Urinary incontinence is defined as the involuntary and inappropriate loss of urine to failure to emit normal responses as the bladder fills, or inability to reach the bathroom in sufficient time. This study was undertaken to estimate the incidence of urinary incontinence and to determine the correlates of urinary incontinence among women. Subjects of this survey consisted of 408 women, 26 to 83 years old in Incheon. The results of this study are as follows. 1. Of the subjects 50.7% reported urine loss once or twice per year and 28.5% reported incontinence on a regular basis at least once per month. 2. 40.5% of women reported small volume accidents of only 1 to 2 drops, 31.4% ; 1 t-spoon, 16.9% : 1 T-spoon, while 10.1% of women couldn't estimate the volume of urine loss. 3. The volume of urine loss was great enough to require a change of garment (undergarments or outer garments) in 73%. But only 3.8% of those used some type of pads. 4. 56.5% of incontinent women didn't talk about their urinary incontinence with other persons because they felt that urinary incontinence was shameful(38.4%), was not a disease(31.6%), was incurable in spite of treatment(27.4%) and was fearful of being uncured (2.6%). 5. Only 15.5% of urinary incontinent women had sought treatment. 6. The incidence of urinary incontinence was significantly higher in women who had more pariety and uterine-ovarian disease, older age, worrying about where toilets were when they visited new places or voiding anxiety, nocturia and frequency, but was significantly lower in women who had coffee intake. The incidence of urinary incontinence was not related to smoking and enuresis. The results indicate that urinary incontinence is common among young and middle-aged women. That few seek treatment for urinary incontinence suggests a need for more information about women's attitudes toward urinary incontinence and more attention to this problem by health care providers.
This study was designed to investigate the knowledge of urinary incontinence and its affecting factors among women aged over 30 years in Korea, and to provide the basic data for the primary urinary incontinence management program through the community-based cross sectional study from May 7 to July 18, 2000. The subjects, who were able to understand the questionnaires and consented their participation in the study, consisted of 2183 women, aged over 30 up to 89 years, residing in Seoul, Kyongki$\cdot$Kangwon, Chungchong, YongNam, HoNam, Cheju provinces. It took about 20 to 30 minutes to fill up the questionnaires. The data were analyzed by multiple regression with using SAS program. The results were as follows ; 1. The overall reported knowledge of urinary incontinence was $5.21\pm3.05$(range 0-14). Over the half of the subjects gave the correct answer to 5 items which referred to effects, treatment and management of urinary incontinence. Among items associated with the cause, two items, such as 'many common over-the-counter medications can cause involuntary urine loss', and 'involuntary urine loss is caused by only one or two conditions', were less likely to be correctly answered. 2. Those who were younger, had more education, or had urinary incontinence, were more likely to provide correct answers. The above findings indicated that the education program and campaign of the urinary incontinence should be developed and operated for those who are elderly and have had less education.
Yang Daum;Lee Jin-Woo;Park Hong Joo;Kim Sun Hee;Chang Moon-Jeong
Journal of Nutrition and Health
/
v.39
no.1
/
pp.11-17
/
2006
The effect of the level of casein phosphopeptide (CPP) on mineral (Ca and P) bioavailabilties and bone biomarker of aged ovariectomized (OVX) Sprague-Dawley rats were studied as a model for postmenopausal bone loss. Forty five Spargue dawley rats, 220-230 g of body weight were fed a control diet (AIN 93M) or containing different level of CPP diet for 7 weeks: $0\%$ (sham control; SC, OVX control; OC), $1\%$ (OVX low CPP diet: OL), $2\%$ (OVX medium CPP diet; OM), $3\%$ (OVX high CPP diet; OH) Ca absorption was unaffected by increasing CPP content from 0 to $3\%$. Urinary Ca excretion was increased by OVX, and decreased by CPP significantly (p < 0.05) with no evident doserelationship. The urinary P excretion was increased by CPP intake in OVX rats. The fecal excretion of P given CPP decreased in OVX with dose dependent manner. Ca and P contents of femur significantly increased by adding 2 or $3\%$ of CPP when compared with OC group and OL group (p < 0.05). There were no significant differences in serum alkaline phosphatase activity and c-terminal telopeptide excretion in experimental groups. Although ovariectomy induced the increase in urinary c-terminal telopeptide excretion, 2 or $3\%$ of CPP in the diet decreased urinary c-terminal telopetide excretion significantly. These finding suggest the usefulness of CPP in the prevention of postmenopausal bone loss by decreasing urinary Ca excretion and bone resorption. Over 2 percent of CPP in the diet was effective to prevent postmenopausal bone loss.
This study investigated prevalence of color vision loss different from children's residence. The study subjects are 3 to 6 grade's children of elementary school in four areas. The blood lead and urinary mercury were analysed using Atomic Absorption Spectroscopy. All of participations' blood lead and urine mercury concentration were below suggested level of concern such as criteria by CDC and ATSDR. Color vision was assessed by the Lanthony D-15 desaturated panel. Color vision loss was quantitatively established by the Color Confusion Index (CCI) and qualitatively classified by type of acquired dyschromatopsia according to Verriest's classification. The prevalence of color vision loss and CCI value for children in industrial area was significantly higher than other areas(p<0.05). However blood lead and urinary mercury concentration level was not correlated to the color vision loss. Therefore we believed that other environmental neurotoxic substance except metal had an effects on color vision loss for children in industrial area.
To assess calcium and sodium and urinary excretion of preschool children in Busan and to evaluate the relationship of intakes of food and nutrient with urinary calcium excretion, calcium and sodium food frequencies of 25 common foods affecting intakes of calcium and sodium per week, nutrient intake by 24hr recall and 24hr urinary calcium and sodium excretion were measured with 97 preschool children. The mean calcium intake was 436.11mg and below RDA. The mean sodium intake was 1890.11mg. The mean urinary calcium and sodium excretion were 42.88mg and 735.25mg respectivery. The mean urinary calcium/creatinine ratio was 0.20. The urinary calcium excretion showed positive significant correlations with weight, intake frequency of pizza consumed per week and urinary sodium excretion (p<0.05, p<0.05, p<0.001). The urinary calcium excretion per milligram of creatinine showed positive significant correlations with intake frequencies of pizza and common squid consumed per week(p<0.01, p<0.05) and negative correlation with intake frequencies of pizza and common squid consumed per week(p<0.01, p<0.05) and negative correlation with age(p<0.05). No significant relations were found between urinary calcium and intakes of calcium, protein and phosphorus. Urinary sodium was found to be the most important determinant of urinary calcium excretion. Intake frequency of pizza consumed per week was found to be the most important determinant of urinary calcium excretion per milligram of creatinine. Based on the results, urinary calcium excretion was related to intake frequency of pizza consumed per week and urinary sodium excretion. Low calcium intake and increase of calcium loss in the urine potentiated by sodium intake during growth may reduce peak bone mass. So nutritional education is needed in order to increase calcium intake and decrease sodium intake, especially from food like pizza.
In this study, the food intake, feces and urine of 14 primary school age boys and girls were collected and intake and excretion of iron and zinc were measured. The boys and girls were 8-12 years old and measurement continued for four weeks during which they maintained their normal living pattern. Each boy's and girl's daily intake and excretion of iron and zinc were measured and apparent digestibility and balance were also calculated. The results are as follows. Mean daily intake of iron was $14.9\pm{0.6mg}$ for the boys and $12.4\pm{0.5mg}$ for the girls. Mean daily intake of zinc was $11.8\pm{1.2mg}$ for the boys and $11.5\pm{0.4mg}$ for the girls. Mean daily fecal loss and apparent digestibility of iron was $6.1\pm{0.3mg}$ and $58.8\pm{2.0%}$ for the boys and $6.8\pm{0.1mg}$ and $44.1\pm{2.0%}$ for the girls. Mean daily fecal loss and apparent digestibility of zinc was $9.3\pm{0.2mg}$ and $14.4\pm{5.1%}$ for the boys and $9.7\pm{0.4mg}$ and $14.3\pm{4.3%}$ for the girls. Mean daily urinary loss of iron was $1.1\pm{0.1mg}$ and showed the positive balance of $7.86\pm{0.6mg}$ for the boys and $0.5\pm{0.1mg}$ and showed the positive balance of $5.14\pm{0.4mg}$ for the girls. Mean daily urinary loss of zinc was $0.5\pm{0.1mg}$ and showed the positive balance of $1.03\pm{0.6mg}$ for the girls.
$Na^{+}$ balance was studied in Rana temporaria, which hibenates in fresh water in the winter time. $Na^{+}$ uptake rate, skin $Na^{+}$ loss rate, urinary $Na^{+}$ loss rate and $Na^{+}-K^{+}$ adenosine triphosphatase(ATPase) were measured at two different temperatures $1{\sim}2^{\circ}C\;and\;20{\sim}24^{\circ}C$ respectively. The results obtained were as follows: 1. $Na^{+}$ uptake rates in the frog in an artificial Pond water (APW) were found to be $8.28{\pm}0.73\;and\;2.19{\pm}0.37\;{\mu}Eq/g/day\;at\;20{\sim}24^{\circ}C\;and\;1.0{\sim}2.5^{\circ}$ respectively. 2. $Na^{+}$ loss rate through the frog skin to APW were found to be $4.26{\pm}0.72\;and\;0.93{\pm}0.21\;{\mu}Eq/g/day$ at the same temperatures. 3. Mean rates of urinary $Na^{+}$ loss at $20{\sim}24^{\circ}C\;and\;3{\sim}4^{\circ}C$ were found to be $3.02{\pm}0.73\;and\;0.78{\pm}0.13\;{\mu}Eq/g/day$ respectively. 4. The activities of $Na^{+}-K^{+}$ activated ATPase of frog skin fragments were found to be $258{\pm}39.4\;and\;49.6{\pm}7.1\;{\mu}M\;Pi/g$ protein/hr at $24^{\circ}C\;and\;2^{\circ}C$ respectively. From the above results, it may be concluded that frogs can take up enough $Na^{+}$ through the skin from APW exceeding skin loss Plus urinary loss at $1{\sim}2^{\circ}C$. It is suggested that $Na^{+}$ transport across frog skin is closely related with $Na^+-K^+$ ATPase since $Q_{10}\;of\;Na^{+}$ uptake is much similar to that of the activities of $Na^{+}-K^{+}$ ATPase.
The purpose of this study were to identify the characteristics of incontinence in adult women and to identify it's relating factors, physiology, evaluation and treatment related urinary incontinence. Urinary incontinence is a common health problem for adult women. And the symptoms of urinary incontinence are causes of discomfort, shame, loss of self-confidence and result in sufferers to withdraw from social life. But many do not report this problem until they have had the symptoms for a long time. So physical therapy protocol for assessment, treatments, educational programs should be implemented in primary care setting. In conclusion, this study revealed that self·care agency may be a important that it would be necessary to promote quality of life in urinary incontinence women.
Journal of the Korean Society of Food Science and Nutrition
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v.23
no.4
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pp.594-603
/
1994
This study investigate the balance and biochemical status of riboflavin in Korean men. During the experimental period, four riboflavin diets with different levels of riboflavin(0.4, 0.6,0.8 and 1.0mg/1000kcal) were followed by eight healthy college men. the riboflavin status was assayed by erythrocyte glutathine reudcctase activity coefficient (EGRAC0 and urinary excretion of riboflavin. Riboflavin intake of the subjects who consumed a det was 0.46mg/1000kcal. the riboflavin intakes of the subjects who consumed the experimental diet with 0.4, 0.6, 0.8 and 1,0mg/1000kcal of riboflavin were 0.41, 0.60, 0.81 , 0.97mg, respectively. Fecal riboflavin loss, absorbed riboflavin , urinary riboflavin loss and retained riboflavin increased in the subjects consumed 0.4, 0.6, 0.8 and 1.0mg/1000kcal of riboflavin. The average EGRAC values for the subjects consumed 0.4, 0.6, 0.8 and 1.0mg/1000kcal of riboflavin were 1.303$\pm$0.029, 1.271$\pm$0.022, 1.239$\pm$0.013, 1.202$\pm$0.030, respectively and urinary riboflavin values ($\mu\textrm{g}$/g creatinine) were 86.89$\pm$ 20.07, 123.88$\pm$ 15.88, 240.70$\pm$57.14 and 393.36$\pm$76.94, respectively. Results indicate that 0.6mg/1000kcal is the level of riboflavin intake needed to maintain urinary riboflavin within the normal range. And above1.0mg/1000kcal of riboflavin is need to maintain urinary riboflavin with in the normal range. And above 1.0mg/1000 of riboflavin is needed to maintain the EGRAC within the normal range. The riboflavin intake correlated positively with urinary riboflavin value, but correlated negatively with the EGRAC value. The EGRAC value correlated negatively to protein intake as well as animal protein intake. The linear equation of between riboflavin intake and EGRAc was EGRA=-0.1667 $\times$riboflavin intake +1.3710. The riboflavin intake to maintain EGRAc below 1.20 was calculated 1.02mg/1000kcal by the above equation.
In this study, the food intake, feces and urine of 16 primary school age boys and girls were collected and intake and excretion of sodium and calcium were measured. The boys and girls were 8-12 years old and measurement continued for four weeks during which they maintained their normal living pattern and body weight. Each boy's and girl's daily intake and excretion of sodium and calcium were measured and apparent digestibility and balance were also studied. The results were as follows. 1) Mean daily intake of sodium was 8.52$\pm$0.38g for the boys and 7.31$\pm$0.44g for the girls. The mean value in males was significantly higher than that in females(p<0.05). Mean daily in take of calcium was 411.0$\pm$16.0mg for the boys and 356.5$\pm$15.4mg for the girls. The mean value in males was significantly higher than that in females(p<0.01). 2) Mean daily fecal loss and apparent digestibility of sodium was 0.32$\pm$0.04g and 96% for the boys and 0.52$\pm$0.07g and 93% for the girls. The fecal loss mean value in males was significantly lower than that in females(p<0.05). Mean daily fecal loss and apparent digestibility of calcium was 299.8$\pm$8.3mg and 29% for the boys and 194.1$\pm$14.3mg and 46% for the girls. The fecal loss mean value in males was significantly higer than that in females(p<0.01). 3) Mean daily urinary loss of sodium was 6.55$\pm$0.50g and showed the positive balance of 1.65g for the boys and 5.67$\pm$0.20g and showed the positive balance of 1.12g for the girls. The urinary loss mean values of the two groups were not significantly different. Mean daily urinary loss of calcium was 42.8$\pm$5.1mg and showed the positive balance of 79.4mg for the boys and 25.0$\pm$1.64mg and showed the positive balance of 137.4mg for the girls. The urinary loss mean value in males was significantly higer than that in females(p<0.01).
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