Naomi Noguchi1, Lewis Chan2, Robert G Cumming1,3, Fiona M Blyth1, Vasi Naganathan1. 1. a Centre for Education and Research on Ageing and Ageing and Alzheimer's Institute, Concord Hospital, University of Sydney , Concord , NSW , Australia. 2. b Department of Urology , Concord Hospital, University of Sydney , Concord , NSW , Australia , and. 3. c School of Public Health, University of Sydney , Sydney , NSW , Australia.
Abstract
BACKGROUND: Lower urinary tract symptoms (LUTS) have been associated with falls in studies either exclusively or predominantly of women. It is, therefore, less clear if LUTS are risk factors for falls in men. METHODS: We conducted a systematic review of the literature on the association between LUTS and falls, injuries, and fractures in community-dwelling older men. Medline, Embase, and Cinahl were searched for any type of observational study that has been published in a peer-reviewed journal in English language. Studies were excluded if they did not report male-specific data or targeted specific patient populations. Results were summarized qualitatively. RESULTS: Three prospective cohort studies and six cross-sectional studies were identified. Incontinence, urgency, nocturia, and frequency were consistently shown to have weak to moderate association with falls (the point estimates of odds ratio and relative risk ranged from 1.31 to 1.67) in studies with low risk of bias for confounding. Only frequency was shown to be associated with fractures. CONCLUSIONS: Urinary incontinence and lower urinary tract storage symptoms are associated with falls in community-dwelling older men. The circumstances of falls in men with LUTS need to be investigated to generate hypotheses about what types of interventions may be effective in reducing falls.
BACKGROUND: Lower urinary tract symptoms (LUTS) have been associated with falls in studies either exclusively or predominantly of women. It is, therefore, less clear if LUTS are risk factors for falls in men. METHODS: We conducted a systematic review of the literature on the association between LUTS and falls, injuries, and fractures in community-dwelling older men. Medline, Embase, and Cinahl were searched for any type of observational study that has been published in a peer-reviewed journal in English language. Studies were excluded if they did not report male-specific data or targeted specific patient populations. Results were summarized qualitatively. RESULTS: Three prospective cohort studies and six cross-sectional studies were identified. Incontinence, urgency, nocturia, and frequency were consistently shown to have weak to moderate association with falls (the point estimates of odds ratio and relative risk ranged from 1.31 to 1.67) in studies with low risk of bias for confounding. Only frequency was shown to be associated with fractures. CONCLUSIONS: Urinary incontinence and lower urinary tract storage symptoms are associated with falls in community-dwelling older men. The circumstances of falls in men with LUTS need to be investigated to generate hypotheses about what types of interventions may be effective in reducing falls.
Authors: Scott R Bauer; Rebecca Scherzer; Anne M Suskind; Peggy Cawthon; Kristine E Ensrud; William A Ricke; Kenneth Covinsky; Lynn M Marshall Journal: J Am Geriatr Soc Date: 2020-08-21 Impact factor: 5.562
Authors: Scott R Bauer; Peggy M Cawthon; Kristine E Ensrud; Anne M Suskind; John C Newman; Howard A Fink; Kaiwei Lu; Rebecca Scherzer; Andrew R Hoffman; Kenneth Covinsky; Lynn M Marshall Journal: J Am Geriatr Soc Date: 2021-12-24 Impact factor: 5.562
Authors: Lorna Kwai Ping Suen; Hui Lin Cheng; Simon Kai Wang Yeung; Cypher Ho Au-Yeung; Jillianne Chi Yen Lee; Kathy Kit Ying Ho; Natalie Ming Yan Lau; Cristina Ka Fu Ng; Iris Wai Sze Chan Journal: PLoS One Date: 2017-10-30 Impact factor: 3.240
Authors: Maureen C Ashe; Nicola Y Edwards; Amanda Taylor; Laura Burnett; Lora Giangregorio; Kate Milne; Lindy Clemson; Lena Fleig Journal: Pilot Feasibility Stud Date: 2019-06-28
Authors: Sabine Britting; Rada Artzi-Medvedik; Paolo Fabbietti; Lisanne Tap; Francesco Mattace-Raso; Andrea Corsonello; Fabrizia Lattanzio; Johan Ärnlöv; Axel C Carlsson; Regina Roller-Wirnsberger; Gerhard Wirnsberger; Tomasz Kostka; Agnieszka Guligowska; Francesc Formiga; Rafael Moreno-Gonzalez; Pedro Gil; Sara Lainez Martinez; Robert Kob; Itshak Melzer; Ellen Freiberger Journal: BMC Geriatr Date: 2020-10-02 Impact factor: 3.921