Association Between Lower Urinary Tract Symptoms and Falls in Adults Males: Based on the Korean Community Health Survey

Hwang, Tae-Yoon; Kim, Sang-Kyu; Kim, Ki Ho; Kim, Jong-Yeon

doi:10.1177/1010539519878361

Cited by 7 publications

(12 citation statements)

References 32 publications

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“…In this context, a more comprehensive “multi-dimensional fall risk assessment” and intervention should be considered if the patient is determined to be at a high risk for falls. Fall-related risk factors include old age, past experience of falls, polypharmacy, impaired vision, walking disorders, muscle weakness, arthritis, osteoporosis, hypoglycemia, and cognitive dysfunction [ 115 , 116 ]. A multidimensional fall risk assessment of these various risk factors can also help determine appropriate interventions for problems based on the results of the assessment [ 116 ].…”

Section: Resultsmentioning

confidence: 99%

“…Fall-related risk factors include old age, past experience of falls, polypharmacy, impaired vision, walking disorders, muscle weakness, arthritis, osteoporosis, hypoglycemia, and cognitive dysfunction. 115,116) A multidimensional fall risk assessment of these various risk factors can also help determine appropriate interventions for problems based on the results of the assessment. 116) Regarding interventions for fall risk factors, exercise interventions have been reported to improve fall-associated indicators and to increase muscle strength, but did not reduce the actual incidence of falls.…”

Section: Cognitive Function (Recommendations 12 and 13)mentioning

confidence: 99%

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Clinical Practice Guidelines for Managing Frailty in Community-Dwelling Korean Elderly Adults in Primary Care Settings

et al. 2021

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Aging has become a global problem, and the interest in healthy aging is growing. Healthy aging involves a focus on the maintenance of the function and well-being of elderly adults, rather than a specific disease. Thus, the management of frailty, which is an accumulated decline in function, is important for healthy aging. The adaptation method was used to develop clinical practice guidelines on frailty management that are applicable in primary care settings. The guidelines were developed in three phases: preparation (organization of committees and establishment of the scope of development), literature screening and evaluation (selection of the clinical practice guidelines to be adapted and evaluation of the guidelines using the Korean Appraisal of Guidelines for Research and Evaluation II tool), and confirmation of recommendations (three rounds of Delphi consensus and internal and external reviews). A total of 16 recommendations (five recommendations for diagnosis and assessment, 11 recommendations for intervention of frailty) were made through the guideline development process. These clinical practice guidelines provide overall guidance on the identification, evaluation, intervention, and monitoring of frailty, making them applicable in primary care settings. As aging and “healthy aging” become more and more important, these guidelines are also expected to increase in clinical usefulness.

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Section: Resultsmentioning

confidence: 99%

Section: Cognitive Function (Recommendations 12 and 13)mentioning

confidence: 99%

Clinical Practice Guidelines for Managing Frailty in Community-Dwelling Korean Elderly Adults in Primary Care Settings

et al. 2021

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“…Sporadic studies in Asian countries have compared this association. Studies in Korea have reported a link between LUTS and the risk of falls, possibly predisposing individuals to hip fractures; additionally, the employment of alpha-blockers for LUTS treatment was connected to an increased risk of hip fracture in elderly women [20,21].…”

Section: Introductionmentioning

confidence: 99%

Association of lower urinary tract symptoms and hip fracture in adults aged ≥ 50 years

2021

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Aim Lower urinary tract symptoms (LUTS) result in morbidities; however, their association with the occurrence of hip fracture is relatively unknown in the context of Asian studies. The purpose of the study was to investigate this link with the hip fracture risk in Taiwanese men and women aged 50 years and above. Materials and methods From 2000 through 2012, a population-based retrospective cohort study was conducted; claims data of 18,976 patients diagnosed with LUTS (dysuria, urinary retention, incontinence, and increased urinary frequency and urgency) were retrieved from Taiwan’s National Health Insurance Research Database. The patients were compared with 1:2 age, sex, and index year-matched controls (comparison group, n = 37,952). The incidence and hazard ratios of the hip fracture risk were calculated by the Cox proportional hazard regression models. Results The mean age was 66.2 ± 9.7 years, and the proportion of men was 58.1% in both study groups. Fractures occurred in 772 patients and 1,156 control subjects. The corresponding incidences were 7.0 and 5.0/1000 person-years. Compared to the control subjects, the patients with LUTS had an increased hip fracture risk [adjusted hazard ratio (aHR) = 1.29; 95% confidence interval (CI): 1.17–1.42]. LUTS was independently associated with an increased hip fracture risk in both men (aHR = 1.24; 95% CI: 1.08–1.42) and women (aHR = 1.34; 95% CI: 1.18–1.53) (p for interaction = 0.557). Similarly, the subgroup effect of age on hip fracture risks was not found (p for interaction = 0.665). Conclusion The study found LUTS was associated with an increased risk of hip fracture. Large-scale prospective studies in diverse populations are required to investigate causalities.

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“…Falls in the elderly occur frequently and are one of the most common causes of serious injury and injury-related death. [1][2][3][4][5] Approximately 30% of elderly people experience falls every year and they are a sign of frailty. 3,6 According to the increasing interest in the association of aging with frailty, many researchers have suggested the clinical implication of frailty in several diseases.…”

Section: Introductionmentioning

confidence: 99%

“…Falls in the elderly occur frequently and are one of the most common causes of serious injury and injury‐related death 1‐5 . Approximately 30% of elderly people experience falls every year and they are a sign of frailty 3,6 .…”

Section: Introductionmentioning

confidence: 99%

Overactive bladder and sleep disturbance have a significant effect on indoor falls: Results from the community health survey in Japan

Konishi

Imai

Kumagai

et al. 2020

LUTS

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Objectives: To evaluate the effect of overactive bladder (OAB) and frailty on indoor fall events in community-dwelling adults aged 50 or older. Methods: We conducted a cross-sectional study involving 723 adults between 2016 and 2017 in Hirosaki, Japan. OAB symptoms and sleep disturbance were assessed using the Overactive Bladder Symptom Score (OABSS) and the Pittsburgh Sleep Quality Index (PSQI). Indoor fall events (falls or near-falls) within 1 year were evaluated. Frailty was evaluated by the frailty discriminant score. We investigated the association of OAB symptoms with sleep disturbance, frailty, and indoor fall events. Multivariate logistic regression analysis was performed to investigate the effect of OAB symptoms on fall events controlling for confounding factors such as age, gender, comorbidity, frailty, and sleep disturbance. Results: The median age was 64. We observed OABSS ≥6 in 98 participants (14%), nocturia ≥2 in 445 (62%), urgency score ≥3 in 80 (11%), urge incontinence score ≥3 in 36 (5.0%), PSQI ≥6 in 153 (21%), frailty in 169 (23%), and indoor fall events in 251 (35%). Older age, diabetes, OABSS, nocturia, urgency, urge incontinence, and the PSQI were significantly associated with indoor fall events. Multivariate logistic regression analyses showed that OAB symptoms and sleep disturbance were significantly associated with fall events. Conclusions: The effect of OAB symptoms and sleep disturbance on indoor fall events was significant. The causal relationship between OAB and falls needs further study.

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Association Between Lower Urinary Tract Symptoms and Falls in Adults Males: Based on the Korean Community Health Survey

Cited by 7 publications

References 32 publications

Clinical Practice Guidelines for Managing Frailty in Community-Dwelling Korean Elderly Adults in Primary Care Settings

Clinical Practice Guidelines for Managing Frailty in Community-Dwelling Korean Elderly Adults in Primary Care Settings

Association of lower urinary tract symptoms and hip fracture in adults aged ≥ 50 years

Overactive bladder and sleep disturbance have a significant effect on indoor falls: Results from the community health survey in Japan

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