Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2021 Mar 29;21(1):212.
doi: 10.1186/s12877-021-02135-8.

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

Sedighe Batmani  1 , Rostam Jalali  1 , Masoud Mohammadi  2 , Shadi Bokaee  3
Affiliations
Meta-Analysis

Prevalence and factors related to urinary incontinence in older adults women worldwide: a comprehensive systematic review and meta-analysis of observational studies

Sedighe Batmani et al. BMC Geriatr. .

Erratum in

Abstract

Background: Urinary incontinence is a common condition in the general population and, in particular, the older adults population, which reduces the quality of life of these people, so this study aims to systematically examine and meta-analyse the overall prevalence of urinary incontinence in older women around the world and the related and influential factors.

Methods: This report is a comprehensive systematic review and meta-analysis of the findings of research on urinary incontinence in older adults people across the world through looking for MEDLINE, Cochrane Library Sciencedirect, Embase, Scopus, ProQuest and Persian databases, namely iranmedex, magiran, and SID from January 2000 to April 2020, the heterogeneity of the experiments was measured using the I2 index and the data processing was done in the Systematic Meta-Analysis programme.

Results: In 29 studies and the sample size of 518,465 people in the age range of 55-106 years, urinary incontinence in older adults' women in the world based on a meta-analysis of 37.1% (95% CI: 29.6-45.4%) was obtained. The highest prevalence of urinary incontinence was reported in older adults' women in Asia with 45.1% (95% CI: 36.9-53.5%). Meta-regression also showed that with increasing the sample size and year of the study, the overall prevalence of urinary incontinence in the older adults women of the world decreased and increased, respectively, which were statistically significant differences (P < 0.05). According to studies, the most important factors influencing the incidence of urinary incontinence in older women are women's age (p < 0.001), obesity (p < 0.001), diabetes (p < 0.001), women's education (p < 0.001), delivery rank (p < 0.001), hypertension (p < 0.001), smoking (p < 0.001). They also have urinary tract infections (p < 0.001).

Conclusion: Given the high prevalence of urinary incontinence in older women around the world, health policy makers must consider control and diagnostic measures in older women and prioritize treatment and rehabilitation activities.

Keywords: Meta-analysis; Older adults; Prevalence; Urinary incontinence; Women.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
The flowchart on the stages of including the studies in the systematic review and meta-analysis (PRISMA 2009)
Fig. 2
Fig. 2
Funnel Plot Results of urinary incontinence in older adults’ women worldwide
Fig. 3
Fig. 3
Overall prevalence of urinary incontinence in older adults’ women worldwide based on a random effects model
Fig. 4
Fig. 4
Results of sensitivity analysis
Fig. 5
Fig. 5
Meta-regression diagram of the overall prevalence of urinary incontinence in older adults’ women worldwide by sample size
Fig. 6
Fig. 6
Meta-regression diagram of the overall prevalence of urinary incontinence in older adults’ women worldwide by year of release
See this image and copyright information in PMC

Comment in

  • Geriatrics.
    Griebling TL. Griebling TL. J Urol. 2022 May;207(5):1129-1131. doi: 10.1097/JU.0000000000002466. Epub 2022 Feb 10. J Urol. 2022. PMID: 35139649 No abstract available.

References

    1. Vaisi-Raygani AA, Mohammadi M, Jalali R, Ghobadi A, Salari N. The prevalence of obesity in older adults in Iran: a systematic review and meta-analysis. BMC Geriatr. 2019;19(1):371. - PMC - PubMed
    1. Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L. Urinary incontinence in women: a review. JAMA. 2017;318(16):1592–1604. doi: 10.1001/jama.2017.12137. - DOI - PubMed
    1. Hu JS, Fiore PE. Urinary Incontinence in Women: Evaluation and Management. Am Fam Physician. 2019;100(6):339–348. - PubMed
    1. Forde JC, Chughtai B, Cea M, Stone BV, Te A, Bishop TF. Trends in ambulatory management of urinary incontinence in women in the United States. Female Pelvic Med Reconstr Surg. 2017;23(4):250–255. doi: 10.1097/SPV.0000000000000365. - DOI - PubMed
    1. Peate I. Urinary incontinence in women: treatment recommendations. Br J Nurs. 2019;28(22):1486–1488. doi: 10.12968/bjon.2019.28.22.1486. - DOI - PubMed

Publication types