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Long-term physical activity and lower urinary tract symptoms in men.

Abstract

PURPOSE

We assessed the association between physical activity, and the risk of moderate and severe lower urinary tract symptoms.

MATERIALS AND METHODS

A cross-sectional representative sample of 30,377 men 45 to 79 years old in central Sweden who completed a self-administered life-style questionnaire, including International Prostate Symptom Score questions, physical activity currently and recalled at age 30 years (total, work/occupation, walking/bicycling, inactivity and exercise) and demographic data. A total of 6,905 men (23%) who scored 8 or more points on International Prostate Symptom Score questions were considered to have moderate or severe lower urinary tract symptoms.

RESULTS

After controlling for subject age, waist-to-hip ratio, diabetes, smoking and drinking status, and educational level total physical activity was significantly inversely related to moderate and severe lower urinary tract symptoms (highest vs lowest quartile OR 0.72, 95% CI 0.66 to 0.79, p trend <0.001). Men who were physically active at work as well as during leisure time were at half the risk of lower urinary tract symptoms compared to inactive men (OR 0.49, 95% CI 0.40 to 0.60). Long-term high inactivity (5 hours daily at age 30 years plus currently) was associated with a 2-fold increased risk compared with the risk in men who were more active at the 2 periods (OR 1.90, 95% CI 1.41 to 2.59).

CONCLUSIONS

Our results suggest that physical activity in young and late adulthood may be associated with a lower risk of moderate and severe lower urinary tract symptoms.

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  • Authors+Show Affiliations

    ,

    Division of Nutritional Epidemiology, National Institute of Environmental Medicine, Karolinska Institutet, SE-171 77 Stockholm, Sweden. nicola.orsini@ki.se

    , , , ,

    Source

    The Journal of urology 176:6 Pt 1 2006 Dec pg 2546-50; discussion 2550

    MeSH

    Aged
    Cross-Sectional Studies
    Exercise
    Humans
    Logistic Models
    Male
    Middle Aged
    Surveys and Questionnaires
    Sweden
    Urination Disorders

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    17085155

    Citation

    Orsini, Nicola, et al. "Long-term Physical Activity and Lower Urinary Tract Symptoms in Men." The Journal of Urology, vol. 176, no. 6 Pt 1, 2006, pp. 2546-50; discussion 2550.
    Orsini N, RashidKhani B, Andersson SO, et al. Long-term physical activity and lower urinary tract symptoms in men. J Urol. 2006;176(6 Pt 1):2546-50; discussion 2550.
    Orsini, N., RashidKhani, B., Andersson, S. O., Karlberg, L., Johansson, J. E., & Wolk, A. (2006). Long-term physical activity and lower urinary tract symptoms in men. The Journal of Urology, 176(6 Pt 1), pp. 2546-50; discussion 2550.
    Orsini N, et al. Long-term Physical Activity and Lower Urinary Tract Symptoms in Men. J Urol. 2006;176(6 Pt 1):2546-50; discussion 2550. PubMed PMID: 17085155.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Long-term physical activity and lower urinary tract symptoms in men. AU - Orsini,Nicola, AU - RashidKhani,Bahram, AU - Andersson,Swen-Olof, AU - Karlberg,Lars, AU - Johansson,Jan-Erik, AU - Wolk,Alicja, PY - 2005/12/20/received PY - 2006/11/7/pubmed PY - 2006/12/21/medline PY - 2006/11/7/entrez SP - 2546-50; discussion 2550 JF - The Journal of urology JO - J. Urol. VL - 176 IS - 6 Pt 1 N2 - PURPOSE: We assessed the association between physical activity, and the risk of moderate and severe lower urinary tract symptoms. MATERIALS AND METHODS: A cross-sectional representative sample of 30,377 men 45 to 79 years old in central Sweden who completed a self-administered life-style questionnaire, including International Prostate Symptom Score questions, physical activity currently and recalled at age 30 years (total, work/occupation, walking/bicycling, inactivity and exercise) and demographic data. A total of 6,905 men (23%) who scored 8 or more points on International Prostate Symptom Score questions were considered to have moderate or severe lower urinary tract symptoms. RESULTS: After controlling for subject age, waist-to-hip ratio, diabetes, smoking and drinking status, and educational level total physical activity was significantly inversely related to moderate and severe lower urinary tract symptoms (highest vs lowest quartile OR 0.72, 95% CI 0.66 to 0.79, p trend <0.001). Men who were physically active at work as well as during leisure time were at half the risk of lower urinary tract symptoms compared to inactive men (OR 0.49, 95% CI 0.40 to 0.60). Long-term high inactivity (5 hours daily at age 30 years plus currently) was associated with a 2-fold increased risk compared with the risk in men who were more active at the 2 periods (OR 1.90, 95% CI 1.41 to 2.59). CONCLUSIONS: Our results suggest that physical activity in young and late adulthood may be associated with a lower risk of moderate and severe lower urinary tract symptoms. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/17085155/Long_term_physical_activity_and_lower_urinary_tract_symptoms_in_men_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(06)01706-X DB - PRIME DP - Unbound Medicine ER -