Relationship between frailty and lower urinary tract symptoms among community‐dwelling adults
| Autor: | Osamu Soma, Teppei Matsumoto, Shingo Hatakeyama, Chikara Ohyama, Takahiro Yoneyama, Hayato Yamamoto, Shigeyuki Nakaji, Yuki Tobisawa, Tohru Yoneyama, Itsuto Hamano, Atsushi Imai, Hiromichi Iwamura, Naoki Fujita, Teppei Okamoto, Yasuhiro Hashimoto |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Moderate to severe medicine.medical_specialty Urology 030232 urology & nephrology Frailty Index urologic and male genital diseases Logistic regression Severity of Illness Index 03 medical and health sciences 0302 clinical medicine Japan Lower Urinary Tract Symptoms Lower urinary tract symptoms Internal medicine medicine Humans Nocturia Correlation of Data Aged 030219 obstetrics & reproductive medicine Frailty business.industry Middle Aged medicine.disease Cross-Sectional Studies Functional Status Neurology Overactive bladder Quality of Life Female International Prostate Symptom Score Independent Living medicine.symptom business Symptom score |
| Zdroj: | LUTS: Lower Urinary Tract Symptoms. 12:128-136 |
| ISSN: | 1757-5672 1757-5664 |
| DOI: | 10.1111/luts.12292 |
| Popis: | Objectives To evaluate the relationship between frailty and lower urinary tract symptoms (LUTS), the association of frailty and LUTS remains unclear. Methods This cross-sectional study investigated LUTS and frailty in 710 individuals (249 men and 461 women, aged ≥60 years) who participated in the Iwaki Health Promotion Project between 2014 and 2015 in Hirosaki, Japan. Parameters of frailty were compared for individuals with mild and moderate to severe symptoms of LUTS. The International Prostate Symptom Score (IPSS) and Overactive Bladder Symptom Score (OABSS) were used to evaluate LUTS. Frailty was evaluated by the frailty phenotype (FP), modified frailty index (mFI), and frailty discriminant score (FDS). The influence of frailty on LUTS was investigated by multivariate logistic regression analyses. Results Frailty parameters of age, renal function, and lower physical activity were significantly associated with severity of IPSS and OABSS. FP and mFI were significantly associated with severity of OABSS and IPSS, respectively. The FDS was significantly associated with severity of IPSS and OABSS. FP, mFI, and FDS were significantly associated with severity of nocturia. Multivariate logistic regression analyses revealed that FDS was independently associated with the severity of IPSS, OABSS, and nocturia, whereas FP and mFI were significantly associated with the severity of nocturia alone. Conclusions Individuals with LUTS are potentially frailer than those without LUTS. Although the influence of frailty on LUTS is different depending on the measurement tool, attention for frailty is necessary for subjects with LUTS. |
| Databáze: | OpenAIRE |
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