Defeating Urinary Incontinence with Exercise Training: Results of a Pilot Study in Frail Older Women

Journal of the American Geriatrics Society

Volumn 65, Issue 6, 2017, Pages 1321-1327

  Talley, Kristine M C ^a   Wyman, Jean F ^a   Bronas, Ulf ^b   Olson Kellogg, Becky J ^c   McCarthy, Teresa C ^d  

^a UNIVERSITY OF MINNESOTA   (United States)

^b UNIVERSITY OF ILLINOIS AT CHICAGO   (United States)

^c UNIVERSITY OF MINNESOTA   (United States)

^d UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

Author keywords

frail; intervention; older women; randomized controlled trial; urinary incontinence

Indexed keywords

AGED; ARTICLE; BEHAVIOR THERAPY; BODY EQUILIBRIUM; CLINICAL ARTICLE; CONTROLLED STUDY; DISEASE SEVERITY; FEMALE; FRAIL ELDERLY; GAIT; HUMAN; ICIQ (INCONTINENCE); LIFESTYLE MODIFICATION; LOWER LIMB; MUSCLE STRENGTH; PATIENT COMPLIANCE; PHYSICAL ACTIVITY; PILOT STUDY; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; RESISTANCE TRAINING; SINGLE BLIND PROCEDURE; TOILETING; URINE INCONTINENCE; VERY ELDERLY; WALKING; KINESIOTHERAPY; MINNESOTA; PATHOPHYSIOLOGY; PROCEDURES; PSYCHOLOGY; QUESTIONNAIRE; TREATMENT OUTCOME; URINARY INCONTINENCE;

AGED, 80 AND OVER; BEHAVIOR THERAPY; EXERCISE THERAPY; FEMALE; FRAIL ELDERLY; HUMANS; MINNESOTA; PILOT PROJECTS; QUALITY OF LIFE; SINGLE-BLIND METHOD; SURVEYS AND QUESTIONNAIRES; TREATMENT OUTCOME; URINARY INCONTINENCE;

EID: 85014074547     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/jgs.14798     Document Type: Article

References (29)

1. Wilson L, Brown JS, Shin GP et al. Annual direct cost of urinary incontinence. Obstet Gynecol 2001;98:398–406.
2. Holroyd-Leduc JM, Mehta KM, Covinsky KE. Urinary incontinence and its association with death, nursing home admission, and functional decline. J Am Geriatr Soc 2004;52:712–718.
3. Luo X, Chuang CC, Yang E et al. Prevalence, management and outcomes of medically complex vulnerable elderly patients with urinary incontinence in the United States. Int J Clin Pract 2015;69:1517–1524.
4. Wagg A, Gibson W, Ostaszkiewicz J et al. Urinary incontinence in frail elderly persons: Report from the 5th International Consultation on Incontinence. Neurourol Urodyn 2015;34:398–406.
5. Stenzelius K, Molander U, Odeberg J et al. The effect of conservative treatment of urinary incontinence among older and frail older people: A systematic review. Age Ageing 2015;44:736–744.
6. Talley KM, Wyman JF, Shamliyan TA. State of the science: Conservative interventions for urinary incontinence in frail community-dwelling older adults. Nurs Outlook 2011;59:215–220.
7. 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.
8. Tak EC, van Hespen A, van Dommelen P et al. Does improved functional performance help to reduce urinary incontinence in institutionalized older women? A multicenter randomized clinical trial. BMC Geriatr 2012;12:51.
9. Ouslander JG, Griffiths PC, McConnell E et al. Functional incidental training: A randomized, controlled, crossover trial in Veterans Affairs nursing homes. J Am Geriatr Soc 2005;53:1091–1100.
10. Schnelle JF, MacRae PG, Ouslander JG et al. Functional Incidental Training, mobility performance, and incontinence care with nursing home residents. J Am Geriatr Soc 1995;43:1356–1362.
11. Schnelle JF, Alessi CA, Simmons SF et al. Translating clinical research into practice: A randomized controlled trial of exercise and incontinence care with nursing home residents. J Am Geriatr Soc 2002;50:1476–1483.
12. van Houten P, van Houten W, Achterberg M et al. Urinary incontinence in disabled elderly women: A randomized clinical trial on the effect of training mobility and toileting skills to achieve independent toileting. Gerontology 2007;53:205–210.
13. Avery K, Avery J, Donovan T et al. ICIQ: A brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn 2004;23:322–330.
14. Min L, Min W, Yoon J et al. The Vulnerable Elders-13 Survey predicts 5-year functional decline and mortality outcomes in older ambulatory care patients. J Am Geriatr Soc 2009;57:2070–2076.
15. Middleton A, Fritz SL, Lusardi M. Walking speed: The functional vital sign. J Aging Phys Act 2015;23:314–322.
16. Resnick B, Ory M, Hora K et al. A proposal for a new screening paradigm and tool called Exercise Assessment and Screening for You (EASY). J Aging Phys Act 2008;16:215–233.
17. Borson S, Borson J, Scanlan M et al. The Mini-Cog: A cognitive ‘vital signs’ measure for dementia screening in multi-lingual elderly. Int J Geriatr Psychiatry 2000;15:1021–1027.
18. Engberg S, Kincade J, Thompson D. Future directions for incontinence research with frail elders. Nurs Res 2004;53(6 Suppl):S22–S29.
19. Nelson ME, Rejeski WJ, Blair SN et al. Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 2007;39:1435–1445.
20. Jimenez-Cidre MA, Lopez-Fando L, Esteban-Fuertes M et al. The 3-day bladder diary is a feasible, reliable and valid tool to evaluate the lower urinary tract symptoms in women. Neurourol Urodyn 2015;34:128–132.
21. Burgio KL, Goode PS, Richter HE et al. Global ratings of patient satisfaction and perceptions of improvement with treatment for urinary incontinence: Validation of three global patient ratings. Neurourol Urodyn 2006;25:411–417.
22. Ouslander JG, Morishita L, Blaustein J et al. Clinical, functional, and psychosocial characteristics of an incontinent nursing home population. J Gerontol 1987;42:631–637.
23. Talley KM, Wyman JF, Olson-Kellogg BG et al. Reliability and validity of two measures of toileting skills in frail older women without dementia. J Gerontol Nurs 2016;3:1–5.
24. Guralnik JM, Simonsick EM, Ferrucci L et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 1994;49:M85–M94.
25. Puthoff ML. Outcome measures in cardiopulmonary physical therapy: Short Physical Performance Battery. Cardiopulm Phys Ther J 2008;19:17.
26. Shumaker SA, Wyman JF, Uebersax JS et al. Health-related quality of life measures for women with urinary incontinence: The Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Qual Life Res 1994;3:291–306.
27. Shamliyan T, Wyman J, Kane RL. Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness (Report 11(12)-EHC074-EF). Rockville, MD: Agency for Healthcare Research and Quality, 2012.
28. McDowell BJ, Engberg S, Sereika S et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc 1999;47:309–318.
29. Tannenbaum C, Corcos J. Outcomes in urinary incontinence: Reconciling clinical relevance with scientific rigour. Eur Urol 2008;53:1151–1161.