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女性代谢综合征各组分与膀胱过度活动症的关联

Association of Metabolic Syndrome Components and Overactive Bladder in Women.

作者信息

Baytaroglu Corc, Sevgili Emrah

机构信息

Cardiology, Avcılar Hospital, Istanbul, TUR.

出版信息

Cureus. 2021 Apr 30;13(4):e14765. doi: 10.7759/cureus.14765.

Abstract

Background To identify associations between metabolic syndrome (MS) components and overactive bladder (OAB) in women. Methodology The present study was conducted prospectively between February 2021 and April 2021 and included the assessment of women admitted to the cardiology outpatient clinic and their female relatives. Records were made of the demographic characteristics of patients and blood tests, including cholesterol, high-density lipoproteins (HDL), low-density lipoproteins (LDL), triglyceride, and fasting glucose levels (FG). In addition, the score on the Overactive Bladder Questionnaire-8-item (OAB-V8) form was noted. The study population was divided into two groups according to OAB-V8 score. The groups were compared in terms of participant demographic properties, OAB-V8 scores, metabolic component values, and blood test results. Results In total, 200 participants with a mean age of 49.8 years were enrolled in the study. Participants with OAB had significantly higher body mass index (BMI) (30.1 kg/m versus 27.1 kg/m; p = 0.001) and longer waist circumference (97.8 cm versus 89.0 cm; p = 0.001). Similarly, the mean FG and LDL levels were significantly higher in participants with OAB (p = 0.001 and p = 0.001). Lastly, mean OAB-V8 score was 20.2 for participants with OAB and 4.8 for participants without OAB. Multivariate regression analysis showed that higher BMI and longer waist circumference were significantly associated with OAB (1.228-fold; p = 0.001 and 1.058-fold; p = 0.001, respectively). Additionally, multivariate regression analysis found that higher LDL level and FG were predictive factors for OAB (1.115-fold; p = 0.003 and 1.229-fold; p = 0.001, respectively). Conclusions The present study found that higher BMI, longer waist circumference, and higher LDL and FG levels were predictive factors for OAB development in women.

摘要

背景

确定女性代谢综合征(MS)各组分与膀胱过度活动症(OAB)之间的关联。

方法

本研究于2021年2月至2021年4月前瞻性开展,纳入了心内科门诊收治的女性患者及其女性亲属。记录患者的人口统计学特征以及血液检查结果,包括胆固醇、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、甘油三酯和空腹血糖水平(FG)。此外,记录膀胱过度活动症问卷8项版(OAB-V8)的得分。根据OAB-V8得分将研究人群分为两组。比较两组参与者的人口统计学特征、OAB-V8得分、代谢组分值和血液检查结果。

结果

共有200名平均年龄为49.8岁的参与者纳入本研究。患有OAB的参与者体重指数(BMI)显著更高(分别为30.1kg/m²和27.1kg/m²;p=0.001),腰围更长(分别为97.8cm和89.0cm;p=0.001)。同样,患有OAB的参与者平均FG和LDL水平显著更高(p=0.001和p=0.001)。最后,患有OAB的参与者平均OAB-V8得分为20.2,无OAB的参与者为4.8。多因素回归分析显示,较高的BMI和较长的腰围与OAB显著相关(分别为1.228倍;p=0.001和1.058倍;p=0.001)。此外,多因素回归分析发现,较高的LDL水平和FG是OAB的预测因素(分别为1.115倍;p=0.003和1.229倍;p=0.001)。

结论

本研究发现,较高的BMI、较长的腰围以及较高的LDL和FG水平是女性发生OAB的预测因素。

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