Department of Obstetrics and Gynecology, American University in Beirut-Medical Center, PO Box 11-0236, Beirut, Riad El Solh, 1107 2020, Lebanon.
Department of Obstetrics and Gynecology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Int Urogynecol J. 2022 May;33(5):1207-1223. doi: 10.1007/s00192-021-05004-5. Epub 2021 Nov 26.
The objective was to assess the prevalence of symptoms of overactive bladder syndrome (OAB) among healthy nulliparous female university students, and to evaluate the correlation of these symptoms with a variety of factors, including waterpipe (WP) smoking.
This is a cross-sectional study. A questionnaire was administered to evaluate symptoms of OAB in healthy nulliparous female university students. Variables assessed included body mass index (BMI), cigarette smoking, WP smoking, consumption of alcohol, coffee, and tea with and without artificial sweeteners, soft drinks, and energy drinks. Adjusted odds ratio were calculated to determine the correlation of these variables with OAB symptoms.
A total of 767 out of 2,900 females responded to the questionnaire. Bothersome frequency was reported in 32.3%, and nocturia in 47.5% of the women. Urgency and urgency urinary incontinence (UUI) were present in 25.5 and 24.7% of the study participants respectively. Urgency was associated with WP smoking (p value 0.048). Bothersome frequency was associated with artificial sweeteners used with coffee and tea (p value 0.013). UUI was associated with cigarette smoking (p value 0.034) and elevated BMI (p value < 0.001). OAB symptoms were not found to be significantly associated with soft drink and energy drink consumption. A lower prevalence of nocturia (p value 0.009) and urgency was associated with alcohol consumption (p value 0.017). More than two-thirds (69.2%) of WP smokers expressed readiness to decrease WP smoking if this would improve their lower urinary tract symptoms (LUTS).
Overactive bladder is common in healthy young nulliparous women and is associated with multiple risk factors, including WP smoking.
本研究旨在评估健康未婚女大学生中膀胱过度活动症（OAB）症状的流行率，并评估这些症状与多种因素的相关性，包括水烟（WP）吸烟。
这是一项横断面研究。我们采用问卷评估健康未婚女大学生的 OAB 症状。评估的变量包括体重指数（BMI）、吸烟、WP 吸烟、饮酒、咖啡、含或不含人工甜味剂的茶、软饮料和能量饮料的消费。计算调整后的比值比以确定这些变量与 OAB 症状的相关性。
在 2900 名女性中，共有 767 名女性对问卷做出了回应。32.3%的女性报告有烦扰性尿频，47.5%的女性报告有夜尿症。25.5%和 24.7%的研究参与者分别存在尿急和急迫性尿失禁（UUI）。尿急与 WP 吸烟有关（p 值 0.048）。烦扰性尿频与咖啡和茶中使用人工甜味剂有关（p 值 0.013）。UUI 与吸烟（p 值 0.034）和 BMI 升高（p 值<0.001）有关。OAB 症状与软饮料和能量饮料的消费无显著相关性。夜尿症（p 值 0.009）和尿急的发生率较低与饮酒有关（p 值 0.017）。超过三分之二（69.2%）的 WP 吸烟者表示，如果 WP 吸烟减少能改善其下尿路症状（LUTS），他们愿意减少 WP 吸烟。
膀胱过度活动在健康的年轻未婚女性中很常见，与多种危险因素有关，包括 WP 吸烟。
