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Overactive bladder helps predict falls older adults

10 Jan 2021

An overactive bladder, with (wet) or without urgency incontinence (dry), can significantly predict falls in older adults with a low absolute fall risk, suggests a study.

The authors conducted this prospective cohort study in 630 community-dwelling, independent older adults aged 75 years who attended a health check-up in 2017 with a 1-year follow-up. Logistic regression models were used to assess the associations of overactive bladder dry and wet with a fall history, as well as future fall risk compared to no overactive bladder.

In total, 577 participants (median age, 79 years; 47 percent men) were included in the analysis. The prevalence of overactive bladder dry and wet at baseline was 15 percent and 14 percent, respectively.

In multivariable logistic regression analysis, both overactive bladder dry (adjusted odds ratio [aOR], 2.03, 95 percent confidence interval [CI], 1.23–3.37) and wet (aOR, 2.21, 95 percent CI, 1.29–3.78) correlated with an increased likelihood of prior falls.

Among participants without a fall history (n=363), the adjusted ORs of overactive bladder dry and wet for the occurrence of falls were 2.74 (95 percent CI, 1.19–6.29) and 1.35 (95 percent CI, 0.47–3.87), respectively, during the 1-year follow-up.

In the tree-based approach used for all participants, overactive bladder was a significant predictor of falls in adults without a fall history. The model had an accuracy of 83.6 percent and area under the receiver operating characteristic curve of 81.8 percent.

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Most Read Articles
01 Dec 2020
Tetanus toxoid 5 Lf, diphtheria toxoid 2 Lf, pertussis toxoid 2.5 mcg, filamentous haemagglutinin 5 mcg, fimbriae types 2 and 3 5 mcg, pertactin 3 mcg
Dr. Hsu Li Yang, Dr. Tan Thuan Tong, Dr. Andrea Kwa, 08 Jan 2021
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Pearl Toh, 26 Nov 2020
Inhaled corticosteroid (ICS) should be the mainstay of long-term asthma management — such is the key message of the latest Singapore ACE* Clinical Guidance (ACG) for asthma, released in October 2020.
Yesterday
Daily intake of cow’s milk formula in early life helps prevent the development of cow’s milk allergy later on without competing with breastfeeding, a recent study has found.