The Effect of Stress Urinary Incontinence on Kinesiophobia in Postmenopausal Women with Osteoporosis: A...

This study aimed to examine whether stress urinary incontinence (SUI) was associated with kinesiophobia in women with postmenopausal osteoporosis.

This cross-sectional study included 83 women diagnosed with postmenopausal osteoporosis, including those with SUI (n = 47) and those without (n = 36). Participants' kinesiophobia level was evaluated using the Tampa Scale of Kinesiophobia (TSK), and their mood was assessed using the Hospital Anxiety and Depression Scale (HADS), which includes two subscales: the HADS-Anxiety (HADS-A) and HADS-Depression (HADS-D). SUI severity was evaluated with the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and the effect of SUI on quality of life was assessed via the Incontinence Quality of Life Scale (I-QOL). Independent-samples t-tests were used for between-group comparisons, Pearson correlation analyses were used to assess associations between variables, and hierarchical and multiple linear regression analyses were conducted.

The groups are similar in age, bone mineral density, and HADS-A scores. The HADS-D (p = 0.004) and TSK (p = 0.032) scores are higher in the SUI group. A positive correlation is found between the ICIQ-SF and TSK scores (r = 0.59, p < 0.001). According to hierarchical multiple linear regression analysis, adding the SUI as variable to the model further increased the explained variance in the TSK score by 7.3% (p = 0.008). The ICIQ-SF score was associated with the TSK score (B = 0.52, p < 0.001).

These findings support considering SUI as one of several clinically relevant factors in the evaluation of postmenopausal osteoporosis, particularly in relation to kinesiophobia and comprehensive patient assessment.