Relationship between METS-IR and ABSI index and the prevalence of nocturia: a cross-sectional analysis from the 2005–2020 NHANES data

Abstract Nocturia, marked by frequent nighttime urination, significantly impacts quality of life. This study explores the association of METS-IR (Metabolic Score for Insulin Resistance) and ABSI (A Body Shape Index) with nocturia, using data from the National Health and Nutrition Examination Survey...

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Main Authors: Fei Xue, Yating Zhou
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-81721-3
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author Fei Xue
Yating Zhou
author_facet Fei Xue
Yating Zhou
author_sort Fei Xue
collection DOAJ
description Abstract Nocturia, marked by frequent nighttime urination, significantly impacts quality of life. This study explores the association of METS-IR (Metabolic Score for Insulin Resistance) and ABSI (A Body Shape Index) with nocturia, using data from the National Health and Nutrition Examination Survey (NHANES). A cross-sectional analysis of NHANES data from 2005 to 2020 was performed. Multivariable logistic regression assessed the associations between METS-IR, ABSI, and nocturia, adjusting for demographic characteristics, chronic diseases, and lifestyle factors. Generalized additive models and smoothing splines were used to describe relationship dynamics. Among the 16,450 participants, both METS-IR (OR = 1.15, 95% CI: 1.11–1.20, p < 0.0001) and ABSI (OR = 1.14, 95% CI: 1.10–1.19, p < 0.0001) were significantly associated with nocturia based on z-scores. An incremental rise in the quartiles of METS-IR and ABSI was associated with a higher risk of nocturia. Specifically, compared to the lowest quartile (Q1), participants in the highest quartile (Q4) had an OR of 1.45 (95% CI: 1.30–1.61, p < 0.0001) for METS-IR and 1.38 (95% CI: 1.23–1.55, p < 0.0001) for ABSI. Subgroup analyses showed a stronger association between ABSI and nocturia among individuals living alone and those aged 20–38 years. Nonlinear modeling indicated a threshold effect for ABSI, with nocturia risk significantly increasing when ABSI exceeded 76.2. Higher METS-IR and ABSI indices are closely linked to a greater prevalence of nocturia, indicating that these indices can be valuable in clinical assessments for evaluating nocturia risk and supporting preventive strategies.
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spelling doaj-art-db568b9856d5445b8c0c3b31cb0ce01a2025-02-09T12:38:19ZengNature PortfolioScientific Reports2045-23222024-12-0114111110.1038/s41598-024-81721-3Relationship between METS-IR and ABSI index and the prevalence of nocturia: a cross-sectional analysis from the 2005–2020 NHANES dataFei Xue0Yating Zhou1Kunshan Hospital of Traditional Chinese MedicineKunshan Hospital of Traditional Chinese MedicineAbstract Nocturia, marked by frequent nighttime urination, significantly impacts quality of life. This study explores the association of METS-IR (Metabolic Score for Insulin Resistance) and ABSI (A Body Shape Index) with nocturia, using data from the National Health and Nutrition Examination Survey (NHANES). A cross-sectional analysis of NHANES data from 2005 to 2020 was performed. Multivariable logistic regression assessed the associations between METS-IR, ABSI, and nocturia, adjusting for demographic characteristics, chronic diseases, and lifestyle factors. Generalized additive models and smoothing splines were used to describe relationship dynamics. Among the 16,450 participants, both METS-IR (OR = 1.15, 95% CI: 1.11–1.20, p < 0.0001) and ABSI (OR = 1.14, 95% CI: 1.10–1.19, p < 0.0001) were significantly associated with nocturia based on z-scores. An incremental rise in the quartiles of METS-IR and ABSI was associated with a higher risk of nocturia. Specifically, compared to the lowest quartile (Q1), participants in the highest quartile (Q4) had an OR of 1.45 (95% CI: 1.30–1.61, p < 0.0001) for METS-IR and 1.38 (95% CI: 1.23–1.55, p < 0.0001) for ABSI. Subgroup analyses showed a stronger association between ABSI and nocturia among individuals living alone and those aged 20–38 years. Nonlinear modeling indicated a threshold effect for ABSI, with nocturia risk significantly increasing when ABSI exceeded 76.2. Higher METS-IR and ABSI indices are closely linked to a greater prevalence of nocturia, indicating that these indices can be valuable in clinical assessments for evaluating nocturia risk and supporting preventive strategies.https://doi.org/10.1038/s41598-024-81721-3NocturiaMETS-IRABSINHANESInsulin resistanceAbdominal obesity
spellingShingle Fei Xue
Yating Zhou
Relationship between METS-IR and ABSI index and the prevalence of nocturia: a cross-sectional analysis from the 2005–2020 NHANES data
Scientific Reports
Nocturia
METS-IR
ABSI
NHANES
Insulin resistance
Abdominal obesity
title Relationship between METS-IR and ABSI index and the prevalence of nocturia: a cross-sectional analysis from the 2005–2020 NHANES data
title_full Relationship between METS-IR and ABSI index and the prevalence of nocturia: a cross-sectional analysis from the 2005–2020 NHANES data
title_fullStr Relationship between METS-IR and ABSI index and the prevalence of nocturia: a cross-sectional analysis from the 2005–2020 NHANES data
title_full_unstemmed Relationship between METS-IR and ABSI index and the prevalence of nocturia: a cross-sectional analysis from the 2005–2020 NHANES data
title_short Relationship between METS-IR and ABSI index and the prevalence of nocturia: a cross-sectional analysis from the 2005–2020 NHANES data
title_sort relationship between mets ir and absi index and the prevalence of nocturia a cross sectional analysis from the 2005 2020 nhanes data
topic Nocturia
METS-IR
ABSI
NHANES
Insulin resistance
Abdominal obesity
url https://doi.org/10.1038/s41598-024-81721-3
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AT yatingzhou relationshipbetweenmetsirandabsiindexandtheprevalenceofnocturiaacrosssectionalanalysisfromthe20052020nhanesdata