Department of Urology, Hanyang University College of Medicine, Guri, Korea.
Institute for Health and Society, Hanyang University College of Medicine, Seoul, Korea.
Neurourol Urodyn. 2018 Feb;37(2):775-784. doi: 10.1002/nau.23345. Epub 2017 Jul 21.
To evaluate the association between lower urinary tract symptoms (LUTS) and incidental falls and fear of falling.
We used data obtained from the 2011 Korean Community Health Survey (KCHS) conducted between August and October 2011 in South Korea. The survey was carried out to estimate patterns of disease prevalence and morbidity in men >40 years old. The trained interviewers performed face-to-face sociodemographic questionnaires using computer-assisted personal interviewing (CAPI) software, the International Prostate Symptom Score (IPSS), the Quality of Life score (EQ-5D), and a questionnaire about past falls and fear of falling.
Data from 67 457 men were collected and analyzed. The subjects who had previously experienced a fall had slightly higher scores for IPSS, severity of LUTS, voiding LUTS, and storage LUTS than subjects with no prior fall history. A multivariate model of the relationship between falls and LUTS severity indicated that the relationship between the IPSS components and fall history was significant (mild, moderate, severe: OR = 1.00, 2.53, 3.91, respectively, P < 0.0001). A multivariate model of fear of falling and LUTS also showed a significant relationship between severity, voiding, and storage symptoms (severe IPSS: OR = 2.411, 95%CI: 2.2-2.642, P < 0.001; voiding symptoms: OR = 1.766, 95%CI: 1.681-1.856, P < 0.001; storage symptoms: OR = 1.705, 95%CI: 1.625-1.789, P < 0.001).
This study emphasizes the relationship between LUTS and falling. Furthermore, increased LUTS severity led to a higher risk of incidental falls. A high correlation between fear of falling and LUTS was also observed in this study.
评估下尿路症状（LUTS）与偶发跌倒和跌倒恐惧之间的关系。
我们使用了 2011 年 8 月至 10 月在韩国进行的 2011 年韩国社区健康调查（KCHS）的数据。该调查旨在估计 40 岁以上男性疾病患病率和发病率的模式。经过培训的访谈员使用计算机辅助个人访谈（CAPI）软件进行面对面的社会人口学问卷、国际前列腺症状评分（IPSS）、生活质量评分（EQ-5D）以及过去跌倒和跌倒恐惧的问卷。
共收集和分析了 67457 名男性的数据。与无既往跌倒史的受试者相比，有跌倒史的受试者的 IPSS、LUTS 严重程度、排尿 LUTS 和储尿 LUTS 评分略高。跌倒与 LUTS 严重程度的多变量模型表明，IPSS 各组成部分与跌倒史之间存在显著关系（轻度、中度、重度：OR=1.00、2.53、3.91，P<0.0001）。对跌倒恐惧和 LUTS 的多变量模型也显示了严重程度、排尿和储尿症状之间的显著关系（严重 IPSS：OR=2.411，95%CI：2.2-2.642，P<0.001；排尿症状：OR=1.766，95%CI：1.681-1.856，P<0.001；储尿症状：OR=1.705，95%CI：1.625-1.789，P<0.001）。
本研究强调了 LUTS 与跌倒之间的关系。此外，LUTS 严重程度的增加导致偶发跌倒的风险增加。本研究还观察到跌倒恐惧与 LUTS 之间存在高度相关性。
