Obesity Increases and Physical Activity Decreases Lower Urinary Tract Symptom Risk in Older Men: The Osteoporotic Fractures in Men Study
Abstract Background Two potential targets for preventing chronic lower urinary tract symptoms (LUTS) in older men are obesity and physical activity. Objective To examine associations of adiposity and physical activity with incident LUTS in community-dwelling older men. Design, setting, and participa...
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| description | Abstract Background Two potential targets for preventing chronic lower urinary tract symptoms (LUTS) in older men are obesity and physical activity. Objective To examine associations of adiposity and physical activity with incident LUTS in community-dwelling older men. Design, setting, and participants The Osteoporotic Fractures in Men Study (MrOS) is a prospective cohort of men ≥65 yr of age. MrOS participants without LUTS and a history of LUTS treatment at baseline were included in this analysis. Measurements Adiposity was measured with body mass index (BMI), physical activity with the Physical Activity Scale for the Elderly (PASE) and self-report of daily walking, and LUTS with the American Urological Association Symptom Index. Results and limitations The mean age (standard deviation [SD]) of the 1695 participants was 72 (5) yr at baseline. At a mean (SD) follow-up of 4.6 (0.5) yr, 524 (31%) of men reported incident LUTS. In multivariate analyses, compared with men of normal weight at baseline (BMI |
| doi_str_mv | 10.1016/j.eururo.2011.07.040 |
| format | Article |
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Kellogg ; Messer, Karen ; White, Martha ; Barrett-Connor, Elizabeth ; Bauer, Douglas C ; Marshall, Lynn M</creator><creatorcontrib>Parsons, J. Kellogg ; Messer, Karen ; White, Martha ; Barrett-Connor, Elizabeth ; Bauer, Douglas C ; Marshall, Lynn M ; for the Osteoporotic Fractures in Men (MrOS) Research Group and the Urologic Diseases in America Project ; Osteoporotic Fractures in Men (MrOS) Research Group and the Urologic Diseases in America Project</creatorcontrib><description>Abstract Background Two potential targets for preventing chronic lower urinary tract symptoms (LUTS) in older men are obesity and physical activity. Objective To examine associations of adiposity and physical activity with incident LUTS in community-dwelling older men. Design, setting, and participants The Osteoporotic Fractures in Men Study (MrOS) is a prospective cohort of men ≥65 yr of age. MrOS participants without LUTS and a history of LUTS treatment at baseline were included in this analysis. Measurements Adiposity was measured with body mass index (BMI), physical activity with the Physical Activity Scale for the Elderly (PASE) and self-report of daily walking, and LUTS with the American Urological Association Symptom Index. Results and limitations The mean age (standard deviation [SD]) of the 1695 participants was 72 (5) yr at baseline. At a mean (SD) follow-up of 4.6 (0.5) yr, 524 (31%) of men reported incident LUTS. In multivariate analyses, compared with men of normal weight at baseline (BMI <25 kg/m2 ), overweight (BMI: 25.0–29.9 kg/m2 ) and obese (≥30 kg/m2 )men were 29% (adjusted odds ratio [ORadj ]: 1.29; 95% confidence interval [CI], 1.00–1.68) and 41% (ORadj : 1.41; 95% CI, 1.03–1.93) more likely to develop LUTS, respectively. Men in the highest quartile of physical activity were 29% (ORadj : 0.71; 95% CI, 0.53–0.97) and those who walked daily 20% (ORadj : 0.80; 95% CI, 0.65–0.98) less likely than their sedentary peers to develop LUTS, adjusting for BMI. The homogeneous composition of MrOS potentially diminishes the external validity of these results. Conclusions In older men, obesity and higher physical activity are associated with increased and decreased risks of incident LUTS, respectively. Prevention of chronic urinary symptoms represents another potential health benefit of exercise in elderly men.</description><identifier>ISSN: 0302-2838</identifier><identifier>EISSN: 1873-7560</identifier><identifier>DOI: 10.1016/j.eururo.2011.07.040</identifier><identifier>PMID: 21802828</identifier><identifier>CODEN: EUURAV</identifier><language>eng</language><publisher>Kidlington: Elsevier B.V</publisher><subject>Adiposity ; Age Factors ; Aged ; Aged, 80 and over ; Benign prostatic hyperplasia ; Biological and medical sciences ; Body Mass Index ; BPH ; Chi-Square Distribution ; Epidemiology ; Exercise ; Fractures, Bone - epidemiology ; Humans ; Incidence ; IPSS ; Logistic Models ; Lower Urinary Tract Symptoms - epidemiology ; Lower Urinary Tract Symptoms - physiopathology ; Lower Urinary Tract Symptoms - prevention & control ; LUTS ; Male ; Medical sciences ; Metabolic diseases ; Motor Activity ; Multivariate Analysis ; Nephrology. Urinary tract diseases ; Obesity ; Obesity - epidemiology ; Obesity - physiopathology ; Odds Ratio ; Osteoporosis - epidemiology ; Physical activity ; Prospective Studies ; Prostate ; Risk Assessment ; Risk Factors ; Self Report ; Sex Factors ; Time Factors ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland ; Urology ; Walking</subject><ispartof>European urology, 2011-12, Vol.60 (6), p.1173-1180</ispartof><rights>European Association of Urology</rights><rights>2011 European Association of Urology</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 European Association of Urology. Published by Elsevier B.V. All rights reserved.</rights><rights>2011 European Association of Urology. Published by Elsevier B.V. All rights reserved. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c580t-e6ab5ab23f7e2861bf82548fb12a10d928bc6ea9045006da6c65af323db5db8f3</citedby><cites>FETCH-LOGICAL-c580t-e6ab5ab23f7e2861bf82548fb12a10d928bc6ea9045006da6c65af323db5db8f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0302283811007780$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24746639$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21802828$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parsons, J. Kellogg</creatorcontrib><creatorcontrib>Messer, Karen</creatorcontrib><creatorcontrib>White, Martha</creatorcontrib><creatorcontrib>Barrett-Connor, Elizabeth</creatorcontrib><creatorcontrib>Bauer, Douglas C</creatorcontrib><creatorcontrib>Marshall, Lynn M</creatorcontrib><creatorcontrib>for the Osteoporotic Fractures in Men (MrOS) Research Group and the Urologic Diseases in America Project</creatorcontrib><creatorcontrib>Osteoporotic Fractures in Men (MrOS) Research Group and the Urologic Diseases in America Project</creatorcontrib><title>Obesity Increases and Physical Activity Decreases Lower Urinary Tract Symptom Risk in Older Men: The Osteoporotic Fractures in Men Study</title><title>European urology</title><addtitle>Eur Urol</addtitle><description>Abstract Background Two potential targets for preventing chronic lower urinary tract symptoms (LUTS) in older men are obesity and physical activity. Objective To examine associations of adiposity and physical activity with incident LUTS in community-dwelling older men. Design, setting, and participants The Osteoporotic Fractures in Men Study (MrOS) is a prospective cohort of men ≥65 yr of age. MrOS participants without LUTS and a history of LUTS treatment at baseline were included in this analysis. Measurements Adiposity was measured with body mass index (BMI), physical activity with the Physical Activity Scale for the Elderly (PASE) and self-report of daily walking, and LUTS with the American Urological Association Symptom Index. Results and limitations The mean age (standard deviation [SD]) of the 1695 participants was 72 (5) yr at baseline. At a mean (SD) follow-up of 4.6 (0.5) yr, 524 (31%) of men reported incident LUTS. In multivariate analyses, compared with men of normal weight at baseline (BMI <25 kg/m2 ), overweight (BMI: 25.0–29.9 kg/m2 ) and obese (≥30 kg/m2 )men were 29% (adjusted odds ratio [ORadj ]: 1.29; 95% confidence interval [CI], 1.00–1.68) and 41% (ORadj : 1.41; 95% CI, 1.03–1.93) more likely to develop LUTS, respectively. Men in the highest quartile of physical activity were 29% (ORadj : 0.71; 95% CI, 0.53–0.97) and those who walked daily 20% (ORadj : 0.80; 95% CI, 0.65–0.98) less likely than their sedentary peers to develop LUTS, adjusting for BMI. The homogeneous composition of MrOS potentially diminishes the external validity of these results. Conclusions In older men, obesity and higher physical activity are associated with increased and decreased risks of incident LUTS, respectively. Prevention of chronic urinary symptoms represents another potential health benefit of exercise in elderly men.</description><subject>Adiposity</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Benign prostatic hyperplasia</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>BPH</subject><subject>Chi-Square Distribution</subject><subject>Epidemiology</subject><subject>Exercise</subject><subject>Fractures, Bone - epidemiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>IPSS</subject><subject>Logistic Models</subject><subject>Lower Urinary Tract Symptoms - epidemiology</subject><subject>Lower Urinary Tract Symptoms - physiopathology</subject><subject>Lower Urinary Tract Symptoms - prevention & control</subject><subject>LUTS</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Motor Activity</subject><subject>Multivariate Analysis</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - physiopathology</subject><subject>Odds Ratio</subject><subject>Osteoporosis - epidemiology</subject><subject>Physical activity</subject><subject>Prospective Studies</subject><subject>Prostate</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Self Report</subject><subject>Sex Factors</subject><subject>Time Factors</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><subject>Urology</subject><subject>Walking</subject><issn>0302-2838</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksFuEzEQhlcIREvhDRDyBcElYWzveh0OSFWhUCkoiKRny-udJU43drB3g_YNeGy8StoCBzj5MN_88sw3WfacwpQCFW82U-xDH_yUAaVTKKeQw4PslMqST8pCwMPsFDiwCZNcnmRPYtwAAC9m_HF2wqgEJpk8zX4uKoy2G8iVMwF1xEi0q8mX9RCt0S05N53dj_X3eFuf-x8YyHWwToeBrII2HVkO213nt-SrjTfEOrJo68R8RveWrNZIFrFDv_PBd9aQy7GjDykpgQkhy66vh6fZo0a3EZ8d37Ps-vLD6uLTZL74eHVxPp-YQkI3QaGrQleMNyUyKWjVSFbksqko0xTqGZOVEahnkBcAotbCiEI3nPG6KupKNvwse3fI3fXVFmuDrgu6Vbtgt2kc5bVVf1acXatvfq84ywuR0xTw6hgQ_PceY6e2NhpsW-3Q91HNKJ1xxsRIvv4nSZMDKNMQI5ofUBN8jAGbuw9RUKNutVEH3WrUraBUSXdqe_H7MHdNt34T8PII6Jh0NkE7Y-M9l5e5EHx2vxVMq99bDCoai85gbQOaTtXe_u8nfweY1rrxhG5wwLjxfXBJq6IqMgVqOZ7meJmUApSlBP4L7WfiLg</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Parsons, J. Kellogg</creator><creator>Messer, Karen</creator><creator>White, Martha</creator><creator>Barrett-Connor, Elizabeth</creator><creator>Bauer, Douglas C</creator><creator>Marshall, Lynn M</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20111201</creationdate><title>Obesity Increases and Physical Activity Decreases Lower Urinary Tract Symptom Risk in Older Men: The Osteoporotic Fractures in Men Study</title><author>Parsons, J. Kellogg ; Messer, Karen ; White, Martha ; Barrett-Connor, Elizabeth ; Bauer, Douglas C ; Marshall, Lynn M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c580t-e6ab5ab23f7e2861bf82548fb12a10d928bc6ea9045006da6c65af323db5db8f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adiposity</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Benign prostatic hyperplasia</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>BPH</topic><topic>Chi-Square Distribution</topic><topic>Epidemiology</topic><topic>Exercise</topic><topic>Fractures, Bone - epidemiology</topic><topic>Humans</topic><topic>Incidence</topic><topic>IPSS</topic><topic>Logistic Models</topic><topic>Lower Urinary Tract Symptoms - epidemiology</topic><topic>Lower Urinary Tract Symptoms - physiopathology</topic><topic>Lower Urinary Tract Symptoms - prevention & control</topic><topic>LUTS</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Motor Activity</topic><topic>Multivariate Analysis</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Obesity - physiopathology</topic><topic>Odds Ratio</topic><topic>Osteoporosis - epidemiology</topic><topic>Physical activity</topic><topic>Prospective Studies</topic><topic>Prostate</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Self Report</topic><topic>Sex Factors</topic><topic>Time Factors</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><topic>Urology</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parsons, J. Kellogg</creatorcontrib><creatorcontrib>Messer, Karen</creatorcontrib><creatorcontrib>White, Martha</creatorcontrib><creatorcontrib>Barrett-Connor, Elizabeth</creatorcontrib><creatorcontrib>Bauer, Douglas C</creatorcontrib><creatorcontrib>Marshall, Lynn M</creatorcontrib><creatorcontrib>for the Osteoporotic Fractures in Men (MrOS) Research Group and the Urologic Diseases in America Project</creatorcontrib><creatorcontrib>Osteoporotic Fractures in Men (MrOS) Research Group and the Urologic Diseases in America Project</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parsons, J. Kellogg</au><au>Messer, Karen</au><au>White, Martha</au><au>Barrett-Connor, Elizabeth</au><au>Bauer, Douglas C</au><au>Marshall, Lynn M</au><aucorp>for the Osteoporotic Fractures in Men (MrOS) Research Group and the Urologic Diseases in America Project</aucorp><aucorp>Osteoporotic Fractures in Men (MrOS) Research Group and the Urologic Diseases in America Project</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obesity Increases and Physical Activity Decreases Lower Urinary Tract Symptom Risk in Older Men: The Osteoporotic Fractures in Men Study</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>60</volume><issue>6</issue><spage>1173</spage><epage>1180</epage><pages>1173-1180</pages><issn>0302-2838</issn><eissn>1873-7560</eissn><coden>EUURAV</coden><abstract>Abstract Background Two potential targets for preventing chronic lower urinary tract symptoms (LUTS) in older men are obesity and physical activity. Objective To examine associations of adiposity and physical activity with incident LUTS in community-dwelling older men. Design, setting, and participants The Osteoporotic Fractures in Men Study (MrOS) is a prospective cohort of men ≥65 yr of age. MrOS participants without LUTS and a history of LUTS treatment at baseline were included in this analysis. Measurements Adiposity was measured with body mass index (BMI), physical activity with the Physical Activity Scale for the Elderly (PASE) and self-report of daily walking, and LUTS with the American Urological Association Symptom Index. Results and limitations The mean age (standard deviation [SD]) of the 1695 participants was 72 (5) yr at baseline. At a mean (SD) follow-up of 4.6 (0.5) yr, 524 (31%) of men reported incident LUTS. In multivariate analyses, compared with men of normal weight at baseline (BMI <25 kg/m2 ), overweight (BMI: 25.0–29.9 kg/m2 ) and obese (≥30 kg/m2 )men were 29% (adjusted odds ratio [ORadj ]: 1.29; 95% confidence interval [CI], 1.00–1.68) and 41% (ORadj : 1.41; 95% CI, 1.03–1.93) more likely to develop LUTS, respectively. Men in the highest quartile of physical activity were 29% (ORadj : 0.71; 95% CI, 0.53–0.97) and those who walked daily 20% (ORadj : 0.80; 95% CI, 0.65–0.98) less likely than their sedentary peers to develop LUTS, adjusting for BMI. The homogeneous composition of MrOS potentially diminishes the external validity of these results. Conclusions In older men, obesity and higher physical activity are associated with increased and decreased risks of incident LUTS, respectively. Prevention of chronic urinary symptoms represents another potential health benefit of exercise in elderly men.</abstract><cop>Kidlington</cop><pub>Elsevier B.V</pub><pmid>21802828</pmid><doi>10.1016/j.eururo.2011.07.040</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adiposity Age Factors Aged Aged, 80 and over Benign prostatic hyperplasia Biological and medical sciences Body Mass Index BPH Chi-Square Distribution Epidemiology Exercise Fractures, Bone - epidemiology Humans Incidence IPSS Logistic Models Lower Urinary Tract Symptoms - epidemiology Lower Urinary Tract Symptoms - physiopathology Lower Urinary Tract Symptoms - prevention & control LUTS Male Medical sciences Metabolic diseases Motor Activity Multivariate Analysis Nephrology. Urinary tract diseases Obesity Obesity - epidemiology Obesity - physiopathology Odds Ratio Osteoporosis - epidemiology Physical activity Prospective Studies Prostate Risk Assessment Risk Factors Self Report Sex Factors Time Factors Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Urology Walking |
| title | Obesity Increases and Physical Activity Decreases Lower Urinary Tract Symptom Risk in Older Men: The Osteoporotic Fractures in Men Study |
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