Lower Urinary Tract Symptoms in the Danish Population: A Population-Based Study of Symptom Prevalence, Health-Care Seeking Behavior and Prevalence of Treatment in Elderly Males and Females

Nørby, Bettina; Nordling, Jørgen; Mortensen, Stefan P.

doi:10.1016/j.eururo.2005.01.011

Cited by 76 publications

(79 citation statements)

References 13 publications

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“…none, mild (1-7), moderate (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and severe ( ≥ 20) was used (Table 3) [3, 13,15]. Importantly, the IPSS sum scores found in this sample are similar to those found in previous epidemiological studies using a self-administered IPSS.…”

Section: Invitations To Complete the Epilutssupporting

confidence: 75%

“…none = 0, mild = 1-7) rather than by individual symptoms, thereby limiting the ability to consider the prevalence and impact of individual LUTS. Nonetheless, previous research has noted LUTS to be highly prevalent [3,[11][12][13]. As noted by Irwin et al [11] in EPIC, a large population-based study, the prevalence of at least one LUTS, using the 2002 ICS definitions, was found to be 62.5% in men and 66.6% in women aged ≥ 40 years.…”

Section: Introductionmentioning

confidence: 75%

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The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study

Coyne¹,

Sexton²,

Thompson³

et al. 2009

BJU International

641

540

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respondents selected a link to an informed consent page, followed by the survey. Participants were asked to rate how often they experienced individual LUTS during the previous 4 weeks, on a five-point Likert scale, and, if experienced, how much the symptom bothered them. Descriptive statistics were used to summarize and present the data. RESULTSResponses rates for the USA, the UK and Sweden were 59.6%, 60.6% and 52.3%, respectively, with a final sample of 30 000 (USA 20 000; UK 7500; Sweden 2500). The mean age (range) of the participants was 56.6 (40-99) years; the mean percentages for race were 82.9% white, 6.7% black, 6.0% Hispanic and 4.4% Asian/other. The prevalence of LUTS was defined by two symptom frequency thresholds, i.e. at least 'sometimes' and at least 'often' for all LUTS except incontinence, where frequency thresholds were at least 'a few times per month' and at least 'a few times per week' .The prevalence of at least one LUTS at least 'sometimes' was 72.3% for men and 76.3% for women, and 47.9% and 52.5% for at least 'often' for men and women, respectively. For most LUTS, at least half of the participants were bothered 'somewhat' or more using a frequency threshold of at least 'sometimes' . For a threshold of at least 'often', 'somewhat' or more bother was reported by ≥ 70% of participants except for terminal dribble in men and split stream in women. CONCLUSIONIn this large population study of three countries, LUTS are highly prevalent among men and women aged > 40 years. In general, LUTS experienced 'often' or more are bothersome to most people.

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Section: Invitations To Complete the Epilutssupporting

confidence: 75%

Section: Introductionmentioning

confidence: 75%

The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study

Coyne¹,

Sexton²,

Thompson³

et al. 2009

BJU International

641

540

View full text Add to dashboard Cite

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“…[6][7][8][9] Multiple factors contribute to the high prevalence of nocturia among older men. Age related changes in the genitourinary system such as decreased bladder capacity and benign prostatic hypertrophy increase the risk of frequent urination.…”

Section: Introductionmentioning

confidence: 99%

“…Age related changes in the genitourinary system such as decreased bladder capacity and benign prostatic hypertrophy increase the risk of frequent urination. 6,7,[10][11][12][13] Other factors implicated in the pathogenesis of nocturia include polyuria and/or nocturnal polyuria which could be due to uncontrolled diabetes mellitus, vasopressin deficiency, fluid redistribution in supine position associated with edematous states such as congestive heart failure, low albumin, chronic kidney disease, as well as primary sleep disorders such as obstructive sleep apnea and hypopnea. [14][15][16][17][18] In some cases, individuals may report the need to urinate as the reason for their waking up from sleep, even if they wake up for reasons unrelated to bladder pathology.…”

Section: Introductionmentioning

confidence: 99%

Nocturia, Insomnia Symptoms and Mortality among Older Men: The Health, Aging and Body Composition Study

Endeshaw

Schwartz

Stone

et al. 2016

Journal of Clinical Sleep Medicine

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Study Objectives: To examine the association between nocturia (walking up from sleep for urination) and mortality risk among community dwelling older men. Methods: This is a secondary data analysis using data obtained from the Health Aging Body Composition (Health ABC) study. Frequency of nocturia was determined at baseline using a questionnaire. Results: A total of 1,478 older men, mean (SD) age 73.8 (2.9) years, were included in the analysis. During a follow up period of 9.9 years, a total of 760 deaths were reported. Mortality rate was significantly higher for participants with 3 or more nocturia episodes per night, in comparison to those with 0-1 episodes (HR [CI] : 1.21 [1.00-1.47], p = 0.055), even after controlling for baseline characteristics which included demographic variables, body mass index, lower urinary tract symptoms, use of loop diuretics, insomnia symptoms, feeling excessively sleepy during the day/daytime naps, sleep duration, and use of sleep medications. However, the association between ≥ 3 nocturia episodes per night and mortality risk was no longer statistically significant once prevalent diabetes mellitus and cardiovascular disease were included in the model (HR ], p = 0.100). Conclusions: Nocturia is associated with mortality independent of insomnia symptoms and sleep duration. The relationship is explained in part by prevalent cardiovascular disease and diabetes mellitus. The results underscore the impact of these medical conditions on the association between 3 or more nocturia episodes and increased mortality risk among older men.

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“…Urine loss can also occur during sexual activity, causing tremendous emotional distress [23]. A significant effect of incontinence is that it can cause older people to become socially isolated [27].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Education on Quality of Life in Elderly Females with Urinary Incontinence, Refereeing to Jahandidegan Center in Shiraz-Iran, 2011

Godsbin

Kargar²,

Jahanbin³

et al. 2015

J Gerontol Geriatric Res

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Lower Urinary Tract Symptoms in the Danish Population: A Population-Based Study of Symptom Prevalence, Health-Care Seeking Behavior and Prevalence of Treatment in Elderly Males and Females

Cited by 76 publications

References 13 publications

The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study

The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the Epidemiology of LUTS (EpiLUTS) study

Nocturia, Insomnia Symptoms and Mortality among Older Men: The Health, Aging and Body Composition Study

The Effect of Education on Quality of Life in Elderly Females with Urinary Incontinence, Refereeing to Jahandidegan Center in Shiraz-Iran, 2011

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