Higher Physical Activity is Associated with Reduced Lower Urinary Tract Symptoms in Korean Men

Purpose: Identifying and managing risk factors for lower urinary tract symptoms (LUTS) is crucial because it impacts the quality of life of elderly individuals. Lifestyle factors, including physical activity (PA), and their relationship with LUTS have not been well studied. This objective of this...

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Main Authors: Seo Eun Hwang, Jae Moon Yun, Su Hwan Cho, Kyungha Min, Ji Young Kim, Hyuktae Kwon, Jin Ho Park
Format: Article
Language:English
Published: Korean Society for Sexual Medicine and Andrology 2025-01-01
Series:The World Journal of Men's Health
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author Seo Eun Hwang
Jae Moon Yun
Su Hwan Cho
Kyungha Min
Ji Young Kim
Hyuktae Kwon
Jin Ho Park
author_facet Seo Eun Hwang
Jae Moon Yun
Su Hwan Cho
Kyungha Min
Ji Young Kim
Hyuktae Kwon
Jin Ho Park
author_sort Seo Eun Hwang
collection DOAJ
description Purpose: Identifying and managing risk factors for lower urinary tract symptoms (LUTS) is crucial because it impacts the quality of life of elderly individuals. Lifestyle factors, including physical activity (PA), and their relationship with LUTS have not been well studied. This objective of this study was to investigate the association between PA and LUTS. Materials and Methods: A total of 7,296 men were included in this cross-sectional study. PA was quantified in metabolic equivalent (MET)-hours per week, and LUTS severity was assessed using the international prostate symptom score. Logistic regression was used to analyze the association between PA and LUTS, including voiding and storage symptoms. Results: The average age of the participants was 57.8 years, and the prevalence of LUTS was 41.3%. After adjusting for potential confounders, PA was inversely associated with the prevalence and severity of moderate-to-severe LUTS, showing a doseresponse pattern (all p for trend <0.01). Compared to the minimal activity group, which engaged in <5 MET-hours per week of PA, the odds ratios for moderate to severe LUTS were 0.83 (95% confidence interval [CI]: 0.72–0.97) for men engaging in 15–30 MET-hours per week, 0.82 (95% CI: 0.71–0.95) for 30–60 MET-hours per week, and 0.72 (95% CI: 0.62–0.84) for ≥60 MET-hours per week. The possible protective effect of PA was still observed in the additional analysis for voiding and storage symptoms showing the same dose-response pattern (all p for trend <0.01). Conclusions: A higher PA level was associated with a lower prevalence and severity of total, voiding, and storage LUTS in a dose-dependent manner in Korean men.
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publisher Korean Society for Sexual Medicine and Andrology
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spelling doaj-art-5b9a391bdf444c9a8754b9b90c2e4e1c2025-01-03T04:38:07ZengKorean Society for Sexual Medicine and AndrologyThe World Journal of Men's Health2287-42082287-46902025-01-0143116617310.5534/wjmh.230303Higher Physical Activity is Associated with Reduced Lower Urinary Tract Symptoms in Korean MenSeo Eun Hwang0https://orcid.org/0000-0001-6749-0970Jae Moon Yun1https://orcid.org/0000-0003-0927-4721Su Hwan Cho2https://orcid.org/0000-0002-1917-8138Kyungha Min3https://orcid.org/0000-0002-4536-409XJi Young Kim4https://orcid.org/0000-0002-6739-3545Hyuktae Kwon5https://orcid.org/0000-0002-0312-3650Jin Ho Park6https://orcid.org/0000-0002-3942-6813Department of Family Medicine, Seoul National University Hospital, Seoul, KoreaDepartment of Family Medicine, Seoul National University Hospital, Seoul, KoreaDepartment of Family Medicine, Seoul National University Hospital, Seoul, KoreaDepartment of Family Medicine, Seoul National University Hospital, Seoul, KoreaDepartment of Family Medicine, Seoul National University Hospital, Seoul, KoreaDepartment of Family Medicine, Seoul National University Hospital, Seoul, KoreaDepartment of Family Medicine, Seoul National University Hospital, Seoul, KoreaPurpose: Identifying and managing risk factors for lower urinary tract symptoms (LUTS) is crucial because it impacts the quality of life of elderly individuals. Lifestyle factors, including physical activity (PA), and their relationship with LUTS have not been well studied. This objective of this study was to investigate the association between PA and LUTS. Materials and Methods: A total of 7,296 men were included in this cross-sectional study. PA was quantified in metabolic equivalent (MET)-hours per week, and LUTS severity was assessed using the international prostate symptom score. Logistic regression was used to analyze the association between PA and LUTS, including voiding and storage symptoms. Results: The average age of the participants was 57.8 years, and the prevalence of LUTS was 41.3%. After adjusting for potential confounders, PA was inversely associated with the prevalence and severity of moderate-to-severe LUTS, showing a doseresponse pattern (all p for trend <0.01). Compared to the minimal activity group, which engaged in <5 MET-hours per week of PA, the odds ratios for moderate to severe LUTS were 0.83 (95% confidence interval [CI]: 0.72–0.97) for men engaging in 15–30 MET-hours per week, 0.82 (95% CI: 0.71–0.95) for 30–60 MET-hours per week, and 0.72 (95% CI: 0.62–0.84) for ≥60 MET-hours per week. The possible protective effect of PA was still observed in the additional analysis for voiding and storage symptoms showing the same dose-response pattern (all p for trend <0.01). Conclusions: A higher PA level was associated with a lower prevalence and severity of total, voiding, and storage LUTS in a dose-dependent manner in Korean men.korealower urinary tract symptomsmen’s healthphysical activity
spellingShingle Seo Eun Hwang
Jae Moon Yun
Su Hwan Cho
Kyungha Min
Ji Young Kim
Hyuktae Kwon
Jin Ho Park
Higher Physical Activity is Associated with Reduced Lower Urinary Tract Symptoms in Korean Men
The World Journal of Men's Health
korea
lower urinary tract symptoms
men’s health
physical activity
title Higher Physical Activity is Associated with Reduced Lower Urinary Tract Symptoms in Korean Men
title_full Higher Physical Activity is Associated with Reduced Lower Urinary Tract Symptoms in Korean Men
title_fullStr Higher Physical Activity is Associated with Reduced Lower Urinary Tract Symptoms in Korean Men
title_full_unstemmed Higher Physical Activity is Associated with Reduced Lower Urinary Tract Symptoms in Korean Men
title_short Higher Physical Activity is Associated with Reduced Lower Urinary Tract Symptoms in Korean Men
title_sort higher physical activity is associated with reduced lower urinary tract symptoms in korean men
topic korea
lower urinary tract symptoms
men’s health
physical activity
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AT kyunghamin higherphysicalactivityisassociatedwithreducedlowerurinarytractsymptomsinkoreanmen
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