Prevalence and risk factors of overactive bladder syndrome in Fuzhou Chinese women

Zhang, Wenju; Song, Yanfeng; He, Xiaoyu; Huang, Huijuan; Xu, Bo; Song, Jaeho

doi:10.1002/nau.20293

Cited by 58 publications

(83 citation statements)

References 16 publications

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“…16 In Asian courtiers, the prevalence of OAB in women aged ≥ 18 years was reported to be 53.1% by use of a different definition of OAB, which was the presence of frequency, urgency and urgency incontinency either single or in combination. 17 Among individual with OAB, 66.7% suffer from OAB dry and 33.3% suffer from OAB wet in our study, which is consistent with the result of Zhang et al 18 , but contrary to the results of NOBLE study.…”

Section: Discussionsupporting

confidence: 82%

Prevalence of overactive bladder symptoms and urinary incontinence in a tertiary care hospital in Egypt

Bahloul

Abbas

Abo-Elhagag

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONThe overactive bladder (OAB) is a highly prevalent disorder that impacts the lives of millions of people worldwide. Despite its high prevalence, many sufferers do not seek medical attention and are not aware that OAB is treatable.1 Micturation disorders are responsible for increased morbidity throughout the world. This morbidity ranges from worrisome symptoms to life-threatening renal failure. Disturbances in voiding may sign neurological, metabolic, inflammatory, or infectious diseases. Voiding dysfunction may also arise from injury, outlet obstruction, structure changes in the bladder and urethra or loss of their supporting structures with aging. 2Research on urinary storage problems has focused on incontinence in women, but during last years, other urinary storage problems (urgency, frequency, and nocturia) has commanded attention worldwide.3 The prevalence of OAB is variable ranging from 3% to 43%, depending on the population assessed and the definition used. 4 The prevalence of OAB increase with age because of neurological and musculoskeletal effects, degenerative ABSTRACT Background: The current study aims to estimate the prevalence of Overactive bladder (OAB) and urinary incontinence (UI) among women attending Assiut Woman's Health Hospital. Additionally, to explore the impact of UI and OAB on The Quality of Life (QOL) of women. Methods: A population-based survey included participants aged 18 years and older selected from Assiut Woman's Health Hospital and received The Bristol Female Lower Urinary Tract Symptoms Questionnaire (BFLUTSQ). OAB was defined in to two versions using the international continence society (ICS) definition of 2002 as either urgency sometimes or more alone (OAB1) or urgency sometimes or more with frequency more than eight times per day and /or nocturia once or more per night (OAB2). Incontinence and other LUTS were positive if answer scores ≥2 to BFLUTSQ question for incontinence and other LUTS. Results: The total prevalence of OAB was 39.0% (351 women). The prevalence of OAB dry and OAB wet was 26% (234 women) and 13% (117 women), respectively, which suggested that 66.7% suffer from OAB dry and 33.3% suffer from OAB wet. The prevalence of dry OAB is significantly higher than wet OAB. The overall prevalence of UI was 22.2% (201 women). The prevalence of stress UI, urge UI and mixed UI was 5.7%, 5.1% and 11.4%, respectively. Conclusions: OAB symptoms and UI are highly prevalent. Furthermore, both of them have severe effects on daily and sexual life as well as being related to psychological symptoms such as anxiety and depression.

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Section: Discussionsupporting

confidence: 82%

Prevalence of overactive bladder symptoms and urinary incontinence in a tertiary care hospital in Egypt

Bahloul

Abbas

Abo-Elhagag

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…In view of the use of multiple variables in a small sample without adjusted logistic regression analysis, there is a significant risk of overfitting M a n u s c r i p t 11 for this scoring system. In our model parity ≥ 2 rather than nulliparity was a predictor of DO and our findings are consistent with epidemiological research relating to OAB [28].…”

Section: Commentsupporting

confidence: 91%

Can we predict detrusor overactivity in women with lower urinary tract symptoms? The King's Detrusor Overactivity Score (KiDOS)

Giarenis

Musonda

Mastoroudes

et al. 2016

European Journal of Obstetrics & Gynecology and Reproductiv

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A prediction model is able to predict detrusor overactivity more accurately than a symptomatic diagnosis alone, in women with lower urinary tract symptoms. Abstract ObjectiveTraditionally, urodynamic studies (UDS) have been used to assess lower urinary tract symptoms (LUTS), but their routine use is now discouraged. While urodynamic stress incontinence is strongly associated with the symptom of stress urinary incontinence (SUI) and a positive cough test, there is a weak relationship between symptoms of overactive bladder and detrusor overactivity (DO). The aim of our study was to develop a model to predict DO in women with LUTS. Study DesignThis prospective study included consecutive women with LUTS attending a urodynamic clinic. All women underwent a comprehensive clinical and urodynamic assessment. The effect of each variable on the odds of DO was estimated both by univariate analysis and adjusted analysis using logistic regression. Results1006 women with LUTS were included in the study with 374 patients (37%) diagnosed with DO. The factors considered to be the best predictors of DO were urgency urinary incontinence, urge rating/void and parity (p-value <0.01). The absence of SUI, vaginal Page 3 of 26 A c c e p t e d M a n u s c r i p t 3 bulging and previous continence surgery were also good predictors of DO (p-value < 0.01).We have created a prediction model for DO based on our best predictors. In our scoring system, presence of UUI scores 5; mean urge rating/void ≥ 3 scores 3; parity ≥ 2 scores 2; previous continence surgery scores -1; presence of SUI scores -1; and the complaint of vaginal bulging scores -1. If a criterion is absent, then the score is 0 and the total score can vary from a value of -3 to +10. The Receiver Operating Characteristic (ROC) analysis for the overall cut-off points revealed an area under the curve of 0.748 (95%CI 0.741, 0.755). ConclusionThis model is able to predict DO more accurately than a symptomatic diagnosis alone, in women with LUTS. The introduction of this scoring system as a screening tool into clinical practice may reduce the need for expensive and invasive tests to diagnose DO, but cannot replace UDS completely.

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“…Zhang et al concluded that the contributing risk factors are advanced age, menopause, parity >2, constipation, Hx of episiotomy, and high basal metabolic rate (BMI) [95].…”

Section: Vitamin D and Overactive Bladdermentioning

confidence: 99%

Vitamin D and Female Reproduction

Elhusseini¹,

Lizneva²,

Gavrilova-Jordan³

et al. 2017

A Critical Evaluation of Vitamin D - Basic Overview

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Vitamin D deficiency has an impact on the reproduction of more than 40% of reproductive age women globally. Fibroids are more common among African-American females owing to their decreased milk consumption and reduced absorption of ultraviolet rays, supporting the relation between vitamin D deficiency and fibroid development. Vitamin D has an inhibitory effect on leiomyoma cells by suppression of proliferation cell nuclear antigen (PCNA), BCL-2, BCL-w, CDK1, and catechol-Omethyltransferase (COMT) protein levels. A growing evidence support the relationship between vitamin D deficiency and endometriosis through overexpression of vitamin D recseptor (VDR) and α-hydroxylase enzyme, however, it is still unclear if the endometriosis patients could benefit from vitamin D supplementation. Effect of vitamin D supplementation on the metabolic outcomes of polycystic ovary (PCO) has been studied and reveled that it is negatively correlated with fasting glucose, fasting insulin, triglycerides, C-reactive protein, free androgen index, and Dehydroepiandrosterone (DHEAS) and positively associated with quantitative insulin sensitivity check index (QUICKI), high density lipoprotein cholesterol (HDL-C), and sexual hormone binding globulin (SHBG), whereas its impact on the ovarian function is still unclear. Vitamin D deficiency may worse the obstetrical outcomes, including preeclampsia, gestational diabetes, low birth weight, increased cesarean section rate, neonatal asthma, seizures, and preterm labor. The relationship between serum levels of 25-hydroxy-vitamin D (25(OH) D) and pregnancy rates in ART is still debatable, with the need to conduct more clinical trials toward it. The in vitro antiproliferative and prodifferentiative effect of vitamin D might find a role in control of hyperplastic overactive bladder. Several studies support that vitamin D deficiency constitutes a risk factor for development of many types of cancer such as breast, ovarian, and colorectal.

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Prevalence and risk factors of overactive bladder syndrome in Fuzhou Chinese women

Abstract: The prevalence of OAB in chinese women is lower than that of most reports in Occidental women, and increases with advancing age. Many potential risk factors increase the occurrence of OAB.

Cited by 58 publications

References 16 publications

Prevalence of overactive bladder symptoms and urinary incontinence in a tertiary care hospital in Egypt

Prevalence of overactive bladder symptoms and urinary incontinence in a tertiary care hospital in Egypt

Can we predict detrusor overactivity in women with lower urinary tract symptoms? The King's Detrusor Overactivity Score (KiDOS)

Vitamin D and Female Reproduction

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