Prevalence of urinary incontinence among women with diabetes in the Lolland‐Falster Health Study, Denmark

• Published in: Neurourology and urodynamics 2021-03, Vol.40 (3), p.855-867
• Main Authors: Løwenstein, Ea, Jepsen, Randi, Andersen, Lea L., Laigaard, Jennie, Møller, Lars A., Gæde, Peter, Bonde, Lisbeth, Gimbel, Helga
• Format: Article
• Language: English
• Subjects: Antidiabetics; Body mass index; Diabetes; Diabetes mellitus; epidemiology; Lolland‐Falster Health Study (LOFUS); Physical activity; Population studies; prevalence; Urinary incontinence
• ISSN: 0733-2467; 1520-6777
• DOI: 10.1002/nau.24636

Aims To investigate the prevalence of urinary incontinence (UI) and UI subtypes (stress, urgency, and mixed UI) in women with or without diabetes mellitus; and to investigate the association between diabetes and UI (any and subtypes). Methods A cross‐sectional study based on the Lolland‐Falster, Denmark population‐based health study. From 2016 to 2020, clinical measurement, questionnaires, and blood tests were collected. A total of 8563 women aged 18 or older were enrolled. Data analysis included 7906 women. UI was defined as any involuntary leakage of urine during the previous 4 weeks. Multiple logistic regression was used to adjust for confounders: age, body mass index, parity, physical activity, previous gestational diabetes, education, and smoking. Results UI prevalence was 50.3% in women with diabetes and 39.3% in women without diabetes. The unadjusted and adjusted odds ratio (OR) for UI in women with diabetes was OR 1.56 (95% confidence interval [CI], 1.27–1.92) and 1.11 (95% CI, 0.88–1.38), respectively. Mixed UI was associated with diabetes after controlling for confounders. A subgroup analysis found women using multiple antidiabetic medications had increased odds of UI, 2.75 (95% CI, 1.38–5.48), after controlling for confounders. Conclusion The prevalence of UI in women with diabetes was higher than in women without diabetes. The odds of UI was 56% higher in women with diabetes compared with women without diabetes but the effect was attenuated when controlling for confounders and statistically significance was not achieved. For a subgroup using multiple antidiabetic medications, the risk of UI was higher than in women without diabetes.