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Diabetes and urinary incontinence − prevalence data from Norway
Marit Helen Ebbesen1, Yngvild S Hannestad, Kristian Midthjell
1Section for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Norway. marit.ebbesen@student.uib.no
Acta Obstetricia Et Gynecologica Scandinavica
|September 14, 2007
Summary
Women with diabetes have a significantly higher risk of urinary incontinence, particularly urge and severe types. This population-based study highlights a strong association between diabetes and increased incontinence prevalence and severity.
Area of Science:
- Urology
- Endocrinology
- Epidemiology
Background:
- Diabetes mellitus is a prevalent chronic condition with numerous potential complications.
- The relationship between diabetes and urinary incontinence (UI) requires further investigation through large-scale epidemiological studies.
- Understanding this association is crucial for managing patient health and improving quality of life.
Purpose of the Study:
- To investigate the association between diabetes and urinary incontinence in women.
- To determine if diabetes influences the severity of urinary incontinence.
- To provide epidemiological data on diabetes and its impact on lower urinary tract symptoms.
Main Methods:
- A cross-sectional, population-based study conducted in Nord-Trøndelag, Norway (1995-1997).
- Data collection involved questionnaires, clinical measurements, and blood tests from 21,057 women aged 20 years and older.
- A subset of 685 women were identified as having diabetes.
Main Results:
- The prevalence of incontinence was 39% in women with diabetes versus 26% in women without diabetes.
- Women with diabetes showed a higher incidence of urge and mixed incontinence.
- Adjusted analyses confirmed significant associations between diabetes and urge incontinence (OR: 1.49), mixed incontinence (OR: 1.32), and severe incontinence (OR: 1.54).
Conclusions:
- A strong association exists between diabetes and urinary incontinence in women.
- Diabetes is linked to an increased risk of urge incontinence and severe urinary incontinence.
- These findings underscore the importance of screening for urinary incontinence in women with diabetes.
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