{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:29:18Z","timestamp":1789439358156,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100016342","name":"Ministry of Health Mexico","doi-asserted-by":"publisher","award":["JPMH22GB1002"],"award-info":[{"award-number":["JPMH22GB1002"]}],"id":[{"id":"10.13039\/100016342","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study investigated the impact of urinary incontinence on idiopathic normal pressure hydrocephalus (iNPH) by comparing its characteristics with those of Alzheimer's disease (AD) and dementia with Lewy bodies (DLB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cognitive impairment, neuropsychiatric symptoms, activities of daily living (ADL), and caregiver burden were compared using data from 107 patients with iNPH, 610 with AD, and 152 with DLB treated at the outpatient clinic of the Department of Psychiatry at the University of Osaka\u00a0Hospital, through the chi\u2010square and Kruskal\u2013Wallis tests. Multiple regression analysis was performed to investigate factors related to dementia severity and caregiver burden in patients with iNPH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The iNPH group had milder cognitive impairment and neuropsychiatric symptoms, except for apathy, than the other two groups but showed more dependence on ADL. Patients with iNPH did not differ significantly from those in the other two groups in terms of dementia severity. The caregiver burden was milder in the iNPH group than in the DLB group. In the iNPH group, dementia severity was related to the Mini\u2010Mental State Examination score, urinary incontinence frequency, and apathy, whereas caregiver burden was related to apathy and irritability. Sex, age, and the Timed Up and Go test results were not related to any of these.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Compared to AD and DLB, iNPH was characterized by urinary incontinence. Although urinary incontinence has not been extensively studied and treated, it may affect daily life more than gait disturbances and cognitive impairments in patients with iNPH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70208","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T09:09:53Z","timestamp":1759914593000},"page":"1571-1579","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of Urinary Incontinence on Idiopathic Normal Pressure Hydrocephalus: A Cross\u2010Sectional Study With Alzheimer's Disease and Dementia With Lewy Bodies"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3662-1469","authenticated-orcid":false,"given":"Hideki","family":"Kanemoto","sequence":"first","affiliation":[{"name":"Health and Counseling Center The University of Osaka  Toyonaka, Osaka Japan"},{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1477-4280","authenticated-orcid":false,"given":"Takashi","family":"Suehiro","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeki","family":"Katakami","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuyuki","family":"Koizumi","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuto","family":"Satake","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daiki","family":"Taomoto","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayo","family":"Takeda","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matasaburo","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Yoshiyama","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manabu","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Department of Psychiatry The University of Osaka  Suita, Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196507152730301"},{"issue":"8","key":"e_1_2_10_3_1","article-title":"Shunting for Idiopathic Normal Pressure Hydrocephalus","volume":"8","author":"Pearce R. K. B.","year":"2024","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000000342"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ane.12472"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23084"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21222"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12359"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21044"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.22015"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2016.08.040"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12987-022-00368-2"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000090510"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000004058"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000296826.61499.26"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2004.046243"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.52.775"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.st.2020-0292"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.34.7.939"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2011.03.005"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000187889.17253.b1"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/9.3_Part_1.179"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.43.11.2412-a"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.23557"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.48.5_Suppl_6.10S"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/20.6.649"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2004.01.005"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.41.4.1149"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21020135"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/9988056"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/neuros\/nyz297"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.12260"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15171"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2016.01.001"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2008.02109.x"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.753864"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e31824108ca"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13721"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.3233\/BEN-2009-0233"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5038"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2016.01.028"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.70208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T19:14:06Z","timestamp":1762283646000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.70208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,8]]},"references-count":41,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1111\/ggi.70208"],"URL":"https:\/\/doi.org\/10.1111\/ggi.70208","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,8]]},"assertion":[{"value":"2025-06-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}