Effect of vitamin-D and other factors on the presence and severity of urinary incontinence and overactive bladder in elderly individuals

Yıl 2024, Cilt: 5 Sayı: 3, 104 - 111, 30.09.2024

Aylin Asa Afyoncu , Mehmet Göktuğ Kılınçarslan , Erkan Melih Şahin

https://doi.org/10.55665/troiamedj.1469091

Öz

Objective: This study aimed to investigate the effect of serum vitamin D levels on urinary incontinence and overactive bladder in elderly individuals.
Methods: The study included 106 elderly individuals who had their serum vitamin D levels measured in the past year. Sociodemographic characteristics, habits, medical histories, medications used, height, and weight data were collected. The ICIQ-UI short form and Overactive Bladder-V8 form were adminis-tered. Participants were grouped based on their vitamin D levels.
Results: Among participants, 17.9% had severe vitamin D deficiency, 28.3% had vitamin D deficiency, 18.9% had vitamin D insufficiency, and 34.9% had normal vitamin D levels. No significant association was found between vitamin D levels and the presence of urinary incontinence and overactive bladder. When participants were grouped by vitamin D levels, there was no significant difference in the presence of urinary incontinence and overactive bladder among the groups. However, a significant difference was found in the severity of overactive bladder. Individuals with normal vitamin D levels had significantly higher rates of urinary incontinence and overactive bladder compared to those with lower levels.
Conclusion: Urinary incontinence increases with age and may be associated with aging-related comor-bidities. Although reports in the literature suggest a relationship between vitamin D deficiency and urinary incontinence and overactive bladder, this relationship was not confirmed in our study. This discrepancy may be due to differences in the characteristics of the populations studied in the literature.

Anahtar Kelimeler

Vitamin D, urinary incontinence, overactive bladder

Etik Beyan

Ethics committee approval was obtained for the study from Çanakkale Onsekiz Mart University Ethics Committee for Clinical Studies with decision number 2016-23/09 dated December 30, 2016.

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Vitamin D ve diğer faktörlerin yaşlı bireylerde üriner inkontinans ve aşırı aktif mesane varlığı ve şiddetine etkisi

Öz

Amaç: Bu çalışmada, yaşlı bireylerde serum vitamin D düzeyinin üriner inkontinans (UI) ve aşırı aktif mesane (OAB) üzerindeki etkisi araştırılmıştır.
Yöntem: Çalışmaya, son bir yıl içinde serum vitamin D düzeyi ölçülmüş 106 yaşlı birey dahil edilmiş-tir. Katılımcıların sosyodemografik özellikleri, alışkanlıkları, tıbbi geçmişleri, kullandıkları ilaçlar, boy ve vücut ağırlığı verileri toplanmış, ICIQ-UI kısa formu ve Aşırı Aktif Mesane - V8 formu uygulanmış-tır. Katılımcılar vitamin D düzeylerine göre gruplandırılmıştır.
Bulgular: Katılımcıların %17,9'u ciddi D vitamini eksikliği, %28,3'ü D vitamini eksikliği, %18,9'u D vitamini yetersizliği gösterirken, %34,9'unun vitamin D düzeyi normaldi. Vitamin D düzeyi ile üriner inkontinans ve aşırı aktif mesane varlığı arasında anlamlı bir ilişki bulunmamıştır. Katılımcılar vitamin D düzeylerine göre gruplandırıldığında, gruplar üriner inkontinans ve aşırı aktif mesane varlığı açısından anlamlı bir farklılık göstermedi. Ancak, aşırı aktif mesane şiddeti açısından anlamlı bir farklılık tespit edildi. Vitamin D düzeyi normal olan bireylerde üriner inkontinans ve aşırı aktif mesane görülme oranı, düşük düzeyde olanlara göre anlamlı şekilde yüksekti.
Sonuç: Üriner inkontinans yaşla birlikte artmaktadır ve yaşlanma ile artan komorbid hastalıklarla ilişki-lendirilebilir. Vitamin D eksikliği ile üriner inkontinans ve aşırı aktif mesane arasında ilişkiye dair literatürde raporlar bulunmasına rağmen, bu ilişki çalışmamızda doğrulanmamıştır. Bu fark, literatürdeki çalışmalarda incelenen popülasyonların farklı özelliklere sahip olmasından kaynaklanabilir.

Anahtar Kelimeler

Vitamin D, üriner inkontinans, aşırı aktif mesane

Proje Numarası

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Kaynakça

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