Urinary incontinence and its clinical and laboratory associations in adults aged 80 and over receiving home healthcare: a cross-sectional study

Aims: Urinary incontinence is a major public health issue that impairs quality of life and increases morbidity in older adults. This study investigated its relationship with clinical, functional, and laboratory parameters in home care patients aged ≥80.Methods: This single-center, cross-sectional study was conducted between May and November 2025 with individuals receiving home care services. Participants were evaluated during home visits and categorized based on the presence of incontinence. Demographic data, medical history (including current chronic diseases and regular medication use), nutritional status [Mini Nutritional Assessment–Short Form (MNA-SF)], level of depression [Geriatric Depression Scale (GDS)], and functional status [Katz Index of Activities of Daily Living (ADL)] were assessed. Laboratory parameters were also recorded. Logistic regression identified factors independently associated with incontinence.Results: 135 participants were evaluated (mean age: 85.6±3.9 years; 61.5% female). The prevalence of incontinence was 34.8%. Living alone, ADL dependency, malnutrition, dementia, and comorbidity count were significantly higher in those with incontinence (p