Yeungnam University, Daegu, Republic of Korea.
Dongguk University, Gyeongsangbuk-do, Republic of Korea.
Asia Pac J Public Health. 2019 Oct;31(7):643-651. doi: 10.1177/1010539519878361. Epub 2019 Sep 27.
This study aimed to investigate the correlation between lower urinary tract symptoms (LUTSs) and falls considering places where falls can occur in adult males. We analyzed 101 862 males in the 2011 Korean Community Health Survey. LUTSs were assessed using the International Prostate Symptom Score system. The rate of total and indoor falls significantly increased with the LUTS severity, respectively. After adjusting for age and other confounding variables, the odds ratios (ORs) for total falls were significantly high for the mild (OR = 1.63, 95% confidence interval [CI] = 1.54-1.71), moderate (OR = 2.35, 95% CI = 2.16-2.56), and severe groups (OR = 2.83, 95% CI = 2.49-3.22), relative to the normal group. Indoor fall experience was the same for the mild (OR = 1.56, 95% CI = 1.36-1.79), moderate (OR = 2.37, 95% CI = 1.97-2.85), and severe groups (OR = 3.77, 95% CI = 3.00-4.72). Nocturia, hesitancy, and urgency were significantly associated with indoor falls. The association between falls and the degree of LUTS was observed in both the young and the elderly. Therefore, further studies are needed to determine the effects of treatment of LUTS on the risk of falls and the effectiveness of the fall prevention program.
本研究旨在探讨成年男性下尿路症状(LUTS)与跌倒之间的相关性,同时考虑到跌倒可能发生的地点。我们分析了 2011 年韩国社区健康调查中的 101862 名男性。LUTS 使用国际前列腺症状评分系统进行评估。总的和室内跌倒率分别随着 LUTS 严重程度的增加而显著增加。在调整年龄和其他混杂变量后,总跌倒的优势比(OR)对于轻度(OR=1.63,95%置信区间[CI] = 1.54-1.71)、中度(OR=2.35,95% CI = 2.16-2.56)和严重组(OR=2.83,95% CI = 2.49-3.22)明显较高,与正常组相比。轻度(OR=1.56,95% CI = 1.36-1.79)、中度(OR=2.37,95% CI = 1.97-2.85)和严重组(OR=3.77,95% CI = 3.00-4.72)同样有室内跌倒经历。夜尿症、犹豫和尿急与室内跌倒显著相关。跌倒与 LUTS 严重程度的相关性在年轻人和老年人中均观察到。因此,需要进一步研究确定治疗 LUTS 对跌倒风险的影响以及跌倒预防计划的有效性。
Asia Pac J Public Health. 2019-9-27
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