Sleep quality and urinary incontinence in elderly female exercise practitioners

Débora Verônica da-Luz; Felipe Fank; Franciele da Silva Pereira; Giovana Zarpellon Mazo

doi:10.5935/1984-0063.20210003

Sleep Science, Table of Contents

CC BY-NC-ND 4.0 · Sleep Sci 2022; 15(S 02): 333-338
DOI: 10.5935/1984-0063.20210003

ORIGINAL ARTICLE

Sleep quality and urinary incontinence in elderly female exercise practitioners

Débora Verônica da-Luz

¹State University of Santa Catarina, Health and Sport Sciences Center, Department of Physical Education. - Florianópolis - Santa Catarina - Brazil.

,

Felipe Fank

¹State University of Santa Catarina, Health and Sport Sciences Center, Department of Physical Education. - Florianópolis - Santa Catarina - Brazil.

,

Franciele da Silva Pereira

²State University of Santa Catarina, Health and Sport Sciences Center, Department of Physiotherapy - Florianópolis - Santa Catarina - Brazil.

,

Giovana Zarpellon Mazo

¹State University of Santa Catarina, Health and Sport Sciences Center, Department of Physical Education. - Florianópolis - Santa Catarina - Brazil.

› Author Affiliations

Abstract

ABSTRACT

Objectives: Older women with urinary incontinence (UI) commonly report sleep problems. However, little is known about sleep problems in older women with UI who exercise. We aimed to evaluate the relationship of sleep quality with the presence or absence of UI, urine loss, and nocturia episodes in elderly female practitioners of physical exercise.

Material and Methods: We conducted a cross-sectional study on older women participating in an extension program, southern Brazil. Data were collected in 2018. Sociodemographic and health characteristics were collected by interview. The International Consultation on Incontinence Questionnaire - short form was applied to evaluate the presence of UI, as well as the frequency and amount of urine loss. The International Consultation on Incontinence Questionnaire Overactive Bladder was used to analyze nocturia episodes. Sleep quality was assessed using the Pittsburgh sleep quality index.

Results: The study group included 142 older women with a mean age of 68.8±6.8 years. The prevalence of UI was 33.8% (95% CI: 0.26-0.42). Women with UI had higher use of medication, daytime dysfunction, and total sleep quality scores than women without UI (p<0.05). Older women who leak urine several times a day exhibited worse sleep quality than those who lose urine once a week or less (p=0.036). Women with three or more episodes of nocturia also showed worse sleep quality than those without any episode (p=0.029). Conclusion: Exercising older women with UI have worse sleep quality than those without this dysfunction. Furthermore, participants who lose large amounts of urine and have more episodes of nocturia also exhibit worse sleep quality.

Keywords:

Sleep - Older adults - Urinary incontinence - Nocturia - Exercise

Full Text

References

REFERENCES
1 Bo K, Frawley HC, Haylen BT, Abramov Y, Almeida FG, Berghmans B, et al. An International Urogynecological Association (IUGA)/ International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Neurourol Urodyn. 2017 Feb;36(2):221-44.
2 Kim J, Miller S. Geriatric syndromes: meeting a growing challenge. Nurs Clin North Am. 2017 Sep;52(3):ix-x.
3 Faleiro DJA, Menezes EC, Capeletto E, Fank F, Porto RM, Mazo GZ. Association of physical activity with urinary incontinence in older women: a systematic review. J Aging Phys Act. 2019 Dec;27(4):906-13.
4 Reigota RB, Pedro AO, Machado VSS, Costa-Paiva L, Pinto-Neto AM. Prevalence of urinary incontinence and its association with multimorbidity in women aged 50 years or older: a population-based study. Neurourol Urodyn. 2016 Jan;35(1):62-8.
5 John G, Bardini C, Combescure C, Dällenbach P. Urinary incontinence as a predictor of death: a systematic review and meta-analysis. PLoS One. 2016 Jul;11(7):e0158992.
6 Nazaripanah NS, Momtaz YA, Mokhtari F, Sahaf R. Urinary incontinence and sleep complaints in community dwelling older adults. Sleep Sci. 2018 Mar/Apr;11(2):106-11.
7 Dean GE, Weiss C, Morris JL, Chasens ER. Impaired sleep: a multifaceted geriatric syndrome. Nurs Clin North Am. 2017 Sep;52(3):387-404.
8 Winkelman WD, Warsi A, Huang AJ, Schembri M, Rogers RG, Richter HE, et al. Sleep quality and daytime sleepiness among women with urgency predominant urinary incontinence. Female Pelvic Med Reconstr Surg. 2018 Jan;24(2):76-81.
9 Vaughan CP, Bliwise DL. Sleep and nocturia in older adults. Sleep Med Clin. 2018 Mar;13(1):107-16.
10 Chu CM, Khanijow KD, Schmitz KH, Newman DK, Arya LA, Harvie HS. Physical activity patterns and sedentary behavior in older women with urinary incontinence. Female Pelvic Med Reconstr Surg. 2019 Jul/Aug;25(4):318-22.
11 Jurado-Fasoli L, De-la-O A, Molina-Hidalgo C, Migueles JH, Castillo MJ, Amaro-Gahete FJ. Exercise training improves sleep quality: a randomized controlled trial. Eur J Clin Invest. 2020 Mar;50(3):e13202.
12 Lambiase MJ, Gabriel KP, Kuller LH, Matthews KA. Temporal relationships between physical activity and sleep in older women. Med Sci Sport Exerc. 2013 Dec;45(12):2362-8.
13 Hwang E, Shin S. Effectiveness of non-pharmacological intervention for insomnia: a systematic review and meta-analysis. Indian J Sci Technol. 2016 Oct;9(40):1-9.
14 Paiva LL, Rodrigues MP, Bessel T. Prevalencia de incontinencia urinaria em idosos no Brasil nos ultimos 10 anos: uma revisao sistematica. Estud Interdiscipl Envelhec. 2019;24:275-93.
15 Bo K. Urinary incontinence, pelvic floor dysfunction, exercise and sport. Sport Med. 2004 Jan;34(7):451-64.
16 Avery K, Donovan J, Peters TJ, Shaw C, Gotoh M, Abrams P. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23(4):322-30.
17 Coyne K, Revicki D, Hunt T, Corey R, Stewart W, Bentkover J, et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res. 2002 Sep;11(6):563-74.
18 Bertolazi AN, Fagondes SC, Hoff LS, Dartora EG, Miozzo ICS, Barba MEF, et al. Validation of the Brazilian Portuguese version of the Pittsburgh sleep quality index. Sleep Med. 2011 Jan;12(1):70-5.
19 Tamanini JTN, Pallone LV, Sartori MGF, Girao MJBC, Santos JLF, Duarte YAO, et al. A populational-based survey on the prevalence, incidence, and risk factors of urinary incontinence in older adults-results from the “SABE STUDY.” Neurourol Urodyn. 2018 Jan;37(1):466-77.
20 Kessler M, Facchini LA, Soares MU, Nunes BP, Franca SM, Thume E. Prevalence of urinary incontinence among the elderly and relationship with physical and mental health indicators. Rev Bras Geriatr Gerontol. 2018 Aug;21(4):397-407.
21 Bing MH, Moller LA, Jennum P, Mortensen S, Skovgaard LT, Lose G. Prevalence and bother of nocturia, and causes of sleep interruption in a Danish population of men and women aged 60-80 years. BJU Int. 2006 Sep;98(3):599-604.
22 Bliwise DL, Foley DJ, Vitiello MV, Ansari FP, Ancoli-Israel S, Walsh JK. Nocturia and disturbed sleep in the elderly. Sleep Med. 2009 May;10(5):540-8.
23 Warsi QA, Huang AJ, Hess R, Arya LA, Richter HE, Bradley CS, et al. Association of pharmacologic treatment of urgency urinary incontinence with sleep quality and daytime sleepiness. Obstet Gynecol. 2018 Feb;131(2):204-11.
24 Shimp LA, Wells TJ, Brink CA, Diokno AC, Gillis GL. Relationship between drug use and urinary incontinence in elderly women. Drug Intell Clin Pharm. 1988 Oct;22(10):786-7.
25 Aoki Y, Brown HW, Brubaker L, Cornu JN, Daly JO, Cartwright R. Urinary incontinence in women. Nat Rev Dis Prim. 2017 Dec;3(1):17042.
26 Wang F, Boros S. The effect of physical activity on sleep quality: a systematic review. Eur J Physiother. 2019 Jun 24;23(1):11-8.
27 Kovacevic A, Mavros Y, Heisz JJ, Singh MAF. The effect of resistance exercise on sleep: a systematic review of randomized controlled trials. Sleep Med Rev. 2018 Jun;39:52-68.
28 Vancampfort D, Stubbs B, Smith L, Firth J, Herring MP, Probst M, et al. Physical activity and sleep problems in 38 low- and middle-income countries. Sleep Med. 2018 Aug;48:140-7.
29 Kikuchi A, Niu K, Ikeda Y, Hozawa A, Nakagawa H, Guo H, et al. Association between physical activity and urinary incontinence in a community-based elderly population aged 70 years and over. Eur Urol. 2007 Sep;52(3):868-75.