Tp. Miles et al., New-onset incontinence and markers of frailty: Data from the Hispanic established populations for epidemiologic studies of the elderly, J GERONT A, 56(1), 2001, pp. M19-M24
Citations number
27
Categorie Soggetti
Public Health & Health Care Science","Medical Research General Topics
Journal title
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
Background. Urinary incontinence in older adults has many distinct etiologi
es and is associated with lower self-reported health. However, it is unclea
r whether the new onset of urinary incontinence marks newly emergent frailt
y.
Methods. Using a longitudinal population-based survey of older Mexican Amer
icans (N = 2660) across five southwestern states, this study compared the s
trength of association between markers of physical frailty such as activiti
es of daily living (ADLs), instrumental activities of daily living (IADLs),
and performance (timed walk, timed chair rise, and tandem balance) with ba
seline incontinence (prevalent disease) and new-onset incontinence incident
disease).
Results. We found that 14.1% of the participants (n = 329) were incontinent
at baseline (prevalent cases) and 11.6% in = 208) were newly incontinent 2
years later (incident cases). Controlling for other covariates, prevalent
incontinence was only associated with a 60% increased risk of having diffic
ulty walking 8 ft. Incident incontinence was associated with a twofold incr
eased risk of impairment in ADLs and IADLs, and poor performance on all thr
ee physical measures.
Conclusions. Incident incontinence is associated with an increased risk of
more global functional impairment. Thus, incident disease may be an importa
nt early marker for signaling the onset of frailty among persons who become
incontinent after the age of 65 years.