Do Older Adults with Overactive Bladder Demonstrate Impaired Executive Function Compared to Their Peers Without OAB?

Background Maintaining urinary continence is not an automatic process, but relies on continuous processing of sensory signals from the bladder and suppression of the desire to void. Urinary incontinence (UI) and lower urinary tract symptoms (LUTS), including urinary urgency, frequency, and nocturia...

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Publicado en:Canadian Geriatrics Journal Vol. 23; no. 4; pp. 329 - 335
Autores principales: Gibson, William, Makhani, Asad, Hunter, Kathleen F., Wagg, Adrian
Formato: research tables/charts Journal Article
Publicado: Canadian Geriatrics Society Dec2020
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Canadian Geriatrics Journal
      issn: 19258348
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      dt: Dec2020
      vid: 23
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      pub: Canadian Geriatrics Society
      place: Markham, Ontario
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        atl: Do Older Adults with Overactive Bladder Demonstrate Impaired Executive Function Compared to Their Peers Without OAB?
      aug:
        au:
          Gibson, William
          Makhani, Asad
          Hunter, Kathleen F.
          Wagg, Adrian
        affil: Division of Geriatric Medicine, University of Alberta, Edmonton, AB
      sug:
        subj:
          Executive Function Evaluation
          Overactive Bladder Diagnosis
          Overactive Bladder Complications
          Human
          Cognition
          Urinary Incontinence Risk Factors
          Descriptive Statistics
          Data Analysis Software
          Central Nervous System Physiology
          Cross Sectional Studies
          Male
          Female
          Aged
          Aged, 80 and Over
          Fisher's Exact Test
          T-Tests
          Mann-Whitney U Test
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background Maintaining urinary continence is not an automatic process, but relies on continuous processing of sensory signals from the bladder and suppression of the desire to void. Urinary incontinence (UI) and lower urinary tract symptoms (LUTS), including urinary urgency, frequency, and nocturia are highly prevalent among the general population. This prevalence rises in association with increasing age, and this may be in part due to changes in the central nervous system rather than the urinary tract. The aim of this study was to assess if older adults with overactive bladder (OAB) had demonstrable impairment in executive function. Methods This was a cross-sectional study comparing the performance of adults aged 65 and over with and without OAB on two cognitive tests, the Trail Making Test B (TMT-B) and simple reaction time (SRT). OAB was defined as urgency, with at least weekly urgency incontinence and a daytime urinary frequency of 8 or more. The control group were defined as a Bladder control Self-Assessment Questionnaire (B-SAQ) score of ≤4. Results 56 participants were recruited, of whom 35 met criteria for OAB. The OAB group took significantly longer to complete the TMT-B than the control group (103s vs. 77s, p = .003). There was no difference in the SRT Conclusions In this sample of older adults, OAB was associated with measurable slower performance on the TMT-B, suggesting that impaired executive function is associated with OAB.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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