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Urge urinary incontinence was associated with increased risk of falls and non-spinal, non-traumatic fractures in older women

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QUESTION: In community dwelling older white women, does weekly or more frequent urge and stress urinary incontinence increase risk of falls and non-spinal, non-traumatic fractures?

Design

Cohort study with mean follow up of 3 years (Study of Osteoporotic Fractures [SOF]).

Setting

4 clinical care centres in Maryland, Minnesota, Oregon, and Pennsylvania, USA.

Participants

6049 community dwelling, ambulatory, white women who were ≥65 years of age (mean age 79 y), attended 5 SOF clinic or home visits, completed a physical examination and self administered questionnaire, provided data on urinary incontinence, and returned ≥1 postcard reporting falls after visit 5. Institutionalised women were excluded.

Assessment of risk factors

Live births; hysterectomy status; smoking status; alcohol use; walking; total weekly excursions outside of the …

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Footnotes

  • Source of funding: National Institute on Aging.

  • For correspondence: Dr J S Brown, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, 2330 Post Street, Suite 220, San Francisco, CA 94115, USA. Fax +1 415 353 9509.

  • A modified version of this abstract appears in ACP Journal Club.