TY - JOUR
T1 - Urinary incontinence and sedentary behaviour in nursing home residents in Osona, Catalonia
T2 - Protocol for the OsoNaH project, a multicentre observational study
AU - Farrés-Godayol, Pau
AU - Jerez-Roig, Javier
AU - Minobes-Molina, Eduard
AU - Yildirim, Meltem
AU - Goutan-Roura, Ester
AU - Coll-Planas, Laura
AU - Escribà-Salvans, Anna
AU - Molas-Tuneu, Miriam
AU - Moreno-Martin, Pau
AU - Rierola-Fochs, Sandra
AU - Rierola-Colomer, Sergi
AU - Romero-Mas, Montse
AU - Torres-Moreno, Miriam
AU - Naudó-Molist, Jordi
AU - Bezerra De Souza, Dyego Leandro
AU - Booth, Joanne
AU - Skelton, Dawn A.
AU - Giné-Garriga, Maria
N1 - Funding Information:
This work was supported by the Hestia foundation (grant number BI-CHAISS-2019/003) and the Collegi de Fisioterapeutes de Catalunya (grant number R03/19).
Funding Information:
Twitter Pau Farrés-Godayol @PauFarrs, Javier Jerez-Roig @javierjerezroig, Meltem Yildirim @mltmyldrm9 and Dawn A Skelton @LaterLifeTrain & @GCUResearch Contributors PF-G, JJ-R, MG-G and EM-M were involved in designing of the study and the writing of the manuscript. AES, MM, PM-M, SR-C, SR-F and MY were involved in the acquisition of data. DB participated in the design and the sample size calculation. EG-R, LC-P, MR-M, MT-M, JN-M, DB, JB, DS and the rest of authors reviewed drafts of the paper and approved the final draft. Funding This work was supported by the Hestia foundation (grant number BI-CHAISS-2019/003) and the Col·legi de Fisioterapeutes de Catalunya (grant number R03/19).
Publisher Copyright:
© 2021 Author(s) (or their employer(s). Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2021/4/20
Y1 - 2021/4/20
N2 - Introduction Several studies have shown that physical activity (PA) levels and sedentary behaviour (SB) are independent risk factors for many health-related issues. However, there is scarce evidence supporting the relationship between SB and urinary incontinence (UI) in community-dwelling older adults, and no information on any possible association in institutionalised older adults. Stage I of this project has the main objective of determining the prevalence of UI and its associated factors in nursing home (NH) residents, as well as analysing the association between UI (and its types) and SB. Stage II aims to investigate the incidence and predictive factors of functional and continence decline, falls, hospitalisations, mortality and the impact of the COVID-19 pandemic among NH residents. Methods and analysis Stage I is an observational, multicentre, cross-sectional study with mixed methodology that aims to explore the current status of several health-related outcomes in NH residents of Osona (Barcelona, Spain). The prevalence ratio will be used as an association measure and multivariate analysis will be undertaken using Poisson regression with robust variance. Stage II is a 2-year longitudinal study that aims to analyse functional and continence decline, incidence of falls, hospitalisations, mortality and the impact of the COVID-19 pandemic on these outcomes. A survival analysis using the actuarial method for functional decline and continence, evaluated every 6 months, and the Kaplan-Meier method for falls, hospitalisations and deaths, and Cox regression for multivariate analysis will be undertaken. Ethics and dissemination The study received the following approvals: University of Vic-Central University of Catalonia Ethics and Research Committee (92/2019 and 109/2020), Clinical Research Ethics Committee of the Osona Foundation for Health Research and Education (FORES) (code 2020118/PR249). Study results will be disseminated at conferences, meetings and through peer-reviewed journals.
AB - Introduction Several studies have shown that physical activity (PA) levels and sedentary behaviour (SB) are independent risk factors for many health-related issues. However, there is scarce evidence supporting the relationship between SB and urinary incontinence (UI) in community-dwelling older adults, and no information on any possible association in institutionalised older adults. Stage I of this project has the main objective of determining the prevalence of UI and its associated factors in nursing home (NH) residents, as well as analysing the association between UI (and its types) and SB. Stage II aims to investigate the incidence and predictive factors of functional and continence decline, falls, hospitalisations, mortality and the impact of the COVID-19 pandemic among NH residents. Methods and analysis Stage I is an observational, multicentre, cross-sectional study with mixed methodology that aims to explore the current status of several health-related outcomes in NH residents of Osona (Barcelona, Spain). The prevalence ratio will be used as an association measure and multivariate analysis will be undertaken using Poisson regression with robust variance. Stage II is a 2-year longitudinal study that aims to analyse functional and continence decline, incidence of falls, hospitalisations, mortality and the impact of the COVID-19 pandemic on these outcomes. A survival analysis using the actuarial method for functional decline and continence, evaluated every 6 months, and the Kaplan-Meier method for falls, hospitalisations and deaths, and Cox regression for multivariate analysis will be undertaken. Ethics and dissemination The study received the following approvals: University of Vic-Central University of Catalonia Ethics and Research Committee (92/2019 and 109/2020), Clinical Research Ethics Committee of the Osona Foundation for Health Research and Education (FORES) (code 2020118/PR249). Study results will be disseminated at conferences, meetings and through peer-reviewed journals.
KW - adult pathology
KW - geriatric medicine
KW - rehabilitation medicine
KW - urinary incontinences
UR - http://www.scopus.com/inward/record.url?scp=85104604055&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2020-041152
DO - 10.1136/bmjopen-2020-041152
M3 - Article
C2 - 33879481
AN - SCOPUS:85104604055
SN - 2044-6055
VL - 11
JO - BMJ open
JF - BMJ open
IS - 4
M1 - e041152
ER -