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Association of cigarette smoking, alcohol consumption and physical activity with lower urinary tract symptoms in older American men: findings from the third National Health And Nutrition Examination Survey.
BJU Int 2005; 96(1):77-82BI

Abstract

OBJECTIVES

To examine the association of cigarette smoking, alcohol consumption and physical activity with lower urinary tract symptoms (LUTS) in older men.

SUBJECTS AND METHODS

The study included 2797 men participating in the Third National Health and Nutrition Examination Survey (NHANES III), who were aged > or = 60 years. During an interview, LUTS, smoking history, alcohol consumption and physical activity were assessed. Cases comprised men with at least three of the symptoms of nocturia, hesitancy, weak stream and incomplete emptying. Men who had had prostate surgery unrelated to cancer were not included as cases. Controls were men with no symptoms or surgery. We adjusted for age and race in logistic regression models and used sampling weights to account for selection probability.

RESULTS

Current cigarette smokers had no higher odds of LUTS than 'never' smokers, but former heavy smokers (> or = 50 pack-years) had a higher odds of LUTS than never smokers (odds ratio 2.01; 95% confidence interval 1.04-3.89). Men who drank alcohol daily had a lower chance of LUTS than non-drinkers (0.59; 0.37-0.95; P trend, 0.07). All levels of moderate and vigorous activity were statistically significantly inversely associated with LUTS (P trend, 0.06), whereas men who reported no leisure-time physical activity had a greater odds of LUTS (2.06; 1.26-3.39).

CONCLUSIONS

Moderate alcohol consumption and physical activity may be protective against LUTS. Current cigarette smoking was not consistently associated with the condition. The possible association in former smokers warrants further investigation.

Authors+Show Affiliations

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15963125

Citation

Rohrmann, Sabine, et al. "Association of Cigarette Smoking, Alcohol Consumption and Physical Activity With Lower Urinary Tract Symptoms in Older American Men: Findings From the Third National Health and Nutrition Examination Survey." BJU International, vol. 96, no. 1, 2005, pp. 77-82.
Rohrmann S, Crespo CJ, Weber JR, et al. Association of cigarette smoking, alcohol consumption and physical activity with lower urinary tract symptoms in older American men: findings from the third National Health And Nutrition Examination Survey. BJU Int. 2005;96(1):77-82.
Rohrmann, S., Crespo, C. J., Weber, J. R., Smit, E., Giovannucci, E., & Platz, E. A. (2005). Association of cigarette smoking, alcohol consumption and physical activity with lower urinary tract symptoms in older American men: findings from the third National Health And Nutrition Examination Survey. BJU International, 96(1), pp. 77-82.
Rohrmann S, et al. Association of Cigarette Smoking, Alcohol Consumption and Physical Activity With Lower Urinary Tract Symptoms in Older American Men: Findings From the Third National Health and Nutrition Examination Survey. BJU Int. 2005;96(1):77-82. PubMed PMID: 15963125.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of cigarette smoking, alcohol consumption and physical activity with lower urinary tract symptoms in older American men: findings from the third National Health And Nutrition Examination Survey. AU - Rohrmann,Sabine, AU - Crespo,Carlos J, AU - Weber,Jason R, AU - Smit,Ellen, AU - Giovannucci,Edward, AU - Platz,Elizabeth A, PY - 2005/6/21/pubmed PY - 2005/8/10/medline PY - 2005/6/21/entrez SP - 77 EP - 82 JF - BJU international JO - BJU Int. VL - 96 IS - 1 N2 - OBJECTIVES: To examine the association of cigarette smoking, alcohol consumption and physical activity with lower urinary tract symptoms (LUTS) in older men. SUBJECTS AND METHODS: The study included 2797 men participating in the Third National Health and Nutrition Examination Survey (NHANES III), who were aged > or = 60 years. During an interview, LUTS, smoking history, alcohol consumption and physical activity were assessed. Cases comprised men with at least three of the symptoms of nocturia, hesitancy, weak stream and incomplete emptying. Men who had had prostate surgery unrelated to cancer were not included as cases. Controls were men with no symptoms or surgery. We adjusted for age and race in logistic regression models and used sampling weights to account for selection probability. RESULTS: Current cigarette smokers had no higher odds of LUTS than 'never' smokers, but former heavy smokers (> or = 50 pack-years) had a higher odds of LUTS than never smokers (odds ratio 2.01; 95% confidence interval 1.04-3.89). Men who drank alcohol daily had a lower chance of LUTS than non-drinkers (0.59; 0.37-0.95; P trend, 0.07). All levels of moderate and vigorous activity were statistically significantly inversely associated with LUTS (P trend, 0.06), whereas men who reported no leisure-time physical activity had a greater odds of LUTS (2.06; 1.26-3.39). CONCLUSIONS: Moderate alcohol consumption and physical activity may be protective against LUTS. Current cigarette smoking was not consistently associated with the condition. The possible association in former smokers warrants further investigation. SN - 1464-4096 UR - https://www.unboundmedicine.com/medline/citation/15963125/Association_of_cigarette_smoking_alcohol_consumption_and_physical_activity_with_lower_urinary_tract_symptoms_in_older_American_men:_findings_from_the_third_National_Health_And_Nutrition_Examination_Survey_ L2 - https://doi.org/10.1111/j.1464-410X.2005.05571.x DB - PRIME DP - Unbound Medicine ER -