Reducing Falls in Older Women with Urinary Incontinence.

Advances in geriatric medicine and research Pub Date : 2023-01-01 Epub Date: 2024-01-25 DOI:10.20900/agmr20230011
Simone Reaves, Lily A Arya, Diane K Newman, Jean Wyman, Heather Klusaritz, Wendy Walsh, Rebecca T Brown, Uduak U Andy
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Abstract

Urinary incontinence is common in older women and doubles the risk of falls in this population. The association between urinary incontinence, especially urgency urinary incontinence, and falls is multifactorial and likely the result of a complex interaction between physical, mental, social, and environmental factors. As a result of this multifactorial etiology and based on existing evidence, the integration of different fall prevention strategies including strength and resistance exercises, bladder training, and home hazard reduction have the potential to decrease the risk of falls in older women with urinary incontinence. Given the prevalence of urinary incontinence and the significant morbidity associated with falls, effective interventions to reduce fall risk in older women with urinary incontinence is of high public health significance.

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减少患有尿失禁的老年妇女跌倒。
尿失禁是老年妇女的常见病,会使这一人群的跌倒风险增加一倍。尿失禁(尤其是急迫性尿失禁)与跌倒之间的关联是多因素的,很可能是身体、精神、社会和环境因素之间复杂相互作用的结果。由于这种多因素的病因,并基于现有的证据,整合不同的跌倒预防策略,包括力量和阻力锻炼、膀胱训练和减少家庭危险,有可能降低患有尿失禁的老年妇女跌倒的风险。鉴于尿失禁的普遍性以及与跌倒相关的重大发病率,采取有效干预措施降低患有尿失禁的老年妇女的跌倒风险对公共卫生具有重要意义。
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