Prevention of urinary incontinence in adults: population-based strategies.

Abstract:

BACKGROUND:Urinary incontinence (UI) affects large numbers of adults, especially older adults, with an estimated 200 million adults worldwide having this life-altering condition. OBJECTIVES:To identify key populations at risk for urinary incontinence and propose population-based strategies to promote continence with a substantive focus on UI prevention. METHODS:Critical review of extant literature and iterative synthesis were undertaken to generate an action plan to guide future UI prevention research. RESULTS:Key populations identified to be at risk for UI are women in selected occupations, childbearing women, older adults with lifestyle risk factors, older adults with comorbid conditions, and nursing home residents. Population-based research activities are proposed. Growing evidence supports the benefit of pelvic floor muscle training to prevent childbirth and prostatectomy-related UI. Bladder training has demonstrated preventive capacity. CONCLUSIONS:Because of its high prevalence and chronic but preventable nature, UI is most appropriately considered a public health problem. Nursing research is needed to test prevention programs for UI using a population-based public health focus.

journal_name

Nurs Res

journal_title

Nursing research

authors

Sampselle CM,Palmer MH,Boyington AR,O'Dell KK,Wooldridge L

doi

10.1097/00006199-200411006-00010

keywords:

subject

Has Abstract

pub_date

2004-11-01 00:00:00

pages

S61-7

issue

6 Suppl

eissn

0029-6562

issn

1538-9847

pii

00006199-200411006-00010

journal_volume

53

pub_type

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