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. 2022 Nov 24;19(23):15642.
doi: 10.3390/ijerph192315642.

Urinary Incontinence and Sleep Quality in Older Women with Type 2 Diabetes: A Cross-Sectional Study

Chia-Hui Li  1   2 , Min-Huey Chung  1 , Chun-Hou Liao  2   3   4 , Ching-Chieh Su  5   6 , Yen-Kuang Lin  7 , Yuan-Mei Liao  8
Affiliations

Urinary Incontinence and Sleep Quality in Older Women with Type 2 Diabetes: A Cross-Sectional Study

Chia-Hui Li et al. Int J Environ Res Public Health. .

Abstract

Background: Urinary incontinence (UI) and poor sleep negatively affect health-related quality of life (HRQoL). This study explored the UI-related factors and the relationships between UI, sleep quality, and HRQoL.

Methods: This cross-sectional study collected data from 237 women with type 2 diabetes. Multivariate logistic regression was conducted to identify the factors associated with UI. One-way analysis of variance was used to compare the mean sleep quality and HRQoL scores of women without UI and those who experienced UI of varying severities. Correlation coefficients were estimated, and multivariate linear regression was conducted to examine the relationships between UI severity, sleep quality, and HRQoL.

Results: Of the 237 women, 115 (48.52%) experienced UI and 139 (58.65%) were poor sleepers. The three factors associated with UI were advanced age, a higher body mass index, and a history of vaginal delivery. Significant associations between UI severity and sleep quality and between sleep quality and HRQoL were revealed. UI severity and night-time voiding frequency were both associated with sleep quality.

Conclusions: One factor associated with UI (body mass index) is modifiable. UI severity is associated with sleep quality as the possible influence of night-time voiding frequency on sleep quality has been considered.

Keywords: body mass index; diabetes; night-time voiding frequency; quality of life; sleep quality; urinary incontinence.

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Conflict of interest statement

The authors declare no conflict of interest.

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