Di Xingpeng, Yuan Chi, Xiang Liyuan, Wang Guanbo, Liao Banghua
Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, China.
Department of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Heliyon. 2024 Mar 12;10(6):e27764. doi: 10.1016/j.heliyon.2024.e27764. eCollection 2024 Mar 30.
Urinary incontinence (UI) is a common health problem that affects the quality of life and health of millions of people in the United States (US). We aimed to investigate the association between sitting time and UI symptoms in the US population.
A cross-sectional survey of participants aged 20 and above from the National Health and Nutrition Examination Survey 2007-2018 was performed. A self-report questionnaire that reported complete data on UI, sitting time and covariates was included. Weighted multivariable logistic and regression models were used to assess the association between sitting time and UI symptoms.
A total of 22,916 participants were enrolled. Prolonged sitting time was associated with urgency UI (UUI, odds ratio [OR] = 1.2, 95% confidence interval [CI] = 1.1 to 1.3, = 0.001). Compared with patients with sitting a time shorter than 7 hours (h), moderate recreational activity modified the association between sitting time and mixed UI in males in the fully adjusted model (OR = 2.5, 95% CI = 1.4 to 4.5, = 0.002). A sitting time over 7 h was related to mixed UI (MUI, OR = 1.6, 95% CI = 1.1 to 2.2, = 0.01) in males, and stress UI (SUI, OR = 0.9, 95% CI = 0.8 to 0.98, = 0.03) in females. However, no significant difference was found among the UI, SUI, and MUI groups in fully adjusted model.
A prolonged sitting time (≥7 h) was associated with UUI symptoms in all populations, SUI symptoms in females and MUI symptoms in males compared with sitting time lower than 7 h. Compared with those sit shorter than 7 h, moderate recreational activity may be a modifier between prolonged sitting and MUI symptoms in male participants, which warrants further studies for confirmation.
尿失禁（UI）是一个常见的健康问题，影响着美国数百万人的生活质量和健康。我们旨在研究美国人群中久坐时间与尿失禁症状之间的关联。
对2007 - 2018年国家健康与营养检查调查中年龄在20岁及以上的参与者进行横断面调查。纳入一份自我报告问卷，该问卷报告了关于尿失禁、久坐时间和协变量的完整数据。使用加权多变量逻辑回归模型来评估久坐时间与尿失禁症状之间的关联。
共纳入22916名参与者。久坐时间延长与急迫性尿失禁（UUI，优势比[OR]=1.2，95%置信区间[CI]=1.1至1.3，P = 0.001）相关。在完全调整模型中，与久坐时间短于7小时（h）的患者相比，适度的娱乐活动改变了男性久坐时间与混合性尿失禁之间的关联（OR = 2.5，95% CI = 1.4至4.5，P = 0.002）。久坐时间超过7小时与男性的混合性尿失禁（MUI，OR = 1.6，95% CI = 1.1至2.2，P = 0.01）以及女性的压力性尿失禁（SUI，OR = 0.9，95% CI = 0.8至0.98，P = 0.03）相关。然而，在完全调整模型中，尿失禁、压力性尿失禁和混合性尿失禁组之间未发现显著差异。
与久坐时间低于7小时相比，久坐时间延长（≥7小时）与所有人群的急迫性尿失禁症状、女性的压力性尿失禁症状以及男性的混合性尿失禁症状相关。与久坐时间短于7小时的人相比，适度的娱乐活动可能是男性参与者久坐时间延长与混合性尿失禁症状之间的一个调节因素，这有待进一步研究证实。
