Trejo Laura,
Sarkisian Catherine A.
Publication year - 2014
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.12729
Subject(s) - medicine , psychosocial , incidence (geometry) , confidence interval , urinary incontinence , odds ratio , population , quality of life (healthcare) , gerontology , cohort , demography , physical therapy , surgery , psychiatry , environmental health , physics , nursing , sociology , optics
The prevalence of urinary incontinence ( UI ) among older urban L atinos is high. Insight into etiologies of and contributing factors to the development of this condition is needed. This longitudinal cohort study identified correlates of 1‐year incidence of UI in older community‐dwelling L atino adults participating in a senior center–based physical activity trial in L os A ngeles, C alifornia. Three hundred twenty‐eight L atinos aged 60 to 93 participating in C aminemos , a randomized trial to increase walking, were studied. Participants completed an in‐person survey and physical performance measures at baseline and 1 year. UI was measured using the I nternational C onsultation on I ncontinence item: “ H ow often do you leak urine?” Potential correlates of 1‐year incidence of UI included sociodemographic, behavioral, medical, physical, and psychosocial characteristics. The overall incidence of UI at 1 year was 17.4%. Incident UI was associated with age, baseline activity of daily living impairment, health‐related quality of life ( HRQ o L ), mean steps per day, and depressive symptoms. Multivariate logistic regression models revealed that improvement in physical performance score (odds ratio ( OR ) = 0.69, 95% confidence interval ( CI ) = 0.50–0.95) and high baseline physical ( OR = 0.60, 95% CI = 0.40–0.89) and mental ( OR = 0.62, 95% CI = 0.43–0.91) HRQ o L were independently associated with lower rates of 1‐year incident UI . An increase in depressive symptoms at 1 year ( OR = 4.48, 95% CI = 1.02–19.68) was independently associated with a higher rate of incident UI . One‐year UI incidence in this population of older urban L atino adults participating in a walking trial was high but was lower in those who improved their physical performance. Interventions aimed at improving physical performance may help prevent UI in older L atino adults.