Changes in Bladder Health over Time: A Longitudinal Analysis of Adult Women in the Boston Area Community Health Survey

Overview

Journal J Urol

Publisher Wolters Kluwer

Specialty Urology

Date 2021 Dec 30

PMID 34968151

Citations 1

Authors

Siobhan Sutcliffe

Charles Cain

Tamara Bavendam

Colleen M Fitzgerald

Sheila Gahagan

Alayne D Markland

David A Shoham

Ariana L Smith

Kyle Rudser

Affiliations

Soon will be listed here.

Abstract

Purpose: Our goal was to describe changes in bladder health, defined as "a complete state of physical, mental, and social well-being related to bladder function that permits daily activities, adapts to short-term stressors, and allows optimal well-being," in women over time.

Materials And Methods: We used data on 15 lower urinary tract symptoms (LUTS) and interference from urinary experiences assessed at the baseline and 5-year followup interviews of the BACH (Boston Area Community Health) Survey to estimate changes in bladder health over time in women. Associations between baseline and followup bladder health (defined as the maximum frequency of LUTS or interference at each time point) were calculated by ordinal logistic regression and generalized linear models.

Results: A total of 2,526 women provided complete information on bladder health at baseline and followup. Over the 5-year followup, 6.5% of women maintained optimal bladder health (no LUTS or interference), 33.6% developed worse bladder health (including 10.4% who transitioned from optimal to less than optimal health), 31.4% maintained their less than optimal bladder health status and 28.7% improved. Despite these changes, women with poorer bladder health at baseline were still more likely to have poorer bladder health 5 years later (eg multivariable-adjusted relative risk=3.27, 95% confidence interval: 2.49-4.29 for severe LUTS/interference at followup among those with severe LUTS/interference at baseline).

Conclusions: Findings from our large secondary analysis of BACH Survey data suggest considerable variability in bladder health over time, and underscore the importance of bladder health promotion to prevent the initial onset and progression of poor bladder health in women.

Citing Articles

Lower Urinary Tract Symptoms in US Women: Contemporary Prevalence Estimates from the RISE FOR HEALTH Study.

Sutcliffe S, Falke C, Fok C, Griffith J, Harlow B, Kenton K J Urol. 2024; 212(1):124-135.

PMID: 38703067 PMC: 11166514. DOI: 10.1097/JU.0000000000004009.

References

Komesu Y, Schrader R, Ketai L, Rogers R, Dunivan G . Epidemiology of mixed, stress, and urgency urinary incontinence in middle-aged/older women: the importance of incontinence history. Int Urogynecol J. 2015; 27(5):763-72. PMC: 4957945. DOI: 10.1007/s00192-015-2888-1. View

Hagan K, Erekson E, Austin A, Minassian V, Townsend M, Bynum J . A prospective study of the natural history of urinary incontinence in women. Am J Obstet Gynecol. 2018; 218(5):502.e1-502.e8. PMC: 5949886. DOI: 10.1016/j.ajog.2018.01.045. View

Gorelick P, Furie K, Iadecola C, Smith E, Waddy S, Lloyd-Jones D . Defining Optimal Brain Health in Adults: A Presidential Advisory From the American Heart Association/American Stroke Association. Stroke. 2017; 48(10):e284-e303. PMC: 5654545. DOI: 10.1161/STR.0000000000000148. View

Hall S, Cinar A, Link C, Kopp Z, Roehrborn C, Kaplan S . Do urological symptoms cluster among women? Results from the Boston Area Community Health Survey. BJU Int. 2008; 101(10):1257-66. DOI: 10.1111/j.1464-410X.2008.07557.x. View

Pesonen J, Cartwright R, Mangera A, Santti H, Griebling T, Pryalukhin A . Incidence and Remission of Nocturia: A Systematic Review and Meta-analysis. Eur Urol. 2016; 70(2):372-81. DOI: 10.1016/j.eururo.2016.02.014. View

Postoev V, Grjibovski A, Kovalenko A, Anda E, Nieboer E, Odland J . Congenital anomalies of the kidney and the urinary tract: A murmansk county birth registry study. Birth Defects Res A Clin Mol Teratol. 2016; 106(3):185-93. DOI: 10.1002/bdra.23475. View

Lowder J, Bavendam T, Berry A, Brady S, Fitzgerald C, Fok C . Terminology for bladder health research in women and girls: Prevention of Lower Urinary Tract Symptoms transdisciplinary consortium definitions. Neurourol Urodyn. 2019; 38(5):1339-1352. PMC: 6581588. DOI: 10.1002/nau.23985. View

Irwin D, Milsom I, Chancellor M, Kopp Z, Guan Z . Dynamic progression of overactive bladder and urinary incontinence symptoms: a systematic review. Eur Urol. 2010; 58(4):532-43. DOI: 10.1016/j.eururo.2010.06.007. View

Goode P, Burgio K, Redden D, Markland A, Richter H, Sawyer P . Population based study of incidence and predictors of urinary incontinence in black and white older adults. J Urol. 2008; 179(4):1449-53. PMC: 2999469. DOI: 10.1016/j.juro.2007.11.069. View

10.

Thom D, Brown J, Schembri M, Ragins A, Subak L, Van Den Eeden S . Incidence of and risk factors for change in urinary incontinence status in a prospective cohort of middle-aged and older women: the reproductive risk of incontinence study in Kaiser. J Urol. 2010; 184(4):1394-401. PMC: 2939171. DOI: 10.1016/j.juro.2010.05.095. View

11.

OLeary M, Sant G, Fowler Jr F, Whitmore K . The interstitial cystitis symptom index and problem index. Urology. 1997; 49(5A Suppl):58-63. DOI: 10.1016/s0090-4295(99)80333-1. View

12.

McKinlay J, Link C . Measuring the urologic iceberg: design and implementation of the Boston Area Community Health (BACH) Survey. Eur Urol. 2007; 52(2):389-96. PMC: 2020848. DOI: 10.1016/j.eururo.2007.03.013. View

13.

Sutcliffe S, Bavendam T, Cain C, Epperson C, Fitzgerald C, Gahagan S . The Spectrum of Bladder Health: The Relationship Between Lower Urinary Tract Symptoms and Interference with Activities. J Womens Health (Larchmt). 2019; 28(6):827-841. PMC: 6590721. DOI: 10.1089/jwh.2018.7364. View

14.

Epstein R, Deverka P, Chute C, Panser L, Oesterling J, Lieber M . Validation of a new quality of life questionnaire for benign prostatic hyperplasia. J Clin Epidemiol. 1992; 45(12):1431-45. DOI: 10.1016/0895-4356(92)90205-2. View

15.

Sutcliffe S, Cain C, Bavendam T, Epperson C, Fitzgerald C, Gahagan S . Revisiting the Spectrum of Bladder Health: Relationships Between Lower Urinary Tract Symptoms and Multiple Measures of Well-Being. J Womens Health (Larchmt). 2020; 29(8):1077-1090. PMC: 7462007. DOI: 10.1089/jwh.2019.8167. View

16.

Kupelian V, Wei J, OLeary M, Kusek J, Litman H, Link C . Prevalence of lower urinary tract symptoms and effect on quality of life in a racially and ethnically diverse random sample: the Boston Area Community Health (BACH) Survey. Arch Intern Med. 2006; 166(21):2381-7. DOI: 10.1001/archinte.166.21.2381. View

17.

Clemens J, Link C, Eggers P, Kusek J, Nyberg Jr L, McKinlay J . Prevalence of painful bladder symptoms and effect on quality of life in black, Hispanic and white men and women. J Urol. 2007; 177(4):1390-4. DOI: 10.1016/j.juro.2006.11.084. View

18.

Erekson E, Cong X, Townsend M, Ciarleglio M . Ten-Year Prevalence and Incidence of Urinary Incontinence in Older Women: A Longitudinal Analysis of the Health and Retirement Study. J Am Geriatr Soc. 2016; 64(6):1274-80. PMC: 4916851. DOI: 10.1111/jgs.14088. View

19.

Lloyd-Jones D, Hong Y, Labarthe D, Mozaffarian D, Appel L, Van Horn L . Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association's strategic Impact Goal through 2020 and beyond. Circulation. 2010; 121(4):586-613. DOI: 10.1161/CIRCULATIONAHA.109.192703. View

20.

Wiesel A, Queisser-Luft A, Clementi M, Bianca S, Stoll C . Prenatal detection of congenital renal malformations by fetal ultrasonographic examination: an analysis of 709,030 births in 12 European countries. Eur J Med Genet. 2005; 48(2):131-44. DOI: 10.1016/j.ejmg.2005.02.003. View