TY  - JOUR
PY  - 2019//
TI  - Gait speed and overactive bladder in the healthy community-dwelling super elderly: the Sukagawa Study
JO  - Neurourology and urodynamics
A1  - Omae, Kenji
A1  - Yamamoto, Yosuke
A1  - Kurita, Noriaki
A1  - Takeshima, Taro
A1  - Naganuma, Toru
A1  - Takahashi, Sei
A1  - Ohnishi, Tsuyoshi
A1  - Ito, Fumihito
A1  - Yoshioka, Takashi
A1  - Fukuhara, Shunichi
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - AIM: The objective of this study is to assess the association of muscle mass, grip strength, and gait speed with overactive bladder (OAB) in community-dwelling elderly adults. <br><br>METHODS: This cross-sectional study was based on the data collected from 350 Japanese healthy community-dwelling elderly individuals aged 75 years or older from the Sukagawa Study. Muscle mass (kg) was measured by bioelectrical impedance, whereas grip strength (kg) and gait speed (m/s) were measured by performance testing. Muscle mass and grip strength were corrected for body mass index (BMI). The primary outcome was the presence of OAB, evaluated using the OAB symptom score. <br><br>RESULTS: Of the 314 participants analyzed, 146 (47%) were men and 88 (28%) presented with OAB. The mean (SD) BMI, muscle mass, grip strength, and gait speed were 23.2 (3.2) kg/m <sup>2</sup> , 38.4 (7.5) kg, 26.6 (8.1) kg, and 1.2 (0.2) m/s, respectively. Multivariable logistic regression analysis revealed that slower gait speed was associated with a greater likelihood of OAB (adjusted odds ratio [aOR] per -1 SD, 1.47; 95% confidence interval [CI], 1.11-1.95). No significant associations between muscle mass or grip strength and OAB were noted (aOR per -1 SD, 0.75, 1.03; 95% CI, 0.41-1.37, 0.62-1.72, respectively). Slower gait speed was also associated with higher likelihood of urgency and urgency incontinence (aOR per -1 SD, 1.35, 1.40; 95% CI, 1.04-1.74, 1.06-1.84, respectively). <br><br>CONCLUSIONS: In the healthy community-dwelling elderly, gait speed was associated with OAB, including urgency and urgency incontinence. Our findings may provide a new framework for OAB management with respect to functional mobility.<br><br>© 2019 Wiley Periodicals, Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0733-2467
UR  - http://dx.doi.org/10.1002/nau.24148
ID  - ref1
ER  -