{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:40:57Z","timestamp":1792586457081,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine whether urinary symptoms were associated with subsequent falls according to reported mobility limitation and whether they added meaningful information.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We analysed the first eligible window for adults aged \u2265\u200960 years in the English Longitudinal Study of Ageing (ELSA;\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200911,676) and Mexican Health and Aging Study (MHAS;\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200911,071). ELSA assessed generic urinary incontinence over 12 months; MHAS assessed urgency urinary incontinence over 2 years. Mobility was a cohort\u2010specific high\u2010demand walking limitation, and the outcome was any next\u2010wave fall. Modified Poisson RRs, multiple imputation, marginal standardized risks, interaction, and effect modification were used.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>With neither urinary symptoms nor mobility limitation as the reference, urinary\u2010only RRs were 1.29 (95% confidence interval [CI] 1.19\u20131.39) in ELSA and 1.14 (95% CI 1.07\u20131.22) in MHAS; risk differences were +7.6 and +5.9 percentage points. ELSA showed sub\u2010multiplicative interaction with mobility limitation (ratio 0.80, 95% CI 0.70\u20130.92) and age attenuation; at \u2265\u200975 years, the urinary\u2010only RR was 1.03 (95% CI 0.88\u20131.21). Optimism\u2010corrected \u0394AUC was 0.0044 in ELSA and 0.0015 in MHAS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Urinary symptoms were associated with subsequent falls without reported mobility limitation, but the association was context\u2010dependent. ELSA showed mobility\u2010context and age heterogeneity, and incremental discrimination was small. Urinary symptoms were not supported as a stand\u2010alone or universal fall\u2010screening marker.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70494","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:54:37Z","timestamp":1792583677000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Urinary Symptoms, Mobility Limitation, and Subsequent Falls in Older Adults Across Two Longitudinal Cohorts"],"prefix":"10.1002","author":[{"given":"Renjie","family":"Huang","sequence":"first","affiliation":[{"name":"The Second Clinical Medical College, Heilongjiang University of Chinese Medicine Harbin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Huang","sequence":"additional","affiliation":[{"name":"The Second Clinical Medical College, Heilongjiang University of Chinese Medicine Harbin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4899-9418","authenticated-orcid":false,"given":"Rui","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital, Heilongjiang University of Chinese Medicine Harbin 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