The association of risk factors with lower urinary tract symptoms: The Community Health Survey.

Kim K S1, Kim Y T1, Lee J A2, Choi B Y2, Moon H S1

Research Type

Pure and Applied Science / Translational

Abstract Category

Male Lower Urinary Tract Symptoms (LUTS) / Voiding Dysfunction

Abstract 76
Open Discussion ePosters
Scientific Open Discussion Session 7
Wednesday 29th August 2018
12:50 - 12:55 (ePoster Station 1)
Exhibition Hall
Benign Prostatic Hyperplasia (BPH) Male Voiding Dysfunction
1. Department of Urology, Hanyang university hospital, Seoul, Korea, 2. Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea
Presenter
K

Kyu Shik Kim
Links

Poster

Abstract

Hypothesis / aims of study 
To evaluate the association of lower urinary tract symptoms (LUTS) with modifiable risk factors based on community Health Survey.
Study design, materials and methods 
We analyzed data from the 2011 Korean Community Health Survey (KCHS) performed (August 2011–October 2011) in South Korea. The survey carried out to Korean men (n=67,457) who were 40 years of age or older and interview with questionnaires. The face-to-face survey of sociodemographic questionnaires with Computer Assisted Personal Interviewing (CAPI), International Prostate Symptom Score (IPSS), and standard question were done by trained interviewers. We assessed risk factors (Physical activity, cigarette smoking, alcohol intake, feeling stress, hypertension, diabetic mellitus (DM), and dyslipidemia) with LUTS.
Results 
Higher IPSS scores were checked in low physical activity (n=50,496, IPSS = 4.06±0.03) compare to high physical activity (n=19,719, IPSS=3.16±0.04) group. Stress, Hypertension, DM, Dyslipidemia groups showed higher IPSS than normal groups. In cigarette smoking, current smoker was highest percentage (43.2%, p<0.01) in mild severity of LUTS, former smoker was highest percentage (50.3%, p<0.01). Highest percentage of mild, moderate and severe LUTS were shown in current alcohol intake (mild : 74.5%, moderate :59.8%, severe : 46.4%, p<0.0001). In the multivariable model, low physical activity, stress, hypertension, diabetic mellitus, and dyslipidemia groups were related with LUTS. Also, smoker had related with LUTS and former smoker had quite higher OR than current smoker (OR 1.24; 95% CI 1.14,1.34;p<0.0001 vs OR 1.07; 95% CI 0.98,1.17;p<0.1359). However, Alcohol intake was not related with LUTS (OR 0.78; 95% CI 0.74, 0.84;p<0.01).
Interpretation of results 
A history of smoking, low physical activity, DM, stress, hypertension, DM, and dyslipidemia were associated with LUTS deterioration.
Concluding message 
A history of smoking, low physical activity, DM, stress, hypertension, DM, and dyslipidemia were associated with LUTS deterioration. However, relationship between alcohol intake and LUTS deterioration had no significant association.
Figure 1
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References 
  1. Nancy N. Maserejian, Varant Kupelian, Gavin Miyasato, et al. Are Physical Activity, Smoking and Alcohol Consumption Associated with Lower Urinary Tract Symptoms in Men or Women? Results from a Population Based Observational Study. J Urol. 2012 Aug;188(2):490-5
  2. Woo Suk Choi, Nam Ju Heo, Young Ju Lee, et al. Factors that infuence lower urinary tract symptom (LUTS)-related quality of life (QoL) in a healthy population. World J Urol (2017) 35:1783–1789
  3. Min Soo Choo, Jun Hyun Han, Tae Young Shin, et al. Alcohol, Smoking, Physical Activity, Protein, and Lower Urinary Tract Symptoms: Prospective Longitudinal Cohort. Int Neurourol J 2015;19:197-206
Disclosures
Funding None Clinical Trial No Subjects Human Ethics not Req'd Because it was a study of analysing survey ( Korean Community Health Survey from CDC). Helsinki Yes Informed Consent Yes
23/04/2024 21:26:52