The Spectrum of Bladder Health: The Relationship Between Lower Urinary Tract Symptoms and Interference with Activities
Little research to date has focused on lower urinary tract symptom (LUTS) prevention and bladder health promotion in women. To address this gap, the Prevention of LUTS Research Consortium developed the following working bladder health definition: "A complete state of physical, mental, and socia...
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| Veröffentlicht in: | Journal of women's health (Larchmont, N.Y. 2002) N.Y. 2002), 2019-06, Vol.28 (6), p.827-841 |
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| creator | Sutcliffe, Siobhan Bavendam, Tamara Cain, Charles Epperson, C Neill Fitzgerald, Colleen M Gahagan, Sheila Markland, Alayne D Shoham, David A Smith, Ariana L Townsend, Mary K Rudser, Kyle |
| description | Little research to date has focused on lower urinary tract symptom (LUTS) prevention and bladder health promotion in women. To address this gap, the Prevention of LUTS Research Consortium developed the following working bladder health definition: "A complete state of physical, mental, and social well-being related to bladder function [that] permits daily activities [and] allows optimal well-being." To begin to inform and quantify this definition, we used data from the Boston Area Community Health Survey, drawing upon its rare collection of information on LUTS and LUTS-specific interference with activities.
At baseline, participants reported their frequency of 15 LUTS and interference with 7 activities. Prevalence ratios (PRs) were calculated by generalized linear models with robust variance estimation, adjusting for LUTS risk factors and individual LUTS.
Of the 3169 eligible participants, 17.5% reported no LUTS or interference, whereas the remaining 82.5% reported some frequency of LUTS/interference: 15.1% rarely; 21.7% a few times; 22.6% fairly often/usually; and 22.9% almost always. LUTS independently associated with interference were urgency incontinence, any incontinence, urgency, nocturia, perceived frequency, and urinating again after |
| doi_str_mv | 10.1089/jwh.2018.7364 |
| format | Article |
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At baseline, participants reported their frequency of 15 LUTS and interference with 7 activities. Prevalence ratios (PRs) were calculated by generalized linear models with robust variance estimation, adjusting for LUTS risk factors and individual LUTS.
Of the 3169 eligible participants, 17.5% reported no LUTS or interference, whereas the remaining 82.5% reported some frequency of LUTS/interference: 15.1% rarely; 21.7% a few times; 22.6% fairly often/usually; and 22.9% almost always. LUTS independently associated with interference were urgency incontinence, any incontinence, urgency, nocturia, perceived frequency, and urinating again after <2 hours (PRs = 1.2-1.5, all
< 0.05).
Our findings suggest that bladder health exists on a continuum, with approximately one in five women considered to have optimal bladder health (no LUTS/interference), the majority to have intermediate health (LUTS/interference rarely to usually), and a further one in five to have worse or poor health (LUTS/interference almost always). These findings underscore the need for LUTS prevention and bladder health promotion.</description><identifier>ISSN: 1540-9996</identifier><identifier>EISSN: 1931-843X</identifier><identifier>DOI: 10.1089/jwh.2018.7364</identifier><identifier>PMID: 31058573</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Adult ; Aged ; Boston - epidemiology ; Dysuria - epidemiology ; Female ; Health Surveys ; Humans ; Lower Urinary Tract Symptoms - epidemiology ; Middle Aged ; Nocturia - epidemiology ; Original ; Prevalence ; Quality of Life ; Risk Factors ; Surveys and Questionnaires ; Urinary Bladder - physiology ; Urinary Bladder, Overactive - epidemiology ; Urinary Incontinence - epidemiology</subject><ispartof>Journal of women's health (Larchmont, N.Y. 2002), 2019-06, Vol.28 (6), p.827-841</ispartof><rights>Copyright 2019, Mary Ann Liebert, Inc., publishers 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-921ae4e6ccc99090577374ef8e50baadf660de89fc665ca7b8d8258376ea343e3</citedby><cites>FETCH-LOGICAL-c387t-921ae4e6ccc99090577374ef8e50baadf660de89fc665ca7b8d8258376ea343e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31058573$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sutcliffe, Siobhan</creatorcontrib><creatorcontrib>Bavendam, Tamara</creatorcontrib><creatorcontrib>Cain, Charles</creatorcontrib><creatorcontrib>Epperson, C Neill</creatorcontrib><creatorcontrib>Fitzgerald, Colleen M</creatorcontrib><creatorcontrib>Gahagan, Sheila</creatorcontrib><creatorcontrib>Markland, Alayne D</creatorcontrib><creatorcontrib>Shoham, David A</creatorcontrib><creatorcontrib>Smith, Ariana L</creatorcontrib><creatorcontrib>Townsend, Mary K</creatorcontrib><creatorcontrib>Rudser, Kyle</creatorcontrib><creatorcontrib>Prevention of Lower Urinary Tract Symptoms Research Consortium</creatorcontrib><creatorcontrib>for the Prevention of Lower Urinary Tract Symptoms Research Consortium</creatorcontrib><title>The Spectrum of Bladder Health: The Relationship Between Lower Urinary Tract Symptoms and Interference with Activities</title><title>Journal of women's health (Larchmont, N.Y. 2002)</title><addtitle>J Womens Health (Larchmt)</addtitle><description>Little research to date has focused on lower urinary tract symptom (LUTS) prevention and bladder health promotion in women. To address this gap, the Prevention of LUTS Research Consortium developed the following working bladder health definition: "A complete state of physical, mental, and social well-being related to bladder function [that] permits daily activities [and] allows optimal well-being." To begin to inform and quantify this definition, we used data from the Boston Area Community Health Survey, drawing upon its rare collection of information on LUTS and LUTS-specific interference with activities.
At baseline, participants reported their frequency of 15 LUTS and interference with 7 activities. Prevalence ratios (PRs) were calculated by generalized linear models with robust variance estimation, adjusting for LUTS risk factors and individual LUTS.
Of the 3169 eligible participants, 17.5% reported no LUTS or interference, whereas the remaining 82.5% reported some frequency of LUTS/interference: 15.1% rarely; 21.7% a few times; 22.6% fairly often/usually; and 22.9% almost always. LUTS independently associated with interference were urgency incontinence, any incontinence, urgency, nocturia, perceived frequency, and urinating again after <2 hours (PRs = 1.2-1.5, all
< 0.05).
Our findings suggest that bladder health exists on a continuum, with approximately one in five women considered to have optimal bladder health (no LUTS/interference), the majority to have intermediate health (LUTS/interference rarely to usually), and a further one in five to have worse or poor health (LUTS/interference almost always). These findings underscore the need for LUTS prevention and bladder health promotion.</description><subject>Adult</subject><subject>Aged</subject><subject>Boston - epidemiology</subject><subject>Dysuria - epidemiology</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Lower Urinary Tract Symptoms - epidemiology</subject><subject>Middle Aged</subject><subject>Nocturia - epidemiology</subject><subject>Original</subject><subject>Prevalence</subject><subject>Quality of Life</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><subject>Urinary Bladder - physiology</subject><subject>Urinary Bladder, Overactive - epidemiology</subject><subject>Urinary Incontinence - epidemiology</subject><issn>1540-9996</issn><issn>1931-843X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkc9LHDEUx0OpVKs99lpy7GW2yWTyqwdBRauwIOgKvYVs5k0nMpOMSXYX_3tn0Up7eg--H77vwQehr5QsKFH6x-OuX9SEqoVkovmAjqhmtFIN-_1x3nlDKq21OESfc34kpK4pIZ_QIaOEKy7ZEdquesD3E7iSNiOOHT4fbNtCwtdgh9L_xPv8DgZbfAy59xM-h7IDCHgZdzP2kHyw6RmvknUF3z-PU4ljxja0-CYUSB0kCA7wzpcen7nit754yCfooLNDhi9v8xg9XF2uLq6r5e2vm4uzZeWYkqXSNbXQgHDOaU004VIy2UCngJO1tW0nBGlB6c4JwZ2Va9WqmismBVjWMGDH6PS1d9qsR2gdhJLsYKbkx_lrE603_yfB9-ZP3BrBNZE1nQu-vxWk-LSBXMzos4NhsAHiJpu6ZjPVcMFmtHpFXYo5J-jez1Bi9q7M7MrsXZm9q5n_9u9v7_RfOewF3e2Syw</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Sutcliffe, Siobhan</creator><creator>Bavendam, Tamara</creator><creator>Cain, Charles</creator><creator>Epperson, C Neill</creator><creator>Fitzgerald, Colleen M</creator><creator>Gahagan, Sheila</creator><creator>Markland, Alayne D</creator><creator>Shoham, David A</creator><creator>Smith, Ariana L</creator><creator>Townsend, Mary K</creator><creator>Rudser, Kyle</creator><general>Mary Ann Liebert, Inc., publishers</general><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>7X8</scope><scope>5PM</scope></search><sort><creationdate>201906</creationdate><title>The Spectrum of Bladder Health: The Relationship Between Lower Urinary Tract Symptoms and Interference with Activities</title><author>Sutcliffe, Siobhan ; Bavendam, Tamara ; Cain, Charles ; Epperson, C Neill ; Fitzgerald, Colleen M ; Gahagan, Sheila ; Markland, Alayne D ; Shoham, David A ; Smith, Ariana L ; Townsend, Mary K ; Rudser, Kyle</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-921ae4e6ccc99090577374ef8e50baadf660de89fc665ca7b8d8258376ea343e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Boston - epidemiology</topic><topic>Dysuria - epidemiology</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Lower Urinary Tract Symptoms - epidemiology</topic><topic>Middle Aged</topic><topic>Nocturia - epidemiology</topic><topic>Original</topic><topic>Prevalence</topic><topic>Quality of Life</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><topic>Urinary Bladder - physiology</topic><topic>Urinary Bladder, Overactive - epidemiology</topic><topic>Urinary Incontinence - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sutcliffe, Siobhan</creatorcontrib><creatorcontrib>Bavendam, Tamara</creatorcontrib><creatorcontrib>Cain, Charles</creatorcontrib><creatorcontrib>Epperson, C Neill</creatorcontrib><creatorcontrib>Fitzgerald, Colleen M</creatorcontrib><creatorcontrib>Gahagan, Sheila</creatorcontrib><creatorcontrib>Markland, Alayne D</creatorcontrib><creatorcontrib>Shoham, David A</creatorcontrib><creatorcontrib>Smith, Ariana L</creatorcontrib><creatorcontrib>Townsend, Mary K</creatorcontrib><creatorcontrib>Rudser, Kyle</creatorcontrib><creatorcontrib>Prevention of Lower Urinary Tract Symptoms Research Consortium</creatorcontrib><creatorcontrib>for the Prevention of Lower Urinary Tract Symptoms Research Consortium</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of women's health (Larchmont, N.Y. 2002)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sutcliffe, Siobhan</au><au>Bavendam, Tamara</au><au>Cain, Charles</au><au>Epperson, C Neill</au><au>Fitzgerald, Colleen M</au><au>Gahagan, Sheila</au><au>Markland, Alayne D</au><au>Shoham, David A</au><au>Smith, Ariana L</au><au>Townsend, Mary K</au><au>Rudser, Kyle</au><aucorp>Prevention of Lower Urinary Tract Symptoms Research Consortium</aucorp><aucorp>for the Prevention of Lower Urinary Tract Symptoms Research Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Spectrum of Bladder Health: The Relationship Between Lower Urinary Tract Symptoms and Interference with Activities</atitle><jtitle>Journal of women's health (Larchmont, N.Y. 2002)</jtitle><addtitle>J Womens Health (Larchmt)</addtitle><date>2019-06</date><risdate>2019</risdate><volume>28</volume><issue>6</issue><spage>827</spage><epage>841</epage><pages>827-841</pages><issn>1540-9996</issn><eissn>1931-843X</eissn><abstract>Little research to date has focused on lower urinary tract symptom (LUTS) prevention and bladder health promotion in women. To address this gap, the Prevention of LUTS Research Consortium developed the following working bladder health definition: "A complete state of physical, mental, and social well-being related to bladder function [that] permits daily activities [and] allows optimal well-being." To begin to inform and quantify this definition, we used data from the Boston Area Community Health Survey, drawing upon its rare collection of information on LUTS and LUTS-specific interference with activities.
At baseline, participants reported their frequency of 15 LUTS and interference with 7 activities. Prevalence ratios (PRs) were calculated by generalized linear models with robust variance estimation, adjusting for LUTS risk factors and individual LUTS.
Of the 3169 eligible participants, 17.5% reported no LUTS or interference, whereas the remaining 82.5% reported some frequency of LUTS/interference: 15.1% rarely; 21.7% a few times; 22.6% fairly often/usually; and 22.9% almost always. LUTS independently associated with interference were urgency incontinence, any incontinence, urgency, nocturia, perceived frequency, and urinating again after <2 hours (PRs = 1.2-1.5, all
< 0.05).
Our findings suggest that bladder health exists on a continuum, with approximately one in five women considered to have optimal bladder health (no LUTS/interference), the majority to have intermediate health (LUTS/interference rarely to usually), and a further one in five to have worse or poor health (LUTS/interference almost always). These findings underscore the need for LUTS prevention and bladder health promotion.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>31058573</pmid><doi>10.1089/jwh.2018.7364</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1540-9996 |
| ispartof | Journal of women's health (Larchmont, N.Y. 2002), 2019-06, Vol.28 (6), p.827-841 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Boston - epidemiology Dysuria - epidemiology Female Health Surveys Humans Lower Urinary Tract Symptoms - epidemiology Middle Aged Nocturia - epidemiology Original Prevalence Quality of Life Risk Factors Surveys and Questionnaires Urinary Bladder - physiology Urinary Bladder, Overactive - epidemiology Urinary Incontinence - epidemiology |
| title | The Spectrum of Bladder Health: The Relationship Between Lower Urinary Tract Symptoms and Interference with Activities |
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