Ege University Faculty of Medicine, Department of Obstetrics and Gynecology, TR-35100 Izmir, Turkey.
Eur J Obstet Gynecol Reprod Biol. 2012 Sep;164(1):105-9. doi: 10.1016/j.ejogrb.2012.06.006. Epub 2012 Jul 3.
To evaluate the associated risk factors of probable overactive bladder (OAB) and to determine the effect of OAB on quality of life through validated questionnaires in Turkish midwifery students.
279 midwifery students were invited to participate, and 265 (95.0%) were included in the study, which was approved by the local ethics committees. The relationship between quality of life and probable OAB was evaluated using Turkish language-validated questionnaires (OABq SF, NQOL). Chi-square test, t-test and logistic regression were used for the statistical analysis, and p<0.05 was considered significant.
The participants' mean age was 21.74 ± 2.15 years. The prevalence of OAB was 35.4%. There was a significant relationship between the presence of probable OAB and familial urinary incontinence history and childhood nocturnal enuresis. In the logistic regression analysis, family history was associated with an OR of 2.11 (95% CI: 1.08-4.10) for OAB, and nocturia with an OR of 2.69 (95% CI: 1.16-6.21) for OAB. Drinking moderate amounts of tea and carbonated drinks daily did not affect OAB, but extreme consumption of these beverages was associated with an OR of 2.98 (95% CI: 1.26-7.03) for OAB. OAB significantly worsens quality of life according to all the quality of life indices.
OAB is not a rare condition among young people. It appears that the quality of life was adversely influenced by OAB among both younger and older people. Familial urinary incontinence and childhood nocturnal enuresis were found to be risk factors for OAB. There is insufficient evidence to restrict tea or carbonated drinks consumption in young people with OAB unless their consumption is extreme.
评估土耳其助产士学生中可能患有膀胱过度活动症（OAB）的相关危险因素，并通过验证过的问卷来确定 OAB 对生活质量的影响。
邀请了 279 名助产士学生参加，其中 265 名（95.0%）学生参与了这项得到当地伦理委员会批准的研究。使用土耳其语验证过的问卷（OABq SF、NQOL）评估生活质量与可能患有 OAB 之间的关系。采用卡方检验、t 检验和逻辑回归进行统计学分析，p<0.05 为差异有统计学意义。
参与者的平均年龄为 21.74 ± 2.15 岁。OAB 的患病率为 35.4%。存在可能患有 OAB 与家族性尿失禁史和儿童夜间遗尿之间存在显著关系。在逻辑回归分析中，家族史与 OAB 的 OR 为 2.11（95% CI：1.08-4.10），夜尿症与 OAB 的 OR 为 2.69（95% CI：1.16-6.21）。每天适量饮用茶和碳酸饮料不会影响 OAB，但过度饮用这些饮料与 OAB 的 OR 为 2.98（95% CI：1.26-7.03）相关。OAB 根据所有生活质量指数显著降低生活质量。
OAB 在年轻人中并非罕见。似乎 OAB 会对年轻人和老年人的生活质量产生负面影响。家族性尿失禁和儿童夜间遗尿被认为是 OAB 的危险因素。在患有 OAB 的年轻人中，除非他们的摄入量非常大，否则没有足够的证据限制茶或碳酸饮料的摄入。
