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Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study.
BJOG 2003; 110(3):247-54BJOG

Abstract

OBJECTIVE

To examine whether modifiable lifestyle factors such as smoking, obesity, physical activity and intake of alcohol or caffeinated drinks were associated with urinary incontinence in women.

DESIGN

Cross sectional population-based study.

SETTING

The Norwegian Epidemiology of Incontinence in the County of Nord-Trøndelag (EPINCONT) Study is part of a large survey performed in a county in Norway during 1995-1997.

POPULATION

Women >/=20 years (n = 34,755, 75% of the invited) attended the first part of the survey and received the questionnaire. There were 27,936 (80% of source population) women who completed the incontinence part of the questionnaire.

METHODS

Questionnaire covering several health topics including urinary incontinence was received at a screening station. Logistic regression analysis was used to adjust for confounding and to establish associations with the different outcomes under investigation: any incontinence, severe incontinence and stress, urge and mixed subtypes.

MAIN OUTCOME MEASURES

Effect measure were odds ratios with corresponding 95% confidence intervals.

RESULTS

Former and current smoking was associated with incontinence, but only for those who smoked more than 20 cigarettes per day. Severe incontinence was weakly associated with smoking regardless of number of cigarettes. The association between increasing body mass index and incontinence was strong and present for all subtypes. Increasing levels of low intensity physical activity had a weak and negative association with incontinence. Tea drinkers were at slightly higher risk for all types of incontinence. We found no important effects of high intensity physical activity, intake of alcohol or coffee.

CONCLUSIONS

Several potentially modifiable lifestyle factors are associated with urinary incontinence. Highest odds ratios were found for body mass index, heavy smoking and tea drinking.

Authors+Show Affiliations

Section for General Practice and Section for Preventive Medicine, Department of Public Health and Primary Health Care, University of Bergen, Norway.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12628262

Citation

Hannestad, Yngvild S., et al. "Are Smoking and Other Lifestyle Factors Associated With Female Urinary Incontinence? the Norwegian EPINCONT Study." BJOG : an International Journal of Obstetrics and Gynaecology, vol. 110, no. 3, 2003, pp. 247-54.
Hannestad YS, Rortveit G, Daltveit AK, et al. Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG. 2003;110(3):247-54.
Hannestad, Y. S., Rortveit, G., Daltveit, A. K., & Hunskaar, S. (2003). Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. BJOG : an International Journal of Obstetrics and Gynaecology, 110(3), pp. 247-54.
Hannestad YS, et al. Are Smoking and Other Lifestyle Factors Associated With Female Urinary Incontinence? the Norwegian EPINCONT Study. BJOG. 2003;110(3):247-54. PubMed PMID: 12628262.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Are smoking and other lifestyle factors associated with female urinary incontinence? The Norwegian EPINCONT Study. AU - Hannestad,Yngvild S, AU - Rortveit,Guri, AU - Daltveit,Anne Kjersti, AU - Hunskaar,Steinar, PY - 2003/3/12/pubmed PY - 2003/4/29/medline PY - 2003/3/12/entrez SP - 247 EP - 54 JF - BJOG : an international journal of obstetrics and gynaecology JO - BJOG VL - 110 IS - 3 N2 - OBJECTIVE: To examine whether modifiable lifestyle factors such as smoking, obesity, physical activity and intake of alcohol or caffeinated drinks were associated with urinary incontinence in women. DESIGN: Cross sectional population-based study. SETTING: The Norwegian Epidemiology of Incontinence in the County of Nord-Trøndelag (EPINCONT) Study is part of a large survey performed in a county in Norway during 1995-1997. POPULATION: Women >/=20 years (n = 34,755, 75% of the invited) attended the first part of the survey and received the questionnaire. There were 27,936 (80% of source population) women who completed the incontinence part of the questionnaire. METHODS: Questionnaire covering several health topics including urinary incontinence was received at a screening station. Logistic regression analysis was used to adjust for confounding and to establish associations with the different outcomes under investigation: any incontinence, severe incontinence and stress, urge and mixed subtypes. MAIN OUTCOME MEASURES: Effect measure were odds ratios with corresponding 95% confidence intervals. RESULTS: Former and current smoking was associated with incontinence, but only for those who smoked more than 20 cigarettes per day. Severe incontinence was weakly associated with smoking regardless of number of cigarettes. The association between increasing body mass index and incontinence was strong and present for all subtypes. Increasing levels of low intensity physical activity had a weak and negative association with incontinence. Tea drinkers were at slightly higher risk for all types of incontinence. We found no important effects of high intensity physical activity, intake of alcohol or coffee. CONCLUSIONS: Several potentially modifiable lifestyle factors are associated with urinary incontinence. Highest odds ratios were found for body mass index, heavy smoking and tea drinking. SN - 1470-0328 UR - https://www.unboundmedicine.com/medline/citation/12628262/Are_smoking_and_other_lifestyle_factors_associated_with_female_urinary_incontinence_The_Norwegian_EPINCONT_Study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1470032802029270 DB - PRIME DP - Unbound Medicine ER -