TY - JOUR
T1 - Physical Activity Patterns and Sedentary Behavior in Older Women with Urinary Incontinence
T2 - An Accelerometer-based Study
AU - Chu, Christine M.
AU - Khanijow, Kavita D.
AU - Schmitz, Kathryn H.
AU - Newman, DIane K.
AU - Arya, Lily A.
AU - Harvie, Heidi S.
N1 - Funding Information:
From the *Washington University in St Louis, St. Louis, MO; †University of Pennsylvania, Philadelphia; and ‡Pennsylvania State University, State College, PA. Correspondence: Kavita D. Khanijow, MD, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia PA 19104. E‐mail: Kavita.khanijow@uphs.upenn.edu. Supported by a Perelman School of Medicine PCOR-Pilot Grant and National Institutes of Health Grants 1R01NR012011-01 (D.K.N.) and U54-CA155850 (K.H.S.). The authors have declared they have no conflicts of interest. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved. DOI: 10.1097/SPV.0000000000000552
Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2019/7/1
Y1 - 2019/7/1
N2 - Purpose Objective physical activity data for women with urinary incontinence are lacking. We investigated the relationship between physical activity, sedentary behavior, and the severity of urinary symptoms in older community-dwelling women with urinary incontinence using accelerometers. Materials and Methods This is a secondary analysis of a study that measured physical activity (step count, moderate-to-vigorous physical activity time) and sedentary behavior (percentage of sedentary time, number of sedentary bouts per day) using a triaxial accelerometer in older community-dwelling adult women not actively seeking treatment of their urinary symptoms. The relationship between urinary symptoms and physical activity variables was measured using linear regression. Results Our cohort of 35 community-dwelling women (median, age, 71 years) demonstrated low physical activity (median daily step count, 2168; range, 687-5205) and high sedentary behavior (median percentage of sedentary time, 74%; range, 54%-89%). Low step count was significantly associated with nocturia (P = 0.02). Shorter duration of moderate-to-vigorous physical activity time was significantly associated with nocturia (P = 0.001), nocturnal enuresis (P = 0.04), and greater use of incontinence products (P = 0.04). Greater percentage of time spent in sedentary behavior was also significantly associated with nocturia (P = 0.016). Conclusions Low levels of physical activity are associated with greater nocturia and nocturnal enuresis. Sedentary behavior is a new construct that may be associated with lower urinary tract symptoms. Physical activity and sedentary behavior represent potential new targets for treating nocturnal urinary tract symptoms.
AB - Purpose Objective physical activity data for women with urinary incontinence are lacking. We investigated the relationship between physical activity, sedentary behavior, and the severity of urinary symptoms in older community-dwelling women with urinary incontinence using accelerometers. Materials and Methods This is a secondary analysis of a study that measured physical activity (step count, moderate-to-vigorous physical activity time) and sedentary behavior (percentage of sedentary time, number of sedentary bouts per day) using a triaxial accelerometer in older community-dwelling adult women not actively seeking treatment of their urinary symptoms. The relationship between urinary symptoms and physical activity variables was measured using linear regression. Results Our cohort of 35 community-dwelling women (median, age, 71 years) demonstrated low physical activity (median daily step count, 2168; range, 687-5205) and high sedentary behavior (median percentage of sedentary time, 74%; range, 54%-89%). Low step count was significantly associated with nocturia (P = 0.02). Shorter duration of moderate-to-vigorous physical activity time was significantly associated with nocturia (P = 0.001), nocturnal enuresis (P = 0.04), and greater use of incontinence products (P = 0.04). Greater percentage of time spent in sedentary behavior was also significantly associated with nocturia (P = 0.016). Conclusions Low levels of physical activity are associated with greater nocturia and nocturnal enuresis. Sedentary behavior is a new construct that may be associated with lower urinary tract symptoms. Physical activity and sedentary behavior represent potential new targets for treating nocturnal urinary tract symptoms.
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U2 - 10.1097/SPV.0000000000000552
DO - 10.1097/SPV.0000000000000552
M3 - Article
C2 - 29324571
AN - SCOPUS:85055345413
SN - 2151-8378
VL - 25
SP - 318
EP - 322
JO - Female Pelvic Medicine and Reconstructive Surgery
JF - Female Pelvic Medicine and Reconstructive Surgery
IS - 4
ER -