Abstract

ABSTRACTPurpose The aim of this study was to evaluate the individual change of International prostate Symptom Score (IPSS) and Overactive Bladder Symptom Score (OABSS) in each patient by temperature conditions.Materials and Methods The severity of lower urinary tract symptoms (LUTS) was explored using the IPSS and OABSS questionnaires that were completed by 2.486 subjects (923 males and 1.563 females) aged 60 years and older. Korea Meteorological Administration data was used to determine daily average temperature and daily temperature difference on the interview dates at each site.Results The mean IPSS and mean age for males was 13.45±8.24 and 75.03±6.20 years, respectively. The mean OABSS and mean age for females was 4.41±3.10 and 73.74±6.03years, respectively. Daily average temperature and daily temperature difference ranged from-3.4-28.3oC and 2.2-16.9oC, respectively. Age was a significantly risk factor for IPSS, OABSS, and QoL (P<0.001, <0.001, and 0.005, respectively). After multiple regression analysis, daily average temperatures did not show a statistically significant change in IPSS and OABSS. Only daily temperature differences were associated with male LUTS.Conclusions While LUTS could be worsened in low temperatures generally, IPSS and OABSS were not affected by daily average temperature conditions. Daily temperature differences may be more influential than daily average temperatures.

Highlights

  • Variance in environmental temperature has been associated with various diseases

  • One-way ANOVA analysis was conducted to determine the age-related risk of benign prostate hyperplasia (BPH), overactive bladder (OAB), and quality of life (QoL)

  • To evaluate the influence of topographical characteristics, there was no difference of International prostate Symptom Score (IPSS), QoL, and Overactive Bladder Symptom Score (OABSS) between coastal and inland area (Table-4)

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Summary

Introduction

Variance in environmental temperature has been associated with various diseases. The documented more frequent occurrence of myocardial infarction in cold temperatures is attributed to increase in plasma viscosity, serum cholesterol levels, blood pressure, sympathetic nervous activities, and platelet aggregation [1, 2]. Seasonal variations of LUTS were reported in several small longitudinal studies; cold ibju | Ambient temperature and voiding symptoms. H2012 L2012 environmental stress and ambient temperature change elicited urinary sensations and frequent urination along with increasing heart rate and blood pressure [3, 4]. Changes in fluid temperature did not significantly change the threshold volume of bladder sensation or increase the incidence of idiopathic detrusor overactivity in urodynamic studies [7]. There is no general consensus about the effect of environmental temperature on LUTS associated with BPH and overactive bladder (OAB). We focused on ambient temperature as an environmental factor affecting LUTS associated with BPH or OAB, and attempted to explain the temperature difference changes in BPH or OAB severity

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