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• W2023201150 abstract "No AccessJournal of UrologyAdult Urology1 Mar 2009Urinary Incontinence Among Women With Type 1 Diabetes—How Common is it?is accompanied byReceptor Isoforms That Mediate Estrogen and Progestagen Action in the Female Lower Urinary Tract Aruna V. Sarma, Alka M. Kanaya, Leroy M. Nyberg, John W. Kusek, Eric Vittinghoff, Brandy Rutledge, Patricia A. Cleary, Patricia Gatcomb, Jeanette S. Brown, and Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group Aruna V. SarmaAruna V. Sarma University of Michigan, Ann Arbor, Michigan More articles by this author , Alka M. KanayaAlka M. Kanaya University of California, San Francisco, California More articles by this author , Leroy M. NybergLeroy M. Nyberg National Institute of Diabetes, Digestive, and Kidney Diseases, National Institutes of Health, Bethesda, Maryland More articles by this author , John W. KusekJohn W. Kusek National Institute of Diabetes, Digestive, and Kidney Diseases, National Institutes of Health, Bethesda, Maryland Financial interest and/or other relationship with Pfizer, Eli Lilly and deCODE Genetics. More articles by this author , Eric VittinghoffEric Vittinghoff University of California, San Francisco, California More articles by this author , Brandy RutledgeBrandy Rutledge The Biostatistics Center, The George Washington University, Washington, D. C. More articles by this author , Patricia A. ClearyPatricia A. Cleary The Biostatistics Center, The George Washington University, Washington, D. C. More articles by this author , Patricia GatcombPatricia Gatcomb Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut More articles by this author , Jeanette S. BrownJeanette S. Brown University of California, San Francisco, California Supported by NIDDK K-24 Mid-career Investigator Award in Patient Oriented Research PA-98-053. More articles by this author , and Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2008.11.024AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We compared the prevalence, level of bother and effect on daily activities of urinary incontinence among women with type 1 diabetes enrolled in the Epidemiology of Diabetes Interventions and Complications study to a population based sample of women with normal glucose. Materials and Methods: We performed a cross-sectional analysis of women with type 1 diabetes and normal glucose tolerance using 2 study populations. The Diabetes Control and Complications Trial cohort followup, Epidemiology of Diabetes Interventions and Complications, began in 1994. In 2004 women participants (550) completed a self-administered questionnaire on urinary incontinence. Our primary outcome was weekly or greater incontinence, overall and by type. Prevalence of urinary incontinence was compared to a subgroup of women with normal glucose in the 2001 to 2002 National Health and Nutrition Examination Survey (NHANES). Results: Overall 65% of women with type 1 diabetes reported any urinary incontinence (17% reported weekly incontinence). Nearly 40% of these women were greatly bothered by their incontinence and 9% believed it affected their day-to-day activities. Women with type 1 diabetes had a nearly 2-fold greater prevalence of weekly urge incontinence compared to those without diabetes in the NHANES cohort (8.8% vs 4.5%, p = 0.01). Conclusions: Urinary incontinence is common in women with type 1 diabetes and the prevalence of weekly urge incontinence is far greater compared to that in women with normal glucose levels. Moreover, the prevalence of urinary incontinence in women with type 1 diabetes was greater than that of neuropathy, retinopathy and nephropathy. These findings highlight the importance of screening for urinary incontinence among women with type 1 diabetes. Studies examining factors associated with urinary incontinence in women with type 1 diabetes are warranted. References 1 : Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct2000; 11: 301. Google Scholar 2 : A population study of urinary incontinence and nocturia among women aged 20-59 years: Prevalence, well-being and wish for treatment. Acta Obstet Gynecol Scand1997; 76: 74. Google Scholar 3 : Type 2 diabetes mellitus and risk of developing urinary incontinence. J Am Geriatr Soc2005; 53: 1851. Google Scholar 4 : Urinary incontinence and diabetes in postmenopausal women. Diabetes Care2005; 28: 1730. 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Link, Google Scholar © 2009 by American Urological AssociationFiguresReferencesRelatedDetailsCited byDeshpande A, Craig J, Smith G and Caldwell P (2011) Factors Influencing Quality of Life in Children With Urinary IncontinenceJournal of Urology, VOL. 186, NO. 3, (1048-1052), Online publication date: 1-Sep-2011.Phelan S, Grodstein F and Brown J (2009) Clinical Research in Diabetes and Urinary Incontinence: What We Know and Need to KnowJournal of Urology, VOL. 182, NO. 6S, (S14-S17), Online publication date: 1-Dec-2009.Christ G, Bushman W and Fraser M (2009) Impact of Diabetes and Obesity on the Prostate and Urethra: Implications to Improved Bladder Dysfunction Understanding and TreatmentJournal of Urology, VOL. 182, NO. 6S, (S38-S44), Online publication date: 1-Dec-2009.Related articlesJournal of Urology20 Jan 2009Receptor Isoforms That Mediate Estrogen and Progestagen Action in the Female Lower Urinary Tract Volume 181Issue 3March 2009Page: 1224-1230 Advertisement Copyright & Permissions© 2009 by American Urological AssociationKeywordsurinary incontinencetype 1prevalencediabetes mellituswomenMetricsAuthor Information Aruna V. Sarma University of Michigan, Ann Arbor, Michigan More articles by this author Alka M. Kanaya University of California, San Francisco, California More articles by this author Leroy M. Nyberg National Institute of Diabetes, Digestive, and Kidney Diseases, National Institutes of Health, Bethesda, Maryland More articles by this author John W. Kusek National Institute of Diabetes, Digestive, and Kidney Diseases, National Institutes of Health, Bethesda, Maryland Financial interest and/or other relationship with Pfizer, Eli Lilly and deCODE Genetics. More articles by this author Eric Vittinghoff University of California, San Francisco, California More articles by this author Brandy Rutledge The Biostatistics Center, The George Washington University, Washington, D. C. More articles by this author Patricia A. Cleary The Biostatistics Center, The George Washington University, Washington, D. C. More articles by this author Patricia Gatcomb Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut More articles by this author Jeanette S. Brown University of California, San Francisco, California Supported by NIDDK K-24 Mid-career Investigator Award in Patient Oriented Research PA-98-053. More articles by this author Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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