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男性下尿路症状与跌倒的关联:基于韩国社区健康调查。

Association Between Lower Urinary Tract Symptoms and Falls in Adults Males: Based on the Korean Community Health Survey.

机构信息

Yeungnam University, Daegu, Republic of Korea.

Dongguk University, Gyeongsangbuk-do, Republic of Korea.

出版信息

Asia Pac J Public Health. 2019 Oct;31(7):643-651. doi: 10.1177/1010539519878361. Epub 2019 Sep 27.


DOI:10.1177/1010539519878361
PMID:31561710
Abstract

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.

摘要

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。

相似文献

[1]
Association Between Lower Urinary Tract Symptoms and Falls in Adults Males: Based on the Korean Community Health Survey.

Asia Pac J Public Health. 2019-9-27

[2]
The association of lower urinary tract symptoms with incidental falls and fear of falling in later life: The Community Health Survey.

Neurourol Urodyn. 2017-7-21

[3]
The Association between Male Asthma and Lower Urinary Tract Symptoms Evaluated by the International Prostate Symptom Score: A Population-Based Study.

Int Arch Allergy Immunol. 2018

[4]
The prevalence of lower urinary tract symptoms in population aged 40 years or over, in South Korea.

Investig Clin Urol. 2018-4-23

[5]
Lower Urinary Tract Symptoms and Incident Falls in Community Dwelling Older Men: The Concord Health and Ageing in Men Project.

J Urol. 2016-6-24

[6]
The association between lower urinary tract symptoms and falls: Forming a theoretical model for a research agenda.

Neurourol Urodyn. 2018-1

[7]
Prevalence of Lower Urinary Tract Symptoms in China, Taiwan, and South Korea: Results from a Cross-Sectional, Population-Based Study.

Adv Ther. 2017-8

[8]
Non-linear Relationship Between Body Mass Index and Lower Urinary Tract Symptoms in Korean Males.

J Prev Med Public Health. 2019-5

[9]
Lower urinary tract symptoms increase the risk of falls in older men.

BJU Int. 2009-7

[10]
A Population-based Survey of the Prevalence, Potential Risk Factors, and Symptom-specific Bother of Lower Urinary Tract Symptoms in Adult Chinese Women.

Eur Urol. 2015-1-5

引用本文的文献

[1]
Impact of sarcopenia and vitamin D levels on the severity of lower urinary tract symptoms in older males.

Saudi Med J. 2024-6

[2]
Benign Prostatic Hyperplasia and the Risk of Falls in Older Men: Insights From a Population-Based Study on Geriatric Morbid Conditions.

Int Neurourol J. 2024-3

[3]
Clinical Practice Guidelines for Managing Frailty in Community-Dwelling Korean Elderly Adults in Primary Care Settings.

Korean J Fam Med. 2021-11

[4]
Association of lower urinary tract symptoms and hip fracture in adults aged ≥ 50 years.

PLoS One. 2021

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