{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T01:57:52Z","timestamp":1782179872387,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T00:00:00Z","timestamp":1675296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The common assumption that urinary incontinence occurs in osteoarthritis (OA) due to poor mobility is supported by limited evidence. The influence of gender in such associations is also yet to be elucidated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study, therefore, identified any potential associations between knee OA symptoms and urinary incontinence and further explore sex differences in the associations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University Hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>This was a cross\u2010sectional study from a longitudinal research study comprising 1221 community\u2010dwelling older persons (57% women), mean age (SD) 68.95 (7.49) years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measure(s)<\/jats:title><jats:p>Presence of urinary incontinence: mixed, stress and urge symptoms. Physical performance and C\u2010reactive protein levels were also assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and seventy\u2010seven (22.83%) individuals reported the presence of urinary incontinence: mixed (41.5%), stress (30%), and urge (28.5%) symptoms. In an unadjusted analysis, stratified by gender, the association between knee pain and urinary incontinence was only present in women with mixed symptoms. After further adjustment of demographics differences and body mass index, the association between knee pain with any urinary incontinence and mixed symptoms remained significant with the odds ratios (95% confidence interval): 1.48 (1.02\u20132.15)\u00a0and 1.73 (1.06\u20132.83), respectively. This relationship was attenuated after further adjustment for waist circumference and impaired lower limb mobility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study refutes previous assumptions that urinary incontinence in individuals with OA is attributed to impaired mobility alone, but introduces the role of abdominal obesity in this relationship, particularly in women. Future studies should assess the temporal relationship between body fat distribution and OA with urinary incontinence.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25136","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T16:11:09Z","timestamp":1675354269000},"page":"641-649","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Gender differences in the associations between knee pain and urinary incontinence in older adults: Cross\u2010sectional analysis from the Malaysian Elders Longitudinal Research Study (MELoR)"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4973-6986","authenticated-orcid":false,"given":"Sumaiyah","family":"Mat","sequence":"first","affiliation":[{"name":"Physiotherapy Program and Center for Healthy Ageing and Wellness (H\u2010CARE) Universiti Kebangsaan Malaysia Kuala Lumpur Malaysia"},{"name":"Ageing and Age\u2010Associated Disorders Research Group, Department of Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad Hasif","family":"Jaafar","sequence":"additional","affiliation":[{"name":"Academy of Contemporary Islamic Studies (ACIS) University of Technology Mara Negeri Sembilan Branch  Kuala Pilah Negeri Sembilan Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azad H. A.","family":"Razack","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teng Aik","family":"Ong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su\u2010Yen","family":"Khong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahrul Bahyah","family":"Kamaruzzaman","sequence":"additional","affiliation":[{"name":"Ageing and Age\u2010Associated Disorders Research Group, Department of Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai\u2010Vyrn","family":"Chin","sequence":"additional","affiliation":[{"name":"Ageing and Age\u2010Associated Disorders Research Group, Department of Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azlina Amir","family":"Abbas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence in Research and Learning (NOCERAL), Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chee Ken","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence in Research and Learning (NOCERAL), Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noran Naqiah","family":"Hairi","sequence":"additional","affiliation":[{"name":"Centre for Epidemiology and Evidence\u2010Based Practice, Department of Social and Preventive Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sajaratulnisah","family":"Othman","sequence":"additional","affiliation":[{"name":"Department of Primary Care Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maw Pin","family":"Tan","sequence":"additional","affiliation":[{"name":"Ageing and Age\u2010Associated Disorders Research Group, Department of Medicine, Faculty of Medicine University of Malaya Kuala Lumpur Malaysia"},{"name":"Department of Medical Sciences, School of Medical and Life Sciences Sunway University Bandar Sunway Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the MELoR investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(00)00232-8"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1998.tb02469.x"},{"key":"e_1_2_12_4_1","first-page":"1","volume-title":"Vital & Health Statistics. 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