PREVALENCE OF URINARY INCONTINENCE AND ITS ASSOCIATION WITH DECLINED COGNITIVE AND PHYSICAL FUNCTION AMONG COMMUNITY DWELLING OLDER ADULTS: A REVIEW
Keywords:community dwelling, older adults, geriatrics, urinary incontinence, cognitive function, physical function, risk factors
In this review we aimed to determine the prevalence of urinary incontinence (UI) and its association with declined cognitive and physical function among community dwelling older adults. Literature review was performed using multiple online databases including MEDLINE, Science Direct and Wiley Online Library from June 2000 to April 2017. Hand searching of bibliographies of relevant studies was also carried out. The studies included of those conducted from within the last 17 years; assessed and compared according to population characteristics, definition of urinary incontinence, prevalence and its association with cognitive and physical functional decline. Nine studies met the eligibility criteria of this review. Prevalence rates of UI among community dwelling older adults ranged from 10% to 53% (median 32%). Physical functional decline in terms of mobility, locomotion and activities of daily living interruptions were found to be correlated with UI. Although limited, the existing evidence also showed an association between declined cognitive function and UI.
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