Elderly men's quality of life and lower urinary tract symptoms: an intricate relationship

Perchon, Lygia; Lorenzetti, Fábio; Neto, João Toniolo; Dambros, Míriam

doi:10.1590/s1677-55382011000600012

Cited by 14 publications

(6 citation statements)

References 25 publications

(46 reference statements)

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“…In line with other studies, urinary bladder symptoms constrained HRQoL most ( 25 , 53 , 54 ). High prevalence rates for lower urinary tract symptoms were found in adults over 60 years (men 81%, women 79%), based on a population-based study carried out in five countries ( 7 ).…”

Section: Discussionsupporting

confidence: 91%

Autonomic Symptoms in Older Adults Are Common and Associated With Health-Related Quality of Life

et al. 2021

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Background: Autonomic symptoms are common in older adults, and a large body of literature focusing on age-related diseases shows that autonomic symptoms in these diseases constrain Health-Related Quality of Life (HRQoL). To our best knowledge, the association between autonomic symptoms in older adults, independent of specific diseases, and HRQoL has not yet been assessed.Aim: To assess the frequency and the effect of autonomic symptoms in general, as well as orthostatic intolerance, vasomotor, secretomotor, gastrointestinal, bladder, and pupillomotor symptoms, on HRQoL in older adults.Methods: Cross-sectional data of the fourth visit of the Tübinger evaluation of Risk factors for Early detection of Neurodegeneration (TREND) study were included. Autonomic symptoms, as assessed with the Composite Autonomic Symptom Score 31 (COMPASS 31), were quantified and compared with HRQoL, as assessed with the EuroQol five-level version (EQ-5D-5L). Statistical analyses included Spearman's rank correlation and multiple linear regression analysis.Results: The analysis included 928 participants with a median of 68 years; 47% were women. Of those, 85% reported at least one autonomic symptom. Gastrointestinal and secretomotor symptoms were most common. The COMPASS 31 total score and all subdomains were significantly associated with reduced HRQoL. Among the subdomains, the strongest correlations with HRQoL were found for gastrointestinal and bladder symptoms. Overall, autonomic symptoms alone explained 20% of the variance of HRQoL; when depressive mood was added, the model explained 32%.Conclusion: Autonomic symptoms are associated with HRQoL and depressive symptoms in older adults.

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Section: Discussionsupporting

confidence: 91%

Autonomic Symptoms in Older Adults Are Common and Associated With Health-Related Quality of Life

et al. 2021

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“…The effects of LUTS severity on QoL have been extensively researched [ 27 , 28 , 29 ]. In previous studies, several instruments have been used for the objective evaluation of QoL, showing a decrease in QoL with increasing LUTS severity.…”

Section: Discussionmentioning

confidence: 99%

The Correlation between Body Mass Index and Routine Parameters in Men Over Fifty

Seo

Yoon

Choi

et al. 2017

World J Mens Health

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PurposeThis study aimed to investigate the relationships between body mass index (BMI) and prostate-specific antigen (PSA) levels, international prostate symptom score (IPSS), quality of life (QoL), and prostate volume (PV).Materials and MethodsHeight, weight, PSA levels, PV, and IPSS were analyzed in 15,435 patients who underwent a prostate examination between 2001 and 2014. Patients aged <50 years or with a PSA level ≥10 ng/mL were excluded. The relationships between BMI and PSA, IPSS, QoL, and PV were analyzed by a scatter plot, one-way analysis of variance, and the Pearson correlation coefficient.ResultsThe mean age was 71.95±7.63 years, the mean BMI was 23.59±3.08 kg/m2, the mean PSA level was 1.45±1.45 ng/mL, the mean IPSS was 15.53±8.31, the mean QoL score was 3.48±1.25, and the mean PV was 29.72±14.02 mL. PSA, IPSS, and QoL showed a tendency to decrease with increasing BMI, and there were statistically significant differences for each parameter (p≤0.001). PV showed a significant tendency to increase with BMI (p<0.001). In the correlation analysis, BMI showed a statistically significant correlation (p<0.001) with PSA, IPSS, and QoL, although the correlations were very weak. In contrast, BMI showed a significant correlation with PV (p<0.001), with a meaningful Pearson correlation coefficient of 0.124.ConclusionsHigher BMI was associated with lower PSA levels and higher IPSS and QoL scores. Meanwhile, PV increased with BMI. Although obese individuals had a greater PV, obesity did not aggravate lower urinary tract symptoms.

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“…We found lower mean scores in all the domains of the quality of life in the subjects in our study ( P > 0.05; for each domain). Some studies reported that the quality of life is adversely affected by an increase in the severity of LUTS …”

Section: Discussionmentioning

confidence: 99%

“…Benign prostatic hyperplasia, which is the most common urological disease among men in older age, is the main cause of LUTS . A high level of androgen as well as benign prostatic growth leads to an increased risk for LUTS.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Lower Urinary Tract Symptoms Among Individuals Aged 50 Years and Over and Its Effect on the Quality of Life in a Semi‐Rural Area of Western Turkey

Arslantaş

Gökler

Ünsal

et al. 2015

LUTS

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Elderly men's quality of life and lower urinary tract symptoms: an intricate relationship

Cited by 14 publications

References 25 publications

Autonomic Symptoms in Older Adults Are Common and Associated With Health-Related Quality of Life

Autonomic Symptoms in Older Adults Are Common and Associated With Health-Related Quality of Life

The Correlation between Body Mass Index and Routine Parameters in Men Over Fifty

Prevalence of Lower Urinary Tract Symptoms Among Individuals Aged 50 Years and Over and Its Effect on the Quality of Life in a Semi‐Rural Area of Western Turkey

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