Relationship between Lifestyle and Health Factors and Severe Lower Urinary Tract Symptoms (LUTS) in 106,435 Middle-Aged and Older Australian Men: Population-Based Study
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{"title"=>"Relationship between lifestyle and health factors and severe lower urinary tract symptoms (LUTS) in 106,435 middle-Aged and older australian men: Population-based study", "type"=>"journal", "authors"=>[{"first_name"=>"David P.", "last_name"=>"Smith", "scopus_author_id"=>"56179379400"}, {"first_name"=>"Marianne F.", "last_name"=>"Weber", "scopus_author_id"=>"7404139263"}, {"first_name"=>"Kay", "last_name"=>"Soga", "scopus_author_id"=>"56386851700"}, {"first_name"=>"Rosemary J.", "last_name"=>"Korda", "scopus_author_id"=>"6506252396"}, {"first_name"=>"Gabriella", "last_name"=>"Tikellis", "scopus_author_id"=>"6602765289"}, {"first_name"=>"Manish I.", "last_name"=>"Patel", "scopus_author_id"=>"13609789300"}, {"first_name"=>"Mark S.", "last_name"=>"Clements", "scopus_author_id"=>"34568733800"}, {"first_name"=>"Terry", "last_name"=>"Dwyer", "scopus_author_id"=>"7102691604"}, {"first_name"=>"Isabel K.", "last_name"=>"Latz", "scopus_author_id"=>"37861519200"}, {"first_name"=>"Emily", "last_name"=>"Banks", "scopus_author_id"=>"7004711004"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"doi"=>"10.1371/journal.pone.0109278", "sgr"=>"84908029024", "issn"=>"19326203", "pui"=>"600169987", "isbn"=>"1932-6203", "pmid"=>"25333345", "scopus"=>"2-s2.0-84908029024"}, "id"=>"8b91b6c3-750d-3560-8b42-d91a8ca91ed2", "abstract"=>"BACKGROUND: Despite growing interest in prevention of lower urinary tract symptoms (LUTS) through better understanding of modifiable risk factors, large-scale population-based evidence is limited.\\n\\nOBJECTIVE: To describe risk factors associated with severe LUTS in the 45 and Up Study, a large cohort study.\\n\\nDESIGN, SETTING, AND PARTICIPANTS: A cross-sectional analysis of questionnaire data from 106,435 men aged ≥ 45 years, living in New South Wales, Australia.\\n\\nOUTCOME MEASURES AND STATISTICAL ANALYSIS: LUTS were measured by a modified version of the International Prostate Symptom Score (m-IPSS). The strength of association between severe LUTS and socio-demographic, lifestyle and health-related factors was estimated, using logistic regression to calculate odds ratios, adjusted for a range of confounding factors.\\n\\nRESULTS: Overall, 18.3% reported moderate, and 3.6% severe, LUTS. Severe LUTS were more common among men reporting previous prostate cancer (7.6%), total prostatectomy (4.9%) or having part of the prostate removed (8.2%). After excluding men with prostate cancer or prostate surgery, the prevalence of moderate-severe LUTS in the cohort (n = 95,089) ranged from 10.6% to 35.4% for ages 45-49 to ≥ 80; the age-related increase was steeper for storage than voiding symptoms. The adjusted odds of severe LUTS decreased with increasing education (tertiary qualification versus no school certificate, odds ratio (OR = 0.78 (0.68-0.89))) and increasing physical activity (high versus low, OR = 0.83 (0.76-0.91)). Odds were elevated among current smokers versus never-smokers (OR = 1.64 (1.43-1.88)), obese versus healthy-weight men (OR = 1.27 (1.14-1.41)) and for comorbid conditions (e.g., heart disease versus no heart disease, OR = 1.36 (1.24-1.49)), and particularly for severe versus no physical functional limitation (OR = 5.17 (4.51-5.93)).\\n\\nCONCLUSIONS: LUTS was associated with a number of factors, including modifiable risk factors, suggesting potential targets for prevention.", "link"=>"http://www.mendeley.com/research/relationship-between-lifestyle-health-factors-severe-lower-urinary-tract-symptoms-luts-106435-middle-5", "reader_count"=>28, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>2, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>2, "Other"=>4, "Student > Master"=>5, "Student > Bachelor"=>7, "Lecturer"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>2, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>2, "Other"=>4, "Student > Master"=>5, "Student > Bachelor"=>7, "Lecturer"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Nursing and Health Professions"=>1, "Mathematics"=>2, "Medicine and Dentistry"=>15, "Agricultural and Biological Sciences"=>2, "Sports and Recreations"=>2, "Psychology"=>3, "Computer Science"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>15}, "Sports and Recreations"=>{"Sports and Recreations"=>2}, "Psychology"=>{"Psychology"=>3}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Mathematics"=>{"Mathematics"=>2}, "Unspecified"=>{"Unspecified"=>2}}, "reader_count_by_country"=>{"Australia"=>2}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1718673"], "description"=>"<p>Figure 1 displays the prevalence of each Lower Urinary Tract Symptom (LUTS) as it increased with each increase in age group (Fig 1). We excluded all men with prostate cancer or previous prostate surgery from this figure to demonstrate the effect of ageing on LUTS. Most notably nocturia (needing to void 3 or more times per night) increased from 2% in men aged 45–49 to 24% in men aged 80 years and over. *Excluding men with prostate cancer or previous prostate surgery.</p>", "links"=>[], "tags"=>["Severe LUTS", "Australian Men", "modifiable risk factors", "school certificate", "International Prostate Symptom", "heart disease", "voiding symptoms", "prostate surgery", "tract symptoms", "Urinary Tract Symptoms", "questionnaire data", "cohort study.Design", "New South Wales", "odds ratio", "comorbid conditions", "odds ratios", "risk factors", "Statistical AnalysisLUTS", "Prostate cancer", "Health Factors", "Australia.Outcome Measures"], "article_id"=>1205573, "categories"=>["Biological Sciences"], "users"=>["David P. Smith", "Marianne F. Weber", "Kay Soga", "Rosemary J. Korda", "Gabriella Tikellis", "Manish I. Patel", "Mark S. Clements", "Terry Dwyer", "Isabel K. Latz", "Emily Banks"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0109278.g001", "stats"=>{"downloads"=>11, "page_views"=>113, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prevalence_of_Lower_Urinary_Tract_Symptoms_LUTS_by_age_group_among_men_aged_45_and_over_/1205573", "title"=>"Prevalence of Lower Urinary Tract Symptoms (LUTS) by age group among men aged 45 and over.*", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-10-15 03:15:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1718674"], "description"=>"<p>Figure 2 displays the prevalence of high storage symptom scores (scoring 6 or more on the modified International Prostate Symptom Score (m-IPSS)), high voiding symptom scores (m-IPSS of 6 or more), and high overall LUTS scores (m-IPSS of 12 or more) as it increased with each increase in age group (Fig 2). We excluded all men with prostate cancer or previous prostate surgery from this figure to demonstrate the effect of ageing on LUTS. High storage problems were more common than voiding symptoms at or above 60 years old. *Excluding men with prostate cancer or previous prostate surgery.</p>", "links"=>[], "tags"=>["Severe LUTS", "Australian Men", "modifiable risk factors", "school certificate", "International Prostate Symptom", "heart disease", "voiding symptoms", "prostate surgery", "tract symptoms", "Urinary Tract Symptoms", "questionnaire data", "cohort study.Design", "New South Wales", "odds ratio", "comorbid conditions", "odds ratios", "risk factors", "Statistical AnalysisLUTS", "Prostate cancer", "Health Factors", "Australia.Outcome Measures"], "article_id"=>1205574, "categories"=>["Biological Sciences"], "users"=>["David P. Smith", "Marianne F. Weber", "Kay Soga", "Rosemary J. Korda", "Gabriella Tikellis", "Manish I. Patel", "Mark S. Clements", "Terry Dwyer", "Isabel K. Latz", "Emily Banks"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0109278.g002", "stats"=>{"downloads"=>4, "page_views"=>29, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Proportion_of_men_aged_45_and_over_with_severe_overall_LUTS_and_high_storage_and_voiding_symptom_scores_by_age_/1205574", "title"=>"Proportion of men aged 45 and over with severe overall LUTS and high storage and voiding symptom scores, by age.*", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-10-15 03:15:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1718675"], "description"=>"<p>*Excluding men with prostate cancer and/or previous prostate surgery.</p><p>**Total numbers in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0109278#pone-0109278-t001\" target=\"_blank\">Table 1</a> do not include missing cases. Percentage missing: Ever had a PSA test 2.2%; other variables  = 0 missing.</p><p>Prevalence of severe Lower Urinary Tract Symptoms LUTS (m-IPSS ≥12) according to doctor-diagnosed prostate health factors in the 45 and Up Study.</p>", "links"=>[], "tags"=>["Severe LUTS", "Australian Men", "modifiable risk factors", "school certificate", "International Prostate Symptom", "heart disease", "voiding symptoms", "prostate surgery", "tract symptoms", "Urinary Tract Symptoms", "questionnaire data", "cohort study.Design", "New South Wales", "odds ratio", "comorbid conditions", "odds ratios", "risk factors", "Statistical AnalysisLUTS", "Prostate cancer", "Health Factors", "Australia.Outcome Measures"], "article_id"=>1205575, "categories"=>["Biological Sciences"], "users"=>["David P. Smith", "Marianne F. Weber", "Kay Soga", "Rosemary J. Korda", "Gabriella Tikellis", "Manish I. Patel", "Mark S. Clements", "Terry Dwyer", "Isabel K. Latz", "Emily Banks"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0109278.t001", "stats"=>{"downloads"=>5, "page_views"=>19, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prevalence_of_severe_Lower_Urinary_Tract_Symptoms_LUTS_m_IPSS_8805_12_according_to_doctor_diagnosed_prostate_health_factors_in_the_45_and_Up_Study_/1205575", "title"=>"Prevalence of severe Lower Urinary Tract Symptoms LUTS (m-IPSS ≥12) according to doctor-diagnosed prostate health factors in the 45 and Up Study.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-15 03:15:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1718676"], "description"=>"<p>*Excluding men with prostate cancer and/or previous prostate surgery.</p><p>Overall Lower Urinary Tract Symptoms (LUTS) prevalence by age in the 45 and Up Study based on the modified IPSS.<sup><a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0109278#nt103\" target=\"_blank\">*</a></sup></p>", "links"=>[], "tags"=>["Severe LUTS", "Australian Men", "modifiable risk factors", "school certificate", "International Prostate Symptom", "heart disease", "voiding symptoms", "prostate surgery", "tract symptoms", "Urinary Tract Symptoms", "questionnaire data", "cohort study.Design", "New South Wales", "odds ratio", "comorbid conditions", "odds ratios", "risk factors", "Statistical AnalysisLUTS", "Prostate cancer", "Health Factors", "Australia.Outcome Measures"], "article_id"=>1205576, "categories"=>["Biological Sciences"], "users"=>["David P. Smith", "Marianne F. Weber", "Kay Soga", "Rosemary J. Korda", "Gabriella Tikellis", "Manish I. Patel", "Mark S. Clements", "Terry Dwyer", "Isabel K. Latz", "Emily Banks"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0109278.t002", "stats"=>{"downloads"=>10, "page_views"=>23, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Overall_Lower_Urinary_Tract_Symptoms_LUTS_prevalence_by_age_in_the_45_and_Up_Study_based_on_the_modified_IPSS_/1205576", "title"=>"Overall Lower Urinary Tract Symptoms (LUTS) prevalence by age in the 45 and Up Study based on the modified IPSS.<sup>*</sup>", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-15 03:15:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1718677"], "description"=>"<p>*Excluding men with prostate cancer and/or previous prostate surgery.</p><p>**Total numbers in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0109278#pone-0109278-t003\" target=\"_blank\">Table 3</a> do not include missing cases, but odds ratios and confidence intervals include the missing cases. Percentage missing: Education attainment  = 1.3%; Annual household income  = 14.8%; Alcoholic drinks per week  = 1.2%; Tobacco smoking  = 0.3%; Body mass index  = 5.9%; Sessions of physical activity per week  = 2.1%; other variables  = 0 missing.</p><p>***Adjusted for age, education, income, alcohol consumption, smoking, BMI and physical activity.</p><p>Relationship of overall, storage and voiding severe Lower Urinary Tract Symptoms (LUTS) to demographic factors and health behaviours among men in the 45 and Up Study.<sup><a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0109278#nt104\" target=\"_blank\">*</a></sup></p>", "links"=>[], "tags"=>["Severe LUTS", "Australian Men", "modifiable risk factors", "school certificate", "International Prostate Symptom", "heart disease", "voiding symptoms", "prostate surgery", "tract symptoms", "Urinary Tract Symptoms", "questionnaire data", "cohort study.Design", "New South Wales", "odds ratio", "comorbid conditions", "odds ratios", "risk factors", "Statistical AnalysisLUTS", "Prostate cancer", "Health Factors", "Australia.Outcome Measures"], "article_id"=>1205577, "categories"=>["Biological Sciences"], "users"=>["David P. Smith", "Marianne F. Weber", "Kay Soga", "Rosemary J. Korda", "Gabriella Tikellis", "Manish I. Patel", "Mark S. Clements", "Terry Dwyer", "Isabel K. Latz", "Emily Banks"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0109278.t003", "stats"=>{"downloads"=>8, "page_views"=>17, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Relationship_of_overall_storage_and_voiding_severe_Lower_Urinary_Tract_Symptoms_LUTS_to_demographic_factors_and_health_behaviours_among_men_in_the_45_and_Up_Study_/1205577", "title"=>"Relationship of overall, storage and voiding severe Lower Urinary Tract Symptoms (LUTS) to demographic factors and health behaviours among men in the 45 and Up Study.<sup>*</sup>", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-15 03:15:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1718678"], "description"=>"<p>*Excluding men with prostate cancer and/or previous prostate surgery.</p><p>**Total numbers in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0109278#pone-0109278-t004\" target=\"_blank\">Table 4</a> do not include missing cases, but odds ratios and confidence intervals include the missing cases. Percentage missing: Erectile dysfunction  = 11.1%; Difficulty fathering children  = 4.3%; Requires help with daily tasks  = 3.8%; Physical functional limitation  = 8.5%; Psychological distress (K10 score)  = 5.9%; Self-rated quality of life  = 3.9%; other variables  = 0 missing.</p><p>***Adjusted for age, education, income, alcohol consumption, smoking, BMI and physical activity.</p><p>****Participants were categorised as having cardiovascular disease if they answered YES to any of the following ‘Has your doctor ever told you that you have heart disease/stroke/blood clot (thrombosis)?’</p><p>Risk of severe overall, storage and voiding Lower Urinary Tract Symptoms (LUTS) according to self-reported health measures among men in the 45 and Up Study.<sup><a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0109278#nt107\" target=\"_blank\">*</a></sup></p>", "links"=>[], "tags"=>["Severe LUTS", "Australian Men", "modifiable risk factors", "school certificate", "International Prostate Symptom", "heart disease", "voiding symptoms", "prostate surgery", "tract symptoms", "Urinary Tract Symptoms", "questionnaire data", "cohort study.Design", "New South Wales", "odds ratio", "comorbid conditions", "odds ratios", "risk factors", "Statistical AnalysisLUTS", "Prostate cancer", "Health Factors", "Australia.Outcome Measures"], "article_id"=>1205578, "categories"=>["Biological Sciences"], "users"=>["David P. Smith", "Marianne F. Weber", "Kay Soga", "Rosemary J. Korda", "Gabriella Tikellis", "Manish I. Patel", "Mark S. Clements", "Terry Dwyer", "Isabel K. Latz", "Emily Banks"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0109278.t004", "stats"=>{"downloads"=>5, "page_views"=>15, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_of_severe_overall_storage_and_voiding_Lower_Urinary_Tract_Symptoms_LUTS_according_to_self_reported_health_measures_among_men_in_the_45_and_Up_Study_/1205578", "title"=>"Risk of severe overall, storage and voiding Lower Urinary Tract Symptoms (LUTS) according to self-reported health measures among men in the 45 and Up Study.<sup>*</sup>", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-10-15 03:15:11"}

PMC Usage Stats | Further Information

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  • {"unique-ip"=>"16", "full-text"=>"17", "pdf"=>"6", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"10"}
  • {"unique-ip"=>"22", "full-text"=>"24", "pdf"=>"8", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"11"}
  • {"unique-ip"=>"22", "full-text"=>"21", "pdf"=>"7", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2017", "month"=>"12"}
  • {"unique-ip"=>"17", "full-text"=>"19", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"3", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"1"}
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  • {"unique-ip"=>"40", "full-text"=>"40", "pdf"=>"9", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"3"}
  • {"unique-ip"=>"47", "full-text"=>"49", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"2", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2019", "month"=>"1"}
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  • {"unique-ip"=>"34", "full-text"=>"44", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"9"}
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  • {"unique-ip"=>"51", "full-text"=>"56", "pdf"=>"5", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"5"}
  • {"unique-ip"=>"39", "full-text"=>"36", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"6"}
  • {"unique-ip"=>"25", "full-text"=>"25", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2018", "month"=>"7"}
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Relative Metric

{"start_date"=>"2014-01-01T00:00:00Z", "end_date"=>"2014-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences", "average_usage"=>[285]}, {"subject_area"=>"/Medicine and health sciences/Anatomy", "average_usage"=>[266]}, {"subject_area"=>"/Medicine and health sciences/Cardiology", "average_usage"=>[246]}, {"subject_area"=>"/Medicine and health sciences/Health care", "average_usage"=>[283, 456]}, {"subject_area"=>"/Medicine and health sciences/Oncology", "average_usage"=>[266]}, {"subject_area"=>"/Medicine and health sciences/Public and occupational health", "average_usage"=>[327, 510]}, {"subject_area"=>"/Medicine and health sciences/Urology", "average_usage"=>[287, 446]}]}
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