The prevalence of lower urinary tract symptoms (LUTS) and overactive bladder (OAB) by racial/ethnic group and age: Results from OAB‐POLL

Abstract

Aims To estimate the prevalence of LUTS and OAB in a large, ethnically diverse US study. Methods This cross‐sectional, population‐representative survey was conducted via the Internet in the US among 10,000 men and women aged 18–70 (2,000 African‐Americans [AA], 2,000 Hispanics, 6,000 whites). The LUTS tool assessed how often participants experienced LUTS during the past 4 weeks on a five‐point Likert scale. OAB was defined by the presence of urinary urgency ≥ “sometimes” or ≥ “often,” and/or the presence of urgency urinary incontinence (UUI). Descriptive statistics were used to evaluate group differences. Logistic regression analyses were conducted to examine the impact of racial/ethnic group on OAB. Results Response rate, 56.7%. Prevalent LUTS included terminal dribble and nocturia across gender, post‐micturition leaking (men), and stress incontinence (women). Prevalence of OAB ≥ “sometimes” and ≥ “often” were 17% and 8% in men and 30% and 20% in women—with significantly higher rates among AA men and women. A similar trend was found for UUI among men (AA, 10%; Hispanic and whites, 6%), while AA and white women had higher prevalence of UUI (19%) as compared to Hispanic women (16%). In logistic regression analyses, AA and Hispanic men and women were significantly more likely than whites to have OAB despite having lower prevalence of self‐reported comorbid conditions and risk factors. Conclusions LUTS and OAB are highly prevalent in both men and women and increase with advancing age. Further, racial/ethnic group is a robust predictor of OAB in men and women. Neurourol. Urodynam. 32: 230–237, 2013. © 2012 Wiley Periodicals, Inc.

Bladder ultrasonography for diagnosing detrusor overactivity: test accuracy study and economic evaluation

“…3,4 Prevalence and severity of OAB are known to increase with age from 14.9% in the 18-to 29-year group, to 21.3% in the 30-to 39-year group, 32.9% in the 40-to 49-year group, 35.8% in the 50-to 59-year group and up to 39.8% in the 60-to 69-year group. 5 With the increase in longevity owing to advances in health care and the population growth, the burden of OAB is going to increase in the next few decades, with a 9% increase anticipated from 500 million globally in 2013 to 546 million by 2018. 6 Two-thirds of a predominantly female sample of people with OAB had sought treatment in the 6 months prior to a multinational survey.…”

“…One of the difficulties often encountered during UDS is the ability to identify artefacts and interpret the results. 5 One of the key aspects of maintaining the accuracy of UDS is to ensure that the initial resting pressures are correct and recognised. 8 Previous studies showed that even under ideal test-retest conditions, reliability can be poor for many urodynamic parameters.…”

Bladder Symptoms in the Early Menopausal Transition

“…1,2 Bladder symptoms, such as incontinence, urgency, or frequency, are commonly associated with a lower quality of life and increased use of healthcare resources. [3][4][5][6][7] Bladder symptoms may be due to age-related autonomic denervation, decreased bladder muscle tone, or increased bladder muscle fatigue. 8 Parity and medical conditions, such as diabetes, obesity, and depression, are associated with prevalence and incidence of bladder symptoms.…”

Vitamin D and Female Reproduction

“…Furthermore, we have shown that vitamin D elicits a robust anti-inflammatory response in human myometrial cells [99]. Coyne et al has demonstrated the prevalence of OBS in the total United States population and found that black women had a higher prevalence (32.6%), compared to Hispanic (29%) and white women (29.4%) [100].…”