尿失禁,死亡率和虚弱之间的关系:来自大型队列研究的见解
Niharika Malviya1, Tracy Cheung1, Joseph Kim2
1Albert Einstein College of Medicine, Bronx, New York, USA.
Neurourology and urodynamics
|May 2, 2025
概括
妇女的尿失禁与较高的死亡风险有关,但考虑到人口统计和脆弱性,这种关联会消失. 脆弱性和人口统计学显著影响UI和死亡结果之间的关系.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 尿失禁 (UI) 是一种普遍影响妇女生活质量的疾病.
- UI与死亡率之间的关联需要进一步调查,特别是考虑到诸如虚弱等混因素.
研究的目的:
- 为了检查尿失禁 (UI) 和女性因任何原因死亡率之间的关系.
- 调查脆弱性在UI死亡率关联中的潜在调解作用.
- 探索各种UI亚型中死亡风险的差异.
主要方法:
- 来自国家健康和营养检查调查 (NHANES) 的8967名40岁以上妇女的分析.
- 使用了卡普兰-梅尔生存曲线和考克斯回归分析.
- 模型根据人口统计学变量和脆弱性得分进行调整,以评估UI亚型 (UUI,SUI,OUI) 和死亡率.
主要成果:
- 45.8%的参与者在过去一年中报告UI.
- 最初的分析显示,UI与增加的死亡风险 (HR=1.478) 之间存在显著的关联.
- 在调整为脆弱性和人口统计因素后,这种关联变得无意义.
结论:
- 虽然UI在初步分析中显示所有原因死亡率的风险增加,但在对人口统计和脆弱性进行控制后,这种联系没有持续.
- 脆弱性和人口因素似乎是女性UI和死亡率之间的关系中的重要混因素.
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