Work

Lower urinary tract symptoms in older adults as a manifestation of underlying geriatric conditions: results of a national population-based study PolSenior2

Year: 2025

Type: article

Abstract: INTRODUCTION: Lower urinary tract symptoms (LUTS) are a common problem among older patients in primary and general care. OBJECTIVE: We aimed to estimate the prevalence of LUTS and their association with issues related to health status, other geriatric problems, lifestyle factors, and social conditions in a population of Polish citizens aged over 60 years.. PATIENTS AND METHODS: The analysis was part of a national cross‑sectional study PolSenior2, conducted in the years 2018 and 2019 in a cohort of 5698 community‑dwelling older adults. Data on LUTS, health status, and socioeconomic situation were obtained based on a detailed questionnaire, International Prostate Symptom Score (IPSS), Comprehensive Geriatric Assessment, and laboratory analyses. RESULTS: The prevalence of LUTS in the Polish population aged over 60 years was estimated at 60.5%; it was significantly higher in women (67.8%; 95% CI, 64.3-71.2) than men (50.3%; 95% CI, 47.2-53.5). The most frequent symptom was nocturia (46.7%), followed by stress urinary incontinence (28.7%) and urgency (21.5%). Univariable analysis showed associations between LUTS and age, obesity, reduced functional capacity, mobility problems, a history of falls, depressive symptoms, cognitive dysfunction, multimorbidity, heart failure, diuretic use, and polypharmacy. In a multivariable regression model, age of 75 years or above, obesity, functional disability, falls, depression, cognitive impairment, multimorbidity, and polypharmacy were independently associated with the occurrence of LUTS. CONCLUSIONS: LUTS affect the majority of older adults. They are associated with numerous sociodemographic and health‑related factors, including typical geriatric problems. Therefore, it is recommended that elderly patients who present with LUTS be investigated for other common age‑related conditions and referred to a geriatrician.

Source: Polskie Archiwum Medycyny Wewnętrznej

DOI: 10.20452/pamw.17147

Authors: Hanna Kujawska-Danecka, Małgorzata Mossakowska, Jerzy Chudek, Adam Hajduk, Katarzyna Wieczorowska-Tobis, Michał Chmielewski, Barbara Gryglewska

Institutions: Gdańsk Medical University, International Institute of Molecular and Cell Biology, Medical University of Silesia, Poznan University of Medical Sciences, Jagiellonian University

Language: English

Topic: Urinary Bladder and Prostate Research

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415613530

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