CC BY-NC-ND 4.0 · Sleep Sci 2018; 11(02): 106-111
DOI: 10.5935/1984-0063.20180020
ORIGINAL ARTICLE

Urinary incontinence and sleep complaints in community dwelling older adults

Neda Sadat Nazaripanah
1   Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Gerontology - Tehran - Tehran - Iran.
2   Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Gerontology - Tehran - Tehran - Iran.
,
Yadollah Abolfathi Momtaz
1   Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Gerontology - Tehran - Tehran - Iran.
3   Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Gerontology - Serdang - Selangor - Malaysia.
,
Farideh Mokhtari
1   Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Gerontology - Tehran - Tehran - Iran.
2   Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Gerontology - Tehran - Tehran - Iran.
,
Robab Sahaf
1   Iranian Research Center on Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Gerontology - Tehran - Tehran - Iran.
› Author Affiliations

Background

Sleep disorder is associated with poor quality of life in old age. Therefore, it is imperative to identify contributing factors leading to sleep disorder. The current study aimed to examine the impact of urinary incontinence on sleep complaint after controlling for potential sociodemographic and health covariates. Materials and Methods: A cross-sectional study was conducted on a sample of 184 community dwelling older adults 60 years and older in Yazd, Iran, 2016. In order to obtain the sample a multistage proportional random sampling technique was employed. Sociodemographic characteristics, sleep complaint, and urinary incontinence were collected from medical records. Statistical analyses were performed using SPSS version 24. A multiple logistic regression analysis was used to examine the impact of urinary incontinence on sleep complaint after controlling for potential covariates.Findings: A total of 184 respondents with a mean age of 68.48±6.65 years (age range, 60-87 years) were included in the study. About 70% of the respondents were women, 72.8% were married, 68.5% were not formally educated, and 21.7% were living alone. The prevalence of sleep complaint and urinary incontinence were 27.2% (95% CI: 21-34) and 22.3% (95% CI: 17-29), respectively. The results of the multiple logistic regression analysis revealed respondents with urinary incontinence were four times more likely to suffer from sleep complaint than those without urinary incontinence after adjusting for potential covariates (AOR=4.04, 95% CI: 1.74-9.35,p<0.001). Conclusion: Based on the results of this present study, which showed that urinary incontinence independently contributed to sleep complaint among older adults, it is necessary to employ effective interventions for controlling urinary incontinence to reduce sleep complaints.



Publication History

Received: 25 January 2018

Accepted: 23 May 2018

Article published online:
13 October 2023

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  • REFERENCES

  • 1 Andrechuk CRS, Ceolim MF. Sleep quality in patients with acute myocardial infarction. Texto Contexto Enferm. 2015;24(4):1104-11.
  • 2 Ibrahim R, Abolfathi Momtaz Y, Hamid TA. Social isolation in older Malaysians: prevalence and risk factors. Psychogeriatrics. 2013;13(2):71-9.
  • 3 Carlson E, Idvall E. Who wants to work with older people? Swedish student nurses’ willingness to work in elderly care--A questionnaire study. Nurse Educ Today. 2015;35(7):849-53.
  • 4 Iranian Statistics Center. The results of the general census of population and housing; 2016 [cited 2018 Jan 10]. Available from: https://www. amar.org.ir/english/Statistics-by-Topic/Population#288290-statisticalsurvey
  • 5 Yahaya N, Abdullah SS, Momtaz YA, Aizan Hamid TA. Quality of life of older Malaysians living alone. Educ Gerontol. 2010;36(10-11):893-906.
  • 6 Momtaz YA, Hamid TA, Yahaya N, Ibrahim R. Effects of chronic comorbidity on psychological well-being among older persons in Northern Peninsular Malaysia. Appl Res Qual Life. 2010;5(2):133-46.
  • 7 Harrington JJ, Avidan AY. Treatment of sleep disorders in elderly patients. Curr Treat Options Neurol. 2005;7(5):339-52.
  • 8 Babar SI, Enright PL, Boyle P, Foley D, Sharp DS, Petrovitch H, et al. Sleep disturbances and their correlates in elderly Japanese American men residing in Hawaii. J Gerontol A Biol Sci Med Sci. 2000;55(7):M406-11.
  • 9 Halter JB, Ouslander JG, Tinetti M, Studenski S, High KP, Asthana S. Hazzard’s Geriatric Medicine and Gerontology. 6th ed. New York: McGraw- Hill; 2009.
  • 10 Yazdani Shahram, Mohamad Esmael Motlagh, and Parisa Taheri Tanjani. Health Status of Elderly People in Islamic Republic of Iran. 2015, Tehran.
  • 11 Krishnan P, Hawranik P. Diagnosis and management of geriatric insomnia: a guide for nurse practitioners. J Am Acad Nurse Pract. 2008;20(12):590-9.
  • 12 Dijk DJ, Duffy JF, Riel E, Shanahan TL, Czeisler CA. Ageing and the circadian and homeostatic regulation of human sleep during forced desynchrony of rest, melatonin and temperature rhythms. J Physiol. 1999;516(Pt 2):611-27.
  • 13 Dijk DJ, Duffy JF, Czeisler CA. Age-related increase in awakenings: impaired consolidation of nonREM sleep at all circadian phases. Sleep. 2001;24(5):565-77.
  • 14 Bliwise D. Sleep and circadian rhythm disorders in aging and dementia. In: Turek FW, Zee PC, eds. Regulation of Sleep and Circadian Rhythms. Series: Lung Biology in Health and Disease. Boca Raton: CRC Press;1999. p. 487-525.
  • 15 Roepke SK, Ancoli-Israel S. Sleep disorders in the elderly. Indian J Med Res. 2010;131:302-10.
  • 16 Kiejna A, Rymaszewska J, Wojtyniak B, Stokwiszewski J. Characteristics of sleep disturbances in Poland - results of the National Health Interview Survey. Acta Neuropsychiatr. 2004;16(3):124-9.
  • 17 Ohayon M. Epidemiological study on insomnia in the general population. Sleep. 1996;19(3 Suppl):S7-15.
  • 18 Teo JS, Briffa NK, Devine A, Dhaliwal SS, Prince RL. Do sleep problems or urinary incontinence predict falls in elderly women? Aust J Physiother. 2006;52(1):19-24.
  • 19 Milsom I, Ekelund P, Molander U, Arvidsson L, Areskoug B. The influence of age, parity, oral contraception, hysterectomy and menopause on the prevalence of urinary incontinence in women. J Urol. 1993;149(6):1459-62.
  • 20 Thomas TM, Plymat KR, Blannin J, Meade TW. Prevalence of urinary incontinence. Br Med J. 1980;281(6250):1243-5.
  • 21 Grimby A, Milsom I, Molander U, Wiklund I, Ekelund P. The influence of urinary incontinence on the quality of life of elderly women. Age Ageing. 1993;22(2):82-9.
  • 22 Pepin, JL, Borel AL, Tamisier R, Baguet JP, Levy P, Dauvilliers Y. Hypertension and sleep: overview of a tight relationship. Sleep Med Rev. 2014;18(6):509-19.
  • 23 Resnick HE, Redline S, Shahar E, Gilpin A, Newman A, Walter R, et al.; Sleep Heart Health Study. Diabetes and sleep disturbances: findings from the Sleep Heart Health Study. Diabetes Care. 2003;26(3):702-9.
  • 24 Waller EA, Bendel RE, Kaplan J. Sleep disorders and the eye. Mayo Clin Proc. 2008;83(11):1251-61.
  • 25 Test T, Canfi A, Eyal A, Shoam-Vardi I, Sheiner EK. The influence of hearing impairment on sleep quality among workers exposed to harmful noise. Sleep. 2011;34(1):25-30.
  • 26 Motlagh MA, Taheri Tanjani P. Elderly Health Profile in Islamic Republic of Iran. Tehran: Ministry of Health and Medical Education/Fojhan Publications; 2014.
  • 27 Harris MN, Lundien MC, Finnie DM, Williams AR, Beebe TJ, Sloan JA, et al. Application of a novel socioeconomic measure using individual housing data in asthma research: an exploratory study. NPJ Prim Care Respir Med. 2014;24:14018.
  • 28 Maggi S, Minicuci N, Langlois J, Pavan M, Enzi G, Crepaldi G. Prevalence rate of urinary incontinence in community-dwelling elderly individuals: the Veneto study. J Gerontol A Biol Sci Med Sci. 2001;56(1):M14-8.
  • 29 Temml C, Haidinger G, Schmidbauer J, Schatzl G, Madersbacher S. Urinary incontinence in both sexes. Neurourol Urodyn. 2000;19(3):259-71.
  • 30 Gavira Iglesias FJ, Caridad y Ocerin JM, Perez del Molino Martin J, Valderrama Gama E, Lopez Perez M, Romero Lopez M, et al. Prevalence and psychosocial impact of urinary incontinence in older people of a Spanish rural population. J Gerontol A Biol Sci Med Sci. 2000;55(4):M207-14.
  • 31 Ushiroyama T, Ikeda A, Ueki M. Prevalence, incidence, and awareness in the treatment of menopausal urinary incontinence. Maturitas. 1999;33(2):127-32.
  • 32 Thom D. Variation in estimates of urinary incontinence prevalence in the community: effects of differences in definition, population characteristics, and study type. J Am Geriatr Soc. 1998;46(4):473-80.
  • 33 Mazza M, Della Marca G, De Risio S, Mennuni GF, Mazza S. Sleep disorders in the elderly. Clin Ter. 2004;155(9):391-4.
  • 34 Foley DJ, Monjan AA, Brown SL, Simonsick EM, Wallace RB, Blazer DG. Sleep complaints among elderly persons: an epidemiologic study of three communities. Sleep. 1995;18(6):425-32.
  • 35 Fok M, Stewart R, Besset A, Ritchie K, Prince M. Incidence and persistence of sleep complaints in a community older population. Int J Geriatr Psychiatry. 2010;25(1):37-45.
  • 36 Wyman JF. The psychiatric and emotional impact of female pelvic floor dysfunction. Curr Opin Obstet Gynecol. 1994;6(4):336-9.
  • 37 Fultz NH, Herzog A. Self’]reported social and emotional impact of urinary incontinence. J Am Geriatr Soc. 2001;49(7):892-9.
  • 38 Dugan E, Cohen SJ, Bland DR, Preisser JS, Davis CC, Suggs PK, et al. The association of depressive symptoms and urinary incontinence among older adults. J Am Geriatr Soc. 2000;48(4):413-6.
  • 39 Members of the Consensus Development Panel. Consensus conference. Urinary incontinence in adults. JAMA. 1989;261(18):2685-90.
  • 40 Lebowitz BD, Pearson JL, Schneider LS, Reynolds CF 3rd, Alexopoulos GS, Bruce ML, et al. Diagnosis and treatment of depression in late life. Consensus statement update. JAMA. 1997;278(14):1186-90.
  • 41 Umlauf MG, Goode S, Burgio KL. Psychosocial issues in geriatric urology: problems in treatment and treatment seeking. Urol Clin North Am. 1996;23(1):127-36.
  • 42 Pressman MR, Figueroa WG, Kendrick-Mohamed J, Greenspon LW, Peterson DD. Nocturia. A rarely recognized symptom of sleep apnea and other occult sleep disorders. Arch Intern Med. 1996;156(5):545-50.