A community-based study on lower urinary tract symptoms in Malaysian males aged 40\xa0years and above

Mohamad Fuad Mohamad Anuar,Mohamed Ashraf Mohamed Daud,Shaiful Bahari Ismail,Muhammad Solihin Rezali

doi:10.1038/s41598-022-05890-9

Mohamad Fuad Mohamad Anuar, Mohamed Ashraf Mohamed Daud + Show 2 more

Open Access

https://doi.org/10.1038/s41598-022-05890-9

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Abstract

Lower urinary tract symptoms (LUTS) commonly affecting ageing men and is thought to be linked with other comorbidities and unhealthy lifestyles. This study was performed to report the prevalence of LUTS and its association with quality of life (QOL) in urination and other related factors. The study was part of the National Health and Morbidity Survey (NHMS) 2019, a cross-sectional community-based survey in Malaysia. Validated self-administered bilingual International Prostate Symptom Score (IPSS) was used to assess the LUTS. Other comorbidities and unhealthy lifestyles were recorded using face-to-face interview and in-situ measurements such as anthropometry assessment and blood measurement. There were a total of 2251 respondents. 16.3% of the respondents had clinically significant LUTS (IPSS ≥ 8). LUTS was found to be significantly associated with QOL, age and inactive physical activities. Nocturia was the most prevalent and bothersome symptom. LUTS is a common condition and adversely affect QOL. Ageing and physically inactive males are associated with the development of LUTS. It is recommended to increase public awareness of the condition and availability of treatment options for LUTS. Any upcoming survey should have a more in-depth investigation such as clinical profiling of subjects.

Highlights

Lower urinary tract symptoms (LUTS) commonly affecting ageing men and is thought to be linked with other comorbidities and unhealthy lifestyles
Based on the unhealthy lifestyles, the highest prevalence was among physically inactive men with 19.9%
Among the disease-related LUTS, hypertension had a higher prevalence of 19.5% (Table 1)

Summary

Introduction

Lower urinary tract symptoms (LUTS) commonly affecting ageing men and is thought to be linked with other comorbidities and unhealthy lifestyles. Lower urinary tract symptoms (LUTS) are a common problem and highly prevalent among ageing m en[1,2]. Previous studies stated that one in five men aged 40 and above suffer from moderate to severe LUTS (International Prostate Symptom Score (IPSS) ≥ 8)[3,4]. The development of LUTS is associated with increasing a ge[3,4,5,6,7,8], unhealthy lifestyles practices (such as physical inactivity, smoking habits and alcohol consumption)3,9–11 obesity[3,12] and medical conditions (non-communicable diseases such as diabetes mellitus, hypertension and hyperlipidaemia)[3,8,12]. Demographic LUTS Strata Urban Rural Age (years) 40–49 50–59 ≥ 60 Ethnicity Malay (including indigenous) Chinese Indian Borneo Others Risky lifestyles and disease related Smoking Alcohol user Overweight (BMI ≥ 25.00) Abdominal obesity (WC ≥ 90.0 cm) Physical inactive Hypertension Diabetes mellitus Hypercholesterolemia

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