A multicenter cross-sectional study on the correlation between lower urinary tract symptoms and sleep status in female nurses aged 40 years and above
Year: 2026
Type: article
Study design: Observational Study
Abstract: Objective This multicenter cross-sectional study aimed to identify factors associated with lower urinary tract symptoms (LUTS) and to examine the relationship between LUTS, voiding behaviors, and sleep quality among female nurses aged ≥40 years in Shandong Province, China. Methods Using a two-stage stratified cluster sampling design based on regional economic status, we selected 20 public tertiary hospitals and enrolled 2,455 eligible female nurses. LUTS were assessed using the validated Chinese version of the International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS), voiding behaviors with the Voiding Behavior Questionnaire, and sleep quality with the Pittsburgh Sleep Quality Index (PSQI). Multivariable binary logistic regression was used to identify factors associated with LUTS. Results Age, BMI, cesarean section, vaginal delivery, constipation, diarrhea, daily fluid intake (≤500 mL) and coffee consumption were independently associated with LUTS ( p < 0.05). Total LUTS score, total voiding behavior score and subdomain scores were positively correlated with PSQI score ( p < 0.05). Hierarchical regression analysis showed that LUTS (yes/no), total voiding behavior score and the “urine holding” subdomain score entered the regression equation, collectively explaining 12% of the variance in sleep quality ( p < 0.05). Conclusion LUTS and maladaptive voiding behaviors, particularly habitual urine holding, are significantly correlated with poor sleep quality in female nurses aged ≥40 years. Occupational health interventions targeting modifiable voiding behaviors may offer a novel approach to improving sleep in this high-risk population. Future longitudinal studies are needed to establish causality.
Source: Frontiers in Public Health
Institution: Shengli Oilfield Central Hospital
Language: English
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W7172492410