American Journal of Epidemiology Advance Access originally published online on June 9, 2008
American Journal of Epidemiology 2008 168(2):235-236; doi:10.1093/aje/kwn155
American Journal of Epidemiology © The Author 2008. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.
THE AUTHOR OF THE INVITED COMMENTARY REPLIES
David H. Thom
Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, CA 94143
(e-mail: dthom{at}fcm.ucsf.edu)
I appreciate the interest of McGrother et al. (1) in the paper by Tennstedt et al. (2) and its invited commentary (3). As correctly pointed out, a patient history of "heart attack/angina" was reported by the community-based Leicestershire Medical Research Council (MRC) Incontinence Study to be a risk factor for stress incontinence and overactive bladder in the univariate analysis, although not in the multivariate analysis (4). My commentary (3) should have stated that coronary heart disease (CHD) has apparently not been previously reported as an independent risk factor for urinary incontinence. Given that at least two studies have reported no association between CHD and incontinence in middle-aged and older men and women (5, 6), I still consider the evidence for CHD as a risk factor for incontinence to be tenuous, but certainly worthy of further investigation as I indicated in my commentary.
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ACKNOWLEDGMENTS
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Conflict of interest: none declared.
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References
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- McGrother CW, Donaldson MMK, Thompson JR. Re: "Prevalence of and risk factors for urine leakage in a racially and ethnically diverse population of adults: the Boston Area Community Health (BACH) Survey." (Letter). Am J Epidemiol (2008) 168:234.[Free Full Text]
- Tennstedt SL, Link CL, Steers WD, et al. Prevalence of and risk factors for urine leakage in a racially and ethnically diverse population of adults: the Boston Area Community Health (BACH) Survey. Am J Epidemiol (2008) 167:390–9.[Abstract/Free Full Text]
- Thom DH. Invited commentary: the contribution of the BACH Survey to the epidemiology of urinary incontinence. Am J Epidemiol (2008) 167:400–3.[Abstract/Free Full Text]
- McGrother CW, Donaldson MMK, Hayward T, et al. Urinary storage symptoms and comorbidities: a prospective population cohort study in middle-aged and older women. Age Ageing (2006) 35:16–24.[Abstract/Free Full Text]
- Diokno AC, Brock BM, Herzog AR, et al. Medical correlates of urinary incontinence in the elderly. Urology (1990) 36:129–38.[CrossRef][Web of Science][Medline]
- Finkelstein MM. Medical conditions, medications, and urinary incontinence. Can Fam Physician (2002) 48:96–101.[Abstract/Free Full Text]
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