Fatma Sena DOST, Açelya GÖKDENİZ YILDIRIM, Esra ATEŞ BULUT, Ali Ekrem AYDIN, Ahmet Turan IŞIK

Demans Hastalarında Üriner İnkontinans ve Sarkopeni İlişkisi

Amaç: Demans, sarkopeni ve üriner inkontinans (Üİ) sık görülen geriatrik sendromlardır. Üİ, yaşam kalitesini etkileyen, sosyal izolasyon ile sonuçlanan, düşmeye ve düşmeye bağlı morbidite ve mortaliteye de sebep olan bir durumdur. Ayrıca demans hastalarında bakım yükünü ve bakım veren tükenmişliğini artırır. Kontinans için sağlam bir genito-üriner sistem, periferik ve santral sinir sistemi ve de biliş gerekmektedir. Bunun yanında çizgili kas grubundan pelvik taban kaslarının ve iskelet sisteminin de kontinanstaki önemi göz ardı edilemez. Çalışmamızda demans hastalarında Üİ ile sarkopeni arasındaki ilişkiyi değerlendirmeyi planladık. Materyal ve Metot: Ocak 2015 ve Aralık 2021 tarihleri arasında Dokuz Eylül Üniversitesi Geriatri birimine başvuran sarkopeni değerlendirmesi olan demans hastaları çalışmaya dahil edilmiştir. Hastalar Üİ durumlarına göre iki gruba ayrılmıştır. Sarkopeni tanısı EWGSOP-2 kriterleri kullanılarak konulmuştur. Bulgular: Gruplar arasında demografik veriler ve laboratuvar bulgularında anlamlı farklılık saptanmadı. Depresyon ve anti-parkinson ilaç kullanımı Üİ grubunda daha sıktı. Üİ grubunda muhtemel sarkopeni, ciddi sarkopeni, düşük yürüme hızı ve kırılganlık sıklığı daha yüksek; temel günlük yaşam aktivite skoru daha düşük bulundu (p

Anahtar Kelimeler:

Demans, sarkopeni, üriner inkontinans

The Relationship Between Urinary Incontinence and Sarcopenia in Patients with Dementia

Aim: Dementia, sarcopenia, and urinary incontinence (UI) are common geriatric syndromes. UI is a condition that affects the quality of life, results in social isolation, causes falls and, causes morbidity and mortality due to falls. UI also increases caregiver burnout and the burden of care in dementia patients. Continence requires an intact genito-urinary system, peripheral and central nervous system, and cognitive health. In addition, the importance of the pelvic floor muscles from the striated muscle group and the skeletal system in continence cannot be ignored. In the light of these facts, we aimed to evaluate the relationship between UI and sarcopenia in patients with dementia. Materials and Method: Dementia patients with sarcopenia who applied to the DEU Geriatrics unit between January 2015 and December 2021 were included. Patients with CDR 3 dementia and those with acute problems were excluded. Patients were grouped according to their UI status and evaluated for sarcopenia using the EWGSOP-2 criteria. Results: According to the presence of UI, no significant difference was found in demographic and laboratory findings between groups. The frequency of anti-parkinsonian drug usage and depression was more common in the UI group. While, the frequency of probable sarcopenia, severe sarcopenia, slow gait speed, and frailty was higher in the UI group; Barthel's score was lower (p

Keywords:

Dementia, sarcopenia, urinary incontinence,

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