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Relationship between lower urinary system complaints and healthy life behaviors among women aged 50 and over

Year 2019, Volume: 44 Issue: 4, 1392 - 1399, 29.12.2019
https://doi.org/10.17826/cumj.527322

Abstract

Purpose: This study was planned to determine the lower urinary tract complaints and healthy lifestyle behavior of women aged 50 and over living in Gümüşhane, Turkey. 

Materials and Methods: The population of this cross-sectional design study consisted of the female population aged 50 and over in Gümüşhane (5430), and the sample comprised of 543 women calculated using stratified sampling method according to age groups. In order to collect the data, a questionnaire investigating participants’ socio-demographic characteristics, obstetric gynecological, chronic disease stories and general health behavior, The Bristol Female Lower Urinary Tract Symptoms Scale (B-FLUTS) and Healthy Life Style Behavior Scale (HLSBS) were used. The data were evaluated with a statistical package program.

Results: The mean age of the women was 64.55±11.197, the mean age of menopause was 47.72±5.11. The BLUTS total score was 16.43±11.06, and the total score of HLSBS scale was 125.76±22.74. The BFLUTS total score was associated with the women’s work status (those who are employed are less likely to have symptoms), advanced age, marital status (those living apart have more symptoms), low income status, low educational status, having unemployed spouse, having given birth at home, constipation, chronic disease history, daily pad use, increased pregnancy, birth and miscarriage. 

Conclusion: As the mean of HLSBS total score increased, Spiritual Development BFLUTS score decreased. Before any medical treatment, the women with lower urinary tract complaints should be analyzed by evaluating their lifestyle in order to reduce the complaints. 


References

  • 1. Haylen BT, de Ridder D, Freeman RM, et al. An international Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol and Urodyn. 2010; 29(1): 4-20.
  • 2. Maserejian NN, Chen S, Chiu GR, et a. Incidence of lower urinary tract symptoms in a population-based study of men and women. Urology. 2013; 82(3):5 60-564.
  • 3. Bradway C, Coyne KS, Irwin D, et al. Lower urinary tract symptoms in women-a common but neglected problem. J Am Assoc Nurse Pract. 2008; 20(6): 311-8.
  • 4. Milsom I. Lower urinary tract symptoms in women. Curr Opin Urol. 2009; 19(4): 337-341.
  • 5. Correia S, Dinis P, Rolo F, et al. Prevalence, treatment and known risk factors of urinary incontinence and overactive bladder in the non-institutionalized Portuguese population. Int Urogynecol J Pelvic Floor Dysfunct. 2009; 20(12): 1481-1489.
  • 6. Wennberg AL, Molander U, Fall M, et al. Lower urinary tract symptoms: lack of change in prevalence and help-seeking behavior in two population-based surveys of women in 1991 and 2007. BJU Int. 2009; 104(7): 954-959.
  • 7. Moreira ED, Neves RC, Neto AF, Duarte FG, Moreira TL, Lobo CF et al. A population-based survey of lower urinary tract symptoms (LUTS) and symptom-specific bother: results from the Brazilian LUTS epidemiology study (BLUES). World J Urol. 2013; 31(6): 1451-1458.
  • 8. Timur S, Kızılkaya BN, Aslan E, et al. Determining lower urinary tract symptoms and associated risk factors in young women. Int J Gynaecol Obstet. 2012; 118(1): 27-30.
  • 9. Choo SM, Han JH, Shin TY, et al. Alcohol, smoking, physical activity, protein, and lower urinary tract symptoms: prospective longitudinal cohort. Int Neurourol J. 2015; 19(3): 197-206.
  • 10. Richter HE, Whitehead N, Arya L, et al. Genetic Contributions to Urgency Urinary Incontinence in women. J Urol. 2015; 193: 2020-2027.
  • 11. Ünsal A, Tözün M, Arslantaş D. Urinary incontinence, depression and associated factors in the women aged 20 and over living in Beylikova district, Eskişehir. TAF Prev Med Bull. 2013; 12(3): 231-244.
  • 12. Christofi N, Hextall A. An evidence-based approach to lifestyle interventions in urogynaecology. Menopause Int. 2007; 13(4): 154-158.
  • 13. Lucas MG, Bedretdinova D, Berghmans LC, et al. Guidelines on Urinary Incontinence. EAU 2015. http://uroweb.org/wp-content/uploads/20-Urinary-Incontinence_LR1.pdf Accessed 11April 2016.
  • 14. Karan A. Physical therapy and rehabilitation in Urogynecology. Lifestyle Changes in Pelvic Floor Dysfunction. Istanbul: Nobel Medicine Bookstore; 2016: 49-62.
  • 15. Milne JL. Behavioral therapies for overactive bladder making sense of the evidence. J Wound Ostomy Continence Nurs. 2008; 35(1): 93-101.
  • 16. Wyman JF, Burgio KL, Newman DK. Practical aspects of lifestyle modifications and behavioral interventions in the treatment of overactive bladder and urgency urinary incontinence. Int J Clin Pract. 2009; 63(8): 1177-1191.
  • 17. Gungor I, Kızılkaya BN. Lifestyle changes for the prevention and management of lower urinary tract symptoms in women. Int J Urol Nurs. 2011; 5(1): 3-13.
  • 18. Irwin DE, Milsom I, Hunskaar S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006; 50(6): 1306-1315.
  • 19. Wang Y, Hu H, Xu K, et al. Prevalence, risk factors and the bother of lower urinary tract symptoms in China: a population based survey. İnt Urogynecol J. 2015; 26(6): 911-919.
  • 20. Şentürk Ş, Kara M. The prevalence of urinary incontinence in menopausal women and risk factors. Van Med J. 2010; 17(1): 7-11.
  • 21. Maserejian NN, Kupelian V, Miyasato G, et al. Are physical activity, smoking and alcohol consumption associated with lower urinary tract symptoms in men or women? Results from a population based observational study. J Urol. 2012; 188(2): 490-495.
  • 22. Sung VW, West DS, Hernandez AL. Association between urinary incontinence and depressive symptoms in overweight and obese women. Am J Obstet Gynecol. 2009; 200(5): 557-562.
  • 23. Coyne KS, Wein AJ, Tubaro A, et al. The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS. BJU Int. 2009; 103(3): 4-11.
  • 24. Coyne KS, Sexton CC, Bell JA, et al. The prevalence of lower urinary tract symptoms (LUTS) and overactive bladder (OAB) by racial/ethnic group and age: results from OAB-POLL. Neurourol Urodyn. 2013; 32(3): 230-237.
  • 25. Akgün G, Süt N, Kaplan BP. The Frequency Urinary Incontinence in Women over Forty and its Impact on Quality of Life. Turk J Obstet Gynecol. 2010; 206: 378-86.

Elli yaş ve üzeri kadınlarda alt üriner sistem şikâyetleri ile sağlıklı yaşam biçimi davranışları ilişkisi

Year 2019, Volume: 44 Issue: 4, 1392 - 1399, 29.12.2019
https://doi.org/10.17826/cumj.527322

Abstract

Amaç: Çalışma, Gümüşhane’de yaşayan 50 yaş ve üzeri kadınların, alt üriner sistem şikâyetlerini ve sağlıklı yaşam biçimi davranışlarını belirlemek amacıyla planlandı.

Gereç ve Yöntem: Kesitsel tipte olan çalışmanın evrenini; Gümüşhane il merkezindeki 50 yaş ve üzeri kadın nüfusu (5430), örneklemini; yaş gruplarına göre tabakalı örneklem yöntemiyle hesaplanan 543 kadın oluşturmaktadır. Veri toplamak amacıyla; katılımcıların sosyo-demografik özellikleri ile obstetrik, jinekolojik, kronik hastalık öyküsü ve genel sağlık davranışlarını sorgulayan soru formu, Bristol Kadın Alt Üriner Yol Semptomları Soru Formu (B-FLUTS) ve Sağlıklı Yaşam Biçimi Davranışları Ölçeği (HLSBS) kullanıldı. Elde edilen veriler, istatistik paket programı ile değerlendirildi.

Bulgular: Kadınların yaş ortalaması 64,55±11.197, menopoz yaş ortalaması 47.72±5.11’dir. BFLUTS toplam puanı 16,43±11,06, HLSBS ölçek toplam puanı 125,76±22,74’dür. Kadınların BFLUTS toplam puanı ile çalışma durumu, ileri yaş, medeni durum, düşük gelir düzeyi, düşük eğitim seviyesi, eşin çalışmıyor olması, evde doğum yapmış olma, herhangi bir jinekolojik ameliyat geçirme durumu, kabızlık, kronik hastalık öyküsü, günlük ped kullanımı, artan gebelik, doğum ve düşük sayısı ile ilişkilidir.  

Sonuç: BFLUTS Toplam puanı artınca, HLSBS Manevi Gelişim alt boyut puanı azalmaktadır. Tıbbi tedaviden önce, alt üriner sistem şikâyetleri olan kadınlarda şikâyetleri azaltmak için yaşam tarzı değerlendirilerek gözden geçirilmelidir.

References

  • 1. Haylen BT, de Ridder D, Freeman RM, et al. An international Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol and Urodyn. 2010; 29(1): 4-20.
  • 2. Maserejian NN, Chen S, Chiu GR, et a. Incidence of lower urinary tract symptoms in a population-based study of men and women. Urology. 2013; 82(3):5 60-564.
  • 3. Bradway C, Coyne KS, Irwin D, et al. Lower urinary tract symptoms in women-a common but neglected problem. J Am Assoc Nurse Pract. 2008; 20(6): 311-8.
  • 4. Milsom I. Lower urinary tract symptoms in women. Curr Opin Urol. 2009; 19(4): 337-341.
  • 5. Correia S, Dinis P, Rolo F, et al. Prevalence, treatment and known risk factors of urinary incontinence and overactive bladder in the non-institutionalized Portuguese population. Int Urogynecol J Pelvic Floor Dysfunct. 2009; 20(12): 1481-1489.
  • 6. Wennberg AL, Molander U, Fall M, et al. Lower urinary tract symptoms: lack of change in prevalence and help-seeking behavior in two population-based surveys of women in 1991 and 2007. BJU Int. 2009; 104(7): 954-959.
  • 7. Moreira ED, Neves RC, Neto AF, Duarte FG, Moreira TL, Lobo CF et al. A population-based survey of lower urinary tract symptoms (LUTS) and symptom-specific bother: results from the Brazilian LUTS epidemiology study (BLUES). World J Urol. 2013; 31(6): 1451-1458.
  • 8. Timur S, Kızılkaya BN, Aslan E, et al. Determining lower urinary tract symptoms and associated risk factors in young women. Int J Gynaecol Obstet. 2012; 118(1): 27-30.
  • 9. Choo SM, Han JH, Shin TY, et al. Alcohol, smoking, physical activity, protein, and lower urinary tract symptoms: prospective longitudinal cohort. Int Neurourol J. 2015; 19(3): 197-206.
  • 10. Richter HE, Whitehead N, Arya L, et al. Genetic Contributions to Urgency Urinary Incontinence in women. J Urol. 2015; 193: 2020-2027.
  • 11. Ünsal A, Tözün M, Arslantaş D. Urinary incontinence, depression and associated factors in the women aged 20 and over living in Beylikova district, Eskişehir. TAF Prev Med Bull. 2013; 12(3): 231-244.
  • 12. Christofi N, Hextall A. An evidence-based approach to lifestyle interventions in urogynaecology. Menopause Int. 2007; 13(4): 154-158.
  • 13. Lucas MG, Bedretdinova D, Berghmans LC, et al. Guidelines on Urinary Incontinence. EAU 2015. http://uroweb.org/wp-content/uploads/20-Urinary-Incontinence_LR1.pdf Accessed 11April 2016.
  • 14. Karan A. Physical therapy and rehabilitation in Urogynecology. Lifestyle Changes in Pelvic Floor Dysfunction. Istanbul: Nobel Medicine Bookstore; 2016: 49-62.
  • 15. Milne JL. Behavioral therapies for overactive bladder making sense of the evidence. J Wound Ostomy Continence Nurs. 2008; 35(1): 93-101.
  • 16. Wyman JF, Burgio KL, Newman DK. Practical aspects of lifestyle modifications and behavioral interventions in the treatment of overactive bladder and urgency urinary incontinence. Int J Clin Pract. 2009; 63(8): 1177-1191.
  • 17. Gungor I, Kızılkaya BN. Lifestyle changes for the prevention and management of lower urinary tract symptoms in women. Int J Urol Nurs. 2011; 5(1): 3-13.
  • 18. Irwin DE, Milsom I, Hunskaar S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006; 50(6): 1306-1315.
  • 19. Wang Y, Hu H, Xu K, et al. Prevalence, risk factors and the bother of lower urinary tract symptoms in China: a population based survey. İnt Urogynecol J. 2015; 26(6): 911-919.
  • 20. Şentürk Ş, Kara M. The prevalence of urinary incontinence in menopausal women and risk factors. Van Med J. 2010; 17(1): 7-11.
  • 21. Maserejian NN, Kupelian V, Miyasato G, et al. Are physical activity, smoking and alcohol consumption associated with lower urinary tract symptoms in men or women? Results from a population based observational study. J Urol. 2012; 188(2): 490-495.
  • 22. Sung VW, West DS, Hernandez AL. Association between urinary incontinence and depressive symptoms in overweight and obese women. Am J Obstet Gynecol. 2009; 200(5): 557-562.
  • 23. Coyne KS, Wein AJ, Tubaro A, et al. The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS. BJU Int. 2009; 103(3): 4-11.
  • 24. Coyne KS, Sexton CC, Bell JA, et al. The prevalence of lower urinary tract symptoms (LUTS) and overactive bladder (OAB) by racial/ethnic group and age: results from OAB-POLL. Neurourol Urodyn. 2013; 32(3): 230-237.
  • 25. Akgün G, Süt N, Kaplan BP. The Frequency Urinary Incontinence in Women over Forty and its Impact on Quality of Life. Turk J Obstet Gynecol. 2010; 206: 378-86.
There are 25 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research
Authors

Handan Özcan 0000-0002-7131-1856

Nezihe Kızılkaya Beji 0000-0002-6254-4412

Publication Date December 29, 2019
Acceptance Date June 17, 2019
Published in Issue Year 2019 Volume: 44 Issue: 4

Cite

MLA Özcan, Handan and Nezihe Kızılkaya Beji. “Relationship Between Lower Urinary System Complaints and Healthy Life Behaviors Among Women Aged 50 and over”. Cukurova Medical Journal, vol. 44, no. 4, 2019, pp. 1392-9, doi:10.17826/cumj.527322.