Prevalence of urinary incontinence among women with diabetes in the Lolland-Falster Health Study, Denmark

Ea Løwenstein*, Randi Jepsen, Lea L. Andersen, Jennie Laigaard, Lars A. Møller, Peter Gæde, Lisbeth Bonde, Helga Gimbel

*Corresponding author for this work
6 Citations (Scopus)


Aims: To investigate the prevalence of urinary incontinence (UI) and UI subtypes (stress, urgency, and mixed UI) in women with or without diabetes mellitus; and to investigate the association between diabetes and UI (any and subtypes). Methods: A cross-sectional study based on the Lolland-Falster, Denmark population-based health study. From 2016 to 2020, clinical measurement, questionnaires, and blood tests were collected. A total of 8563 women aged 18 or older were enrolled. Data analysis included 7906 women. UI was defined as any involuntary leakage of urine during the previous 4 weeks. Multiple logistic regression was used to adjust for confounders: age, body mass index, parity, physical activity, previous gestational diabetes, education, and smoking. Results: UI prevalence was 50.3% in women with diabetes and 39.3% in women without diabetes. The unadjusted and adjusted odds ratio (OR) for UI in women with diabetes was OR 1.56 (95% confidence interval [CI], 1.27–1.92) and 1.11 (95% CI, 0.88–1.38), respectively. Mixed UI was associated with diabetes after controlling for confounders. A subgroup analysis found women using multiple antidiabetic medications had increased odds of UI, 2.75 (95% CI, 1.38–5.48), after controlling for confounders. Conclusion: The prevalence of UI in women with diabetes was higher than in women without diabetes. The odds of UI was 56% higher in women with diabetes compared with women without diabetes but the effect was attenuated when controlling for confounders and statistically significance was not achieved. For a subgroup using multiple antidiabetic medications, the risk of UI was higher than in women without diabetes.

Original languageEnglish
JournalNeurourology and Urodynamics
Issue number3
Pages (from-to)855-867
Number of pages13
Publication statusPublished - Mar 2021


  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Denmark
  • Diabetes Complications/complications
  • Female
  • Humans
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Urinary Incontinence/etiology
  • Young Adult


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