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Updated: Jul 23, 2026

Evaluation of Fluid Overload by Bioelectrical Impedance Vectorial Analysis
07:17

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Published on: August 17, 2022

Urinary incontinence and hydration: A population-based analysis.

Marcella Willis-Gray1, Jennifer M Wu1, Alayne Markland2

  • 1Division of Urogynecology, Department of OB/GYN, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Neurourology and Urodynamics
|April 19, 2017
PubMed
Summary

This study found no link between hydration status and urinary incontinence in men and women. Objective measures of urine osmolality did not correlate with the severity of urinary incontinence.

Keywords:
hydration statusincontinenceosmolalityurinary

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Area of Science:

  • Urology
  • Public Health
  • Nephrology

Background:

  • Urinary incontinence (UI) affects a significant portion of the population, impacting quality of life.
  • Hydration status is a modifiable factor that may influence various physiological processes, including bladder function.
  • Previous research has not definitively established a link between objective hydration markers and UI prevalence.

Purpose of the Study:

  • To investigate the association between objective hydration status and moderate to severe urinary incontinence.
  • To analyze this relationship in a large, population-based sample of adult men and women in the United States.

Main Methods:

  • Utilized cross-sectional data from the National Health and Nutrition Examination Surveys (NHANES) 2009-2012.
  • Defined dehydration as urine osmolality ≥ 800 mOsm/kg; adequate hydration was < 800 mOsm/kg.
  • Employed multivariable logistic regression, controlling for demographic and clinical factors.

Main Results:

  • Among 9497 participants with complete data, dehydration was more prevalent in men than women.
  • Bivariate analysis suggested a potential association, but this did not persist in multivariable models.
  • Dehydration was not significantly associated with moderate/severe UI in men (OR 0.2) or women (OR 0.8).

Conclusions:

  • Objective hydration status, measured by urine osmolality, is not associated with moderate to severe urinary incontinence.
  • Findings suggest that hydration management may not be a primary target for reducing UI in the general population.