Dtsch Med Wochenschr 2021; 146(15): 959-965
DOI: 10.1055/a-1405-3828
Klinischer Fortschritt
Geriatrie

Kontinenz und Mobilität – zwei Seiten einer Medaille?

Urinary Continence and Mobility – two sides of the same coin
Sigrid Ege
› Further Information
    Permissions and Reprints

Was ist neu?

Zusammenhang von Harninkontinenz und Mobilitätsstörungen Harninkontinenz und eine Störung der Mobilität – 2 geriatrische Syndrome – haben eine hohe Korrelation und beeinflussen sich gegenseitig negativ. Das Neuauftreten einer Harninkontinenz sollte ein Alarmsignal sein, weil sich die Mobilitätsparameter korrelierend negativ entwickeln.

Erkennen der Assoziation von Harninkontinenz und Mobilitätsstörungen im klinischen Alltag Wo das eine Syndrom (Harninkontinenz oder Mobilitätsstörung) auftritt, sollte man das andere im Blick haben (Mobilitätsstörung oder Harninkontinenz). Dies gelingt mit einem Harninkontinenz-Assessment.

Korrelation der Harninkontinenz mit Stürzen und Frakturen Harninkontinenz führt zu gehäuften Stürzen, der Einfluss auf Verletzungen, insbesondere Frakturen, bleibt unklar.

Gegenseitiger Einfluss von körperlicher Fitness und Inkontinenz Kombinierte, die Inkontinenz und die körperliche Fitness beeinflussende Interventionen haben einen positiven Effekt auf beide geriatrische Syndrome. Studien weisen darauf hin, dass reines Kontinenzmanagement einen Einfluss z. B. auf Stürze hat, und umgekehrt eine körperliche Aktivierung sich positiv auf die Inkontinenz auswirkt.

Abstract

Urinary incontinence and gait disorders are common health related problems that occur especially in old age. Therefore they are called geriatric syndromes. Do they develop independently or is there an association? Do improvements of urinary incontinence result in reduced gait disorders and vice versa? It seems, that there is an interrelation between urinary incontinence and gait disorders. And further, both syndroms seem to interact closely and can be influenced by improvements of each other. Knowing and recognizing the interaction of micturition and physical performance is essential to working towards prevention of UI and to improving quality of treatment and quality of life.

Schlüsselwörter

Harninkontinenz - Mobilitätsstörungen - Miktionsstörungen - Toilettengang - physiologisches Altern - Gehfähigkeit

Key words

urinary incontinence - physical performance - gait disorders - walking ability - gait velocity - aging


Publication History

Article published online:
03 August 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Hagovska M, Svihra J, Buková A. et al. Prevalence of Urinary Incontinence in Females Performing High-Impact Exercises. Int J Sports Med 2017; 38: 210-216
    Thieme ConnectPubMedSearch in Google Scholar
  • 2 Kim K, Shin J, Choi J. et al. Association of Geriatric Syndromes with Urinary Incontinence according to Sex and Unrinary-Incontinence-Related Quality of Life in Older Inpatients: A Cross-Sectional Study of an Acute Care Hospital. Korean J Fam Med 2019; 40: 235-240
    CrossrefPubMedSearch in Google Scholar
  • 3 Schumpf LF, Theill N, Scheiner D. et al. Urinary incontinence and its association with functional physical and cognitive health among female nursing home residents in Switzerland. BMC Geriatrics 2017; 17: 17
    CrossrefPubMedSearch in Google Scholar
  • 4 Brown WJ, Miller YD. Too wet to exercise? Leaking urine as a barrier to physical activity in women. J Sci Med Sport 2001; 4: 373-378
    CrossrefPubMedSearch in Google Scholar
  • 5 Klausner A, Frauscher F, Strasser H. et al. Age-Related Rhabdosphincter Function in female Urinary Stress Incontinence. J Ultrasound Med 2004; 23: 631-637
    CrossrefPubMedSearch in Google Scholar
  • 6 Palve SS, Palve SB. Impact of Aging on Verve Condition Velocities and Late Responses in Healthy Individuals. J Neurosci Rural Pract 2018; 9: 112-116
    Thieme ConnectPubMedSearch in Google Scholar
  • 7 Pfisterer M. The effect of age on lower urinary tract function: a study in women. J Am Geriatr Soc 2006; 54: 405-412
    CrossrefPubMedSearch in Google Scholar
  • 8 Schimpl M, Moore C, Lederer C. et al. Association between Walking Speed and Age in Healthy, free-living Individuals using mobile accelerometry-across sectinal Study. PLoS One 2011; 6: e23299
    CrossrefPubMedSearch in Google Scholar
  • 9 Miles TP, Palmer RF, Espino DV. et al. New-Onset Incontinence and Markers of Frailty: Data From the Hispanic Established Populations for Epidemiologic Studies of the Elderly. J Gerontol A Biol Sci Med Sci 2001; 56: M19-24
    CrossrefPubMedSearch in Google Scholar
  • 10 Cortez Corrêa LCA, Pirkle CM, Wu YY. et al. Urinary Incontinence Is Associated With Physical Performance Decline in Community-Dwelling Older Women: Results From the International Mobility in Aging Study. J Aging Health 2019; 31: 1872-1891
    CrossrefPubMedSearch in Google Scholar
  • 11 Ege S. Management der Harninkontinenz in einer geriatrischen Rehabilitationsklinik. Globales Harninkontinenz-Assessment unter Einbeziehung des International Consultation on Incontinence Questionnare – Urinary Incontinence Short Form (ICIQ-UI SF). Z Gerontold Geriatr 2017;
    CrossrefPubMedSearch in Google Scholar
  • 12 Hasegawa J, Kuzuya M, Iguchi A. Urinary incontinence and behavioral symptoms are independent risk factors for recurrent and injurious falls, respectively, among residents in long-term care facilities. Arch Gerontol Geriatr 2010; 50: 77-81
    CrossrefPubMedSearch in Google Scholar
  • 13 Schluter PJ, Arnold EP, Jamieson HA. Falls and hip fractures associated with urinary incontinence among older men and women with complex needs: A national population study. Neurourol Urodyn 2018; 37: 1336-1343
    CrossrefPubMedSearch in Google Scholar
  • 14 Marcum ZA, Wirtz HS, Pettinger M. et al. Anticholinergic medication use and falls in postmenopausal women: findings from the women's health initiative cohort study. BMC Geriatr 2016; 16: 76
    CrossrefPubMedSearch in Google Scholar
  • 15 Szabo SM, Gooch KL, Walker DR. et al. The Association Between Overactive Bladder and Falls and Fractures: A Systematic Review. Adv Ther 2018; 35: 1831-1841
    CrossrefPubMedSearch in Google Scholar
  • 16 Vinsnes AG, Helbostad JL, Nyronning S. et al. Effect of physical training on urinary incontinence: a randomized parallel group trial in nursing homes. Clin Interv Aging 2012; 7: 45-50
    CrossrefPubMedSearch in Google Scholar
  • 17 Klay M, Maryfak K. Use of a continence nurse specialist in an extended care facility. Urol Nurs 2005; 25: 101-102
    PubMedSearch in Google Scholar
  • 18 Schnelle JF, Kapur K, Alessi C. et al. Does an exercise and incontinence intervention save healthcare costs in a nursing home population?. J Am Geriatr Soc 2003; 51: 161-168
    CrossrefPubMedSearch in Google Scholar
  • 19 Wagg A, Chowdhury Z, Galarneau JM. et al. Exercise intervention in the management of urinary incontinence in older women in villages in Bangladesh: a cluster randomised trial. Lancet Glob Health 2019; 7: E923-E931
    CrossrefPubMedSearch in Google Scholar
  • 20 Ege S, Hunkemöller A, Maier C. et al. Analyse der Wirksamkeit des Harninkontinenzmanagements in einer geriatrischen Rehabilitationsklinik. Z Gerontol Geriatr 2019;
    CrossrefPubMedSearch in Google Scholar
  • 21 Friedrich A. Wirksamkeit von Kontinenzmanagement. Evaluation des Kontinenzmanagements der Klinik für Geriatrische Rehabilitation am Robert-Bosch-Krankenhaus. Masterarbeit Hochschule Esslingen; 2018
    PubMedSearch in Google Scholar