The Effect of Stress Urinary Incontinence on Kinesiophobia in Postmenopausal Women with Osteoporosis: A Cross-Sectional Study
BMC Women's Health, cilt.26, sa.1, 2026 (SCI-Expanded, SSCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 26 Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.1186/s12905-026-04501-3
- Dergi Adı: BMC Women's Health
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: Fear-avoidance, Mood symptoms, Osteoporosis, Pelvic floor dysfunction, Postmenopausal women, Quality of life
- Sivas Cumhuriyet Üniversitesi Adresli: Evet
Özet
Background: This study aimed to examine whether stress urinary incontinence (SUI) was associated with kinesiophobia in women with postmenopausal osteoporosis. Methods: This cross-sectional study included 83 women diagnosed with postmenopausal osteoporosis, including those with SUI (n = 47) and those without (n = 36). Participants’ kinesiophobia level was evaluated using the Tampa Scale of Kinesiophobia (TSK), and their mood was assessed using the Hospital Anxiety and Depression Scale (HADS), which includes two subscales: the HADS-Anxiety (HADS-A) and HADS-Depression (HADS-D). SUI severity was evaluated with the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and the effect of SUI on quality of life was assessed via the Incontinence Quality of Life Scale (I-QOL). Independent-samples t-tests were used for between-group comparisons, Pearson correlation analyses were used to assess associations between variables, and hierarchical and multiple linear regression analyses were conducted. Results: The groups are similar in age, bone mineral density, and HADS-A scores. The HADS-D (p = 0.004) and TSK (p = 0.032) scores are higher in the SUI group. A positive correlation is found between the ICIQ-SF and TSK scores (r = 0.59, p < 0.001). According to hierarchical multiple linear regression analysis, adding the SUI as variable to the model further increased the explained variance in the TSK score by 7.3% (p = 0.008). The ICIQ-SF score was associated with the TSK score (B = 0.52, p < 0.001). Conclusions: These findings support considering SUI as one of several clinically relevant factors in the evaluation of postmenopausal osteoporosis, particularly in relation to kinesiophobia and comprehensive patient assessment.