Do Older Adults with Overactive Bladder Demonstrate Impaired Executive Function Compared to Their Peers Without OAB?

Keywords: urinary urgency, urinary incontinence, overactive bladder, executive function, ageing

Abstract

Background

Maintaining urinary continence is not an automatic process, but relies on continuous processing of sensory signals from the bladder and suppression of the desire to void. Urinary incontinence (UI) and lower urinary tract symptoms (LUTS), including urinary urgency, frequency, and nocturia are highly prevalent among the general population. This prevalence rises in association with increasing age, and this may be in part due to changes in the central nervous system rather than the urinary tract. The aim of this study was to assess if older adults with overactive bladder (OAB) had demonstrable impairment in executive function.

Methods

This was a cross-sectional study comparing the performance of adults aged 65 and over with and without OAB on two cognitive tests, the Trail Making Test B (TMT-B) and simple reaction time (SRT). OAB was defined as urgency, with at least weekly urgency incontinence and a daytime urinary frequency of 8 or more. The control group were defined as a Bladder control Self-Assessment Questionnaire (B-SAQ) score of ≤4.

Results

56 participants were recruited, of whom 35 met criteria for OAB. The OAB group took significantly longer to complete the TMT-B than the control group (103s vs. 77s, p = .003). There was no difference in the SRT

Conclusions

In this sample of older adults, OAB was associated with measurable slower performance on the TMT-B, suggesting that impaired executive function is associated with OAB.

Author Biographies

William Gibson, University of Alberta

Assistant Professor, Division of Geriatric Medicine, University of Alberta

Asad Makhani, University of Alberta

Division of Geriatric Medicine

Kathleen F. Hunter, University of Alberta

Faculty of Nursing

Adrian Wagg, University of Alberta

Division of Geriatric Medicine

Published
2020-11-23
How to Cite
Gibson, W., Makhani, A., Hunter, K. F., & Wagg, A. (2020). Do Older Adults with Overactive Bladder Demonstrate Impaired Executive Function Compared to Their Peers Without OAB?. Canadian Geriatrics Journal, 23(4), 329-334. https://doi.org/10.5770/cgj.23.423
Section
Original Research