Titre du document / Document title

Prevalence and risk factors for urinary incontinence in women with type 2 diabetes and impaired fasting glucose : Findings from the national health and nutrition examination survey (NHANES) 2001-2002

Auteur(s) / Author(s)

BROWN Jeanette S. ⁽¹⁾ ; VITTINGHOFF Eric ⁽¹⁾ ; FENG LIN ⁽¹⁾ ; NYBERG Leroy M. ⁽²⁾ ; KUSEK John W. ⁽²⁾ ; KANAYA Alka M. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ UCSF Women's Health Clinical Research Center, University of California, San Francisco, California, ETATS-UNIS
⁽²⁾ National Institute of Diabetes, Digestive, and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, ETATS-UNIS

Résumé / Abstract

OBJECTIVE- Diabetes is associated with increased risk of urinary incontinence. It is unknown whether women with pre-diabetes, or impaired fasting glucose (IFG), have increased prevalence of incontinence. We determined the prevalence of, and risk factors for, incontinence among U.S. women with diabetes and IFG. RESEARCH DESIGN AND METHODS- The 2001-2002 National Health and Nutrition Examination Survey measured fasting plasma glucose and obtained information about diabetes and urinary incontinence among 1,461 nonpregnant adult women. Self-reported weekly or more frequent incontinence, both overall and by type (urge and stress), was our outcome. RESULTS- Of the 1,461 women, 17% had diabetes and 11% met criteria for IFG. Prevalence of weekly incontinence was similar among women in these two groups (35.4 and 33.4%, respectively) and significantly higher than among women with normal fasting glucose (16.8%); both urge and stress incontinence were increased. In addition to well-recognized risk factors including age, weight, and oral estrogen use, two microvascular complications caused by diabetes, specifically macroalbuminuria and peripheral neuropathic pain, were associated with incontinence. CONCLUSIONS - Physicians should be alert for incontinence, an often unrecognized and therefore undertreated disorder, among women with diabetes and IFG, in particular those with microvascular complications. The additional prospect of improvements in their incontinence may help motivate some high-risk women to undertake difficult lifestyle changes to reduce their more serious risk of diabetes and its sequelae.

Revue / Journal Title

Diabetes care   ISSN 0149-5992   CODEN DICAD2 

Source / Source

2006, vol. 29, n^o6, pp. 1307-1312 [6 page(s) (article)] (24 ref.)

Langue / Language

Anglais

Editeur / Publisher

American Diabetes Association, Alexandria, VA, ETATS-UNIS  (1978) (Revue)

Mots-clés anglais / English Keywords

Metabolic diseases ; Endocrinopathy ; Urinary tract disease ; Bladder disease ; Voiding dysfunction ; Urinary system disease ; America ; North America ; Public health ; United States ; Woman ; Adult ; Female ; Impaired glucose tolerance ; Human ; Risk factor ; Type 2 diabetes ; Prevalence ; Epidemiology ; Urinary incontinence ;

Mots-clés français / French Keywords

Métabolisme pathologie ; Endocrinopathie ; Voie urinaire pathologie ; Vessie pathologie ; Trouble miction ; Appareil urinaire pathologie ; Amérique ; Amérique du Nord ; Santé publique ; Etats Unis ; Femme ; Adulte ; Femelle ; Anomalie tolérance glucose ; Homme ; Facteur risque ; Diabète type 2 ; Prévalence ; Epidémiologie ; Incontinence urinaire ;

Mots-clés espagnols / Spanish Keywords

Metabolismo patología ; Endocrinopatía ; Vía urinaria patología ; Vejiga patología ; Trastorno micción ; Aparato urinario patología ; America ; America del norte ; Salud pública ; Estados Unidos ; Mujer ; Adulto ; Hembra ; Anomalía tolerancia glucosa ; Hombre ; Factor riesgo ; Diabetes de tipo 2 ; Prevalencia ; Epidemiología ; Incontinencia urinaria ;

Localisation / Location

INIST-CNRS, Cote INIST : 18054, 35400013909230.0190