Do sleep problems or urinary incontinence predict falls in elderly women?

J.S.H. Teo, N.K. Briffa, A. Devine, S.S. Dhaliwal, Richard Prince

    Research output: Contribution to journalArticle

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    Abstract

    The objectives of this cross-sectional study were: (1) To determine if night-time sleep disturbance, daytime sleepiness, or urinary incontinence were associated with an increased risk of falling in older Australian women and (2) to explore the interrelationships between daytime sleepiness, night-time sleep problems, and urge incontinence. Participants were 782 ambulatory, community-dwelling women aged 75 to 86 recruited from within the existing Calcium Intake Fracture Outcome Study, in which women above 70 years were selected at random from the electoral roll. Daytime sleepiness, night-time sleep problems, urinary incontinence and falls data were collected via self-complete questionnaires. Thirty-five per cent of participants had fallen at least once in the past 12 months and 37.7%. reported at least one night-time sleep problem. However, only 8.1% of the study sample experienced abnormal daytime sleepiness (Epworth Sleepiness Scale score > 10). Pure stress, pure urge, and mixed incontinence occurred in 36.8%, 3.7%, and 32.6% of participants respectively. In forward stepwise multiple logistic regression analysis, urge incontinence (OR 1.76; 95% Cl 1.29 to 2.41) and abnormal daytime sleepiness (OR 2.05; 95% Cl 1.21 to 3.49) were significant independent risk factors for failing after controlling for other falls risk factors (age, central nervous system drugs, cardiovascular drugs). As urge incontinence and abnormal daytime sleepiness were independently associated with an increased falls risk, effective management of these problems may reduce the risk of failing in older women.
    Original languageEnglish
    Pages (from-to)19-24
    JournalAustralian Journal of Physiotherapy
    Volume52
    Issue number1
    DOIs
    Publication statusPublished - 2006

    Fingerprint

    Urge Urinary Incontinence
    Urinary Incontinence
    Sleep
    Accidental Falls
    Central Nervous System Agents
    Independent Living
    Cardiovascular Agents
    Risk Management
    Cross-Sectional Studies
    Logistic Models
    Regression Analysis
    Outcome Assessment (Health Care)
    Calcium

    Cite this

    Teo, J.S.H. ; Briffa, N.K. ; Devine, A. ; Dhaliwal, S.S. ; Prince, Richard. / Do sleep problems or urinary incontinence predict falls in elderly women?. In: Australian Journal of Physiotherapy. 2006 ; Vol. 52, No. 1. pp. 19-24.
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    abstract = "The objectives of this cross-sectional study were: (1) To determine if night-time sleep disturbance, daytime sleepiness, or urinary incontinence were associated with an increased risk of falling in older Australian women and (2) to explore the interrelationships between daytime sleepiness, night-time sleep problems, and urge incontinence. Participants were 782 ambulatory, community-dwelling women aged 75 to 86 recruited from within the existing Calcium Intake Fracture Outcome Study, in which women above 70 years were selected at random from the electoral roll. Daytime sleepiness, night-time sleep problems, urinary incontinence and falls data were collected via self-complete questionnaires. Thirty-five per cent of participants had fallen at least once in the past 12 months and 37.7{\%}. reported at least one night-time sleep problem. However, only 8.1{\%} of the study sample experienced abnormal daytime sleepiness (Epworth Sleepiness Scale score > 10). Pure stress, pure urge, and mixed incontinence occurred in 36.8{\%}, 3.7{\%}, and 32.6{\%} of participants respectively. In forward stepwise multiple logistic regression analysis, urge incontinence (OR 1.76; 95{\%} Cl 1.29 to 2.41) and abnormal daytime sleepiness (OR 2.05; 95{\%} Cl 1.21 to 3.49) were significant independent risk factors for failing after controlling for other falls risk factors (age, central nervous system drugs, cardiovascular drugs). As urge incontinence and abnormal daytime sleepiness were independently associated with an increased falls risk, effective management of these problems may reduce the risk of failing in older women.",
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    Do sleep problems or urinary incontinence predict falls in elderly women? / Teo, J.S.H.; Briffa, N.K.; Devine, A.; Dhaliwal, S.S.; Prince, Richard.

    In: Australian Journal of Physiotherapy, Vol. 52, No. 1, 2006, p. 19-24.

    Research output: Contribution to journalArticle

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