Prevalence and Determinants of Stress Urinary Incontinence in Middle-Aged and Older Women: A Systematic Review and Meta-Analysis

被引：0
作者：
Wang, Chuhan [1 ]
Wei, Wei [2 ]
Ma, Danli [1 ]
Yu, Huimin [1 ]
Yu, Lingzhi [3 ]
机构：
[1] Ningbo 2 Hosp, Gynecol Dept, Ningbo 315000, Zhejiang, Peoples R China
[2] Ningbo 2 Hosp, Dept Urol, Ningbo 315000, Zhejiang, Peoples R China
[3] Ningbo No 2 Hosp, Endoscopy Ctr Dept, Ningbo 315000, Zhejiang, Peoples R China
来源：
ARCHIVOS ESPANOLES DE UROLOGIA | 2025年 / 78卷 / 01期
关键词：
stress urinary incontinence; risk factors; meta-analysis; PELVIC ORGAN PROLAPSE; RISK-FACTORS; OVERACTIVE BLADDER; HEALTH; ASSOCIATION; QUALITY; CHINA; LIFE;
D O I：
10.56434/j.arch.esp.urol.20257801.6
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Background: Stress urinary incontinence (SUI) is a prevalent chronic condition that significantly impacts the quality of life in middle-aged and older women. However, controversy persists regarding the factors influencing SUI in this population. This study aimed to investigate the prevalence and determinants of SUI in middle-aged and older women through a meta-analysis. Methods: Cross-sectional, case-control, and cohort studies related to the prevalence and determinants of SUI in women aged >= 40 years were meticulously retrieved from databases such as Public Medical Database (PubMed), Web of Science, Excerpta Medica Database (Embase), Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang, and Viper Information Products (VIP), covering data until March 31, 2024. Two researchers independently conducted literature screening, data extraction, and quality assessment. Meta-analysis was conducted utilising Review Manager (RevMan) 5.3 software. Results: Thirteen studies with a total sample size of 19,283 were included. The meta-analysis indicated that the prevalence of SUI among middle-aged and older women was 27%. Identified risk factors for SUI included age >= 50 years, body mass index tract infections, hypertension, vaginal delivery, parity >= 2, and menopause. Conclusions: SUI is prevalent among middle-aged and older women, affecting over a quarter of this population. Recognising the risk factors associated with SUI is crucial for strengthening the assessment, intervention, and overall quality of life in these women.
引用
收藏
页码：46 / 55
页数：10
相关论文
共 40 条
  • [1] Abrams P, Andersson KE, Birder L, Brubaker L, Cardozo L, Chapple C, Et al., Fourth international consultation on incontinence recommendations of the international scientific committee: Evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence, Neurourology and Urodynamics, 29, pp. 213-240, (2010)
  • [2] Wang WN, Yao JH, Cheng X, Zhang YQ., Interpretation of “Management Guidelines for Female Stress Urinary Incontinence” by the Polish Gynecologists’ Association in 2021, Practical Journal of Obstetrics and Gynecology, 38, pp. 262-265, (2022)
  • [3] Minassian VA, Bazi T, Stewart WF., Clinical epidemiological insights into urinary incontinence, International Urogynecology Journal, 28, pp. 687-696, (2017)
  • [4] Diagnosis and treatment guidelines for female stress urinary incontinence (2017), Chinese Journal of Obstetrics and Gynecology, 52, pp. 289-293, (2017)
  • [5] Zhu F, Chen M, Xiao Y, Huang X, Chen L, Hong L., Synergistic interaction between hyperlipidemia and obesity as a risk factor for stress urinary incontinence in Americans, Scientific Reports, 14, (2024)
  • [6] Jueng-Anuwat P, Roongruangsilp U, Kochakarn W, Ratana-Olarn K., Risk factors for stress urinary incontinence in middle aged and elderly Thai women, Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 84, pp. 1121-1125, (2001)
  • [7] Shang X, Fu Y, Jin X, Wang C, Wang P, Guo P, Et al., Association of overweight, obesity and risk of urinary incontinence in middle-aged and older women: a meta epidemiology study, Frontiers in Endocrinology, 14, (2023)
  • [8] Li Q, Huang Y, Wang Q, Xue K, Zhou F., The prevalence and risk factors of different degrees of stress urinary incontinence in Chinese women: a community‐based cross‐sectional study, Nursing Open, 10, pp. 5079-5088, (2023)
  • [9] Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Et al., An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction, Neurourology and Urodynamics, 29, pp. 4-20, (2010)
  • [10] Gron Jensen LC, Boie S, Axelsen S., International consultation on incontinence questionnaire—Urinary incontinence short form ICIQ-UI SF: Validation of its use in a Danish speaking population of municipal employees, PLoS One, 17, (2022)
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