Promoting and maintaining urinary continence: Follow-up from a cluster-randomized trial of elderly village women in Bangladesh.
Rezaul HaqueFardous KabirKamrun NaherNicola CherryDianna MacDonaldAdrian S WaggZafrullah ChowdhuryPublished in: Neurourology and urodynamics (2020)
Women from nine villages in the exercise arm of the CRT were followed-up 12 months after the 6-month intervention. They provided information about exercise since the CRT and a 3-day continence record (3DCR). Posttrial, a further 6-month exercise intervention led by village paramedics was initiated in 20 villages. Women completed the two-item Sandvik severity questionnaire before and after the intervention. Paramedics kept a record of each woman's attendance at the 48 exercise sessions RESULTS: A total of 130 of 150 women from the CRT completed the 12-month follow-up; 61.5% were dry on the 3DCR at follow-up. Total continence was related to the continuation of exercises carried out in the home and absence of urinary tract infection at follow-up. Those exercising at follow-up had an odds ratio (OR) of 3.49 (95% confidence interval [CI], 1.86-6.58) of being continent at follow-up. Higher end-of-CRT body mass index was associated with greater follow-up leakage. In the 20-village roll-out, with 316 incontinent women, improvement in both severity and total continence on the Sandvik questionnaire were related to a total number of sessions attended (OR = 1.09; 95% CI, 1.05-1.13). At roll-out, 38.6% achieved continence, comparable to 43.0% in the CRT using physiotherapy preceptors CONCLUSIONS: Group exercise classes led by paramedics resulted in a marked improvement in continence but maintenance requires exercise postintervention.
Keyphrases
- high intensity
- polycystic ovary syndrome
- robot assisted
- physical activity
- resistance training
- randomized controlled trial
- body mass index
- pregnancy outcomes
- cardiac resynchronization therapy
- urinary incontinence
- cervical cancer screening
- urinary tract infection
- healthcare
- breast cancer risk
- insulin resistance
- type diabetes
- adipose tissue
- cross sectional
- psychometric properties
- social media
- weight loss
- health information
- weight gain