The association of depression with lower urinary tract symptoms: data from the National Health and Nutrition Examination Survey, 2005–2008

Background To identify the factors associated with lower urinary tract symptoms (LUTS), we investigated associations between psychological factors, including depression and sleep disorders, and LUTS using the National Health and Nutrition Examination Survey (NHANES) database. Materials and Methods T...

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Main Authors: Jee Soo Park, Won Sik Ham, Chang Hee Hong, Byung Ha Chung, Kyo Chul Koo
Format: Article
Language:English
Published: PeerJ Inc. 2019-10-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/7795.pdf
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author Jee Soo Park
Won Sik Ham
Chang Hee Hong
Byung Ha Chung
Kyo Chul Koo
author_facet Jee Soo Park
Won Sik Ham
Chang Hee Hong
Byung Ha Chung
Kyo Chul Koo
author_sort Jee Soo Park
collection DOAJ
description Background To identify the factors associated with lower urinary tract symptoms (LUTS), we investigated associations between psychological factors, including depression and sleep disorders, and LUTS using the National Health and Nutrition Examination Survey (NHANES) database. Materials and Methods The NHANES database was examined for the period of 2005 to 2008. Men older than 40 years, who had completed questionnaires surveying their kidney/urologic, prostate, mental health, and sleep conditions were included in this study. LUTS was defined as the presence of two or more of the following symptoms: incomplete emptying, urinary hesitancy, urinary frequency, and nocturia. Multivariable models using logistic regression were used to compare groups of men with or without LUTS. Results Of 1,820 participants, 110 (6.1%) men reported depression, and 235 (12.9%) presented with LUTS. Men with LUTS were older and had a significantly higher prevalence of depression and unemployment. Sleep disorder was not associated with LUTS. Multivariable logistic regression models demonstrated that men reporting moderate depression had the highest age-adjusted odds (odds ratio = 5.89, 95% CI [3.44–10.11]; p < 0.001) of reporting clinical LUTS. Conclusions A significant association was observed between LUTS and depression, and between LUTS and employment status. Although the pathophysiology of these relationships is unclear, physicians should consider multi-disciplinary evaluation and treatment approaches for LUTS.
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spelling doaj.art-e80e231647ca4d89904d16e6a6036ed22023-12-03T10:05:25ZengPeerJ Inc.PeerJ2167-83592019-10-017e779510.7717/peerj.7795The association of depression with lower urinary tract symptoms: data from the National Health and Nutrition Examination Survey, 2005–2008Jee Soo Park0Won Sik Ham1Chang Hee Hong2Byung Ha Chung3Kyo Chul Koo4Department of Urology, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Urology, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Urology, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Urology, Yonsei University College of Medicine, Seoul, Republic of KoreaDepartment of Urology, Yonsei University College of Medicine, Seoul, Republic of KoreaBackground To identify the factors associated with lower urinary tract symptoms (LUTS), we investigated associations between psychological factors, including depression and sleep disorders, and LUTS using the National Health and Nutrition Examination Survey (NHANES) database. Materials and Methods The NHANES database was examined for the period of 2005 to 2008. Men older than 40 years, who had completed questionnaires surveying their kidney/urologic, prostate, mental health, and sleep conditions were included in this study. LUTS was defined as the presence of two or more of the following symptoms: incomplete emptying, urinary hesitancy, urinary frequency, and nocturia. Multivariable models using logistic regression were used to compare groups of men with or without LUTS. Results Of 1,820 participants, 110 (6.1%) men reported depression, and 235 (12.9%) presented with LUTS. Men with LUTS were older and had a significantly higher prevalence of depression and unemployment. Sleep disorder was not associated with LUTS. Multivariable logistic regression models demonstrated that men reporting moderate depression had the highest age-adjusted odds (odds ratio = 5.89, 95% CI [3.44–10.11]; p < 0.001) of reporting clinical LUTS. Conclusions A significant association was observed between LUTS and depression, and between LUTS and employment status. Although the pathophysiology of these relationships is unclear, physicians should consider multi-disciplinary evaluation and treatment approaches for LUTS.https://peerj.com/articles/7795.pdfLower urinary tract symptomsDepressionNHANES
spellingShingle Jee Soo Park
Won Sik Ham
Chang Hee Hong
Byung Ha Chung
Kyo Chul Koo
The association of depression with lower urinary tract symptoms: data from the National Health and Nutrition Examination Survey, 2005–2008
PeerJ
Lower urinary tract symptoms
Depression
NHANES
title The association of depression with lower urinary tract symptoms: data from the National Health and Nutrition Examination Survey, 2005–2008
title_full The association of depression with lower urinary tract symptoms: data from the National Health and Nutrition Examination Survey, 2005–2008
title_fullStr The association of depression with lower urinary tract symptoms: data from the National Health and Nutrition Examination Survey, 2005–2008
title_full_unstemmed The association of depression with lower urinary tract symptoms: data from the National Health and Nutrition Examination Survey, 2005–2008
title_short The association of depression with lower urinary tract symptoms: data from the National Health and Nutrition Examination Survey, 2005–2008
title_sort association of depression with lower urinary tract symptoms data from the national health and nutrition examination survey 2005 2008
topic Lower urinary tract symptoms
Depression
NHANES
url https://peerj.com/articles/7795.pdf
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