Relationship between lower urinary tract symptoms and metabolic syndrome in a community-based elderly population.
OBJECTIVE
Evidence has shown that a relationship exists between lower urinary tract symptoms and the metabolic syndrome. We investigated the relationship between the metabolic syndrome and lower urinary tract symptoms in a community-based elderly population.


METHODS
We collected data from the Korean Longitudinal Study on Health and Aging. We selected a total of 348 male participants by random sampling. The selected patients were interviewed with a questionnaire that included the International Prostate Symptom Score (IPSS) and were evaluated with history, physical examination, blood tests, and transrectal ultrasonography. We divided the participant into two groups: the metabolic syndrome group, which met the metabolic syndrome criteria (n = 102, 74.3 +/- 8.1 years old) and the nonmetabolic syndrome group, which did not (n = 246, 74.9 +/- 8.1 years old). We compared the voiding symptoms, quality of life, and prostate volume between the two groups.


RESULTS
No significant differences were found in the mean IPSS or quality-of-life score between the metabolic and nonmetabolic syndrome groups. The total IPSS for the two groups was 11.1 +/- 8.2 and 12.3 +/- 8.8, respectively (P > .05), and the quality-of-life score was 2.1 +/- 1 and 52.4 +/- 1.6, respectively (P > .05). The percentage of patients with moderate to severe voiding symptoms (IPSS of 8 or greater) was not different between the metabolic and nonmetabolic groups (55% and 61%, respectively, P > .05).


CONCLUSIONS
No statistically significant differences were found in voiding symptoms between the metabolic and nonmetabolic groups. The results of our study showed that no relationship exists between lower urinary tract symptoms and metabolic syndrome in elderly Korean male patients.
Park
Hyoung Keun
HK
Department of Urology, Dongguk University International Hospital, Dongguk University, Gyeonggido, Korea.
Lee
Hae Won
HW
Lee
Kwang Soo
KS
Byun
Seok-Soo
SS
Jeong
Sung Jin
SJ
Hong
Sung Kyu
SK
Lee
Sang Eun
SE
Park
Joon Hyuk
JH
Lee
Seok Bum
SB
Kim
Ki Woong
KW
D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D048909:Diabetes Complications / Q000175:diagnosis; D006801:Humans; D007723:Korea; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications* / Q000175:diagnosis*; D015999:Multivariate Analysis; D011467:Prostate / Q000033:anatomy & histology / Q000473:pathology; D011788:Quality of Life; D016896:Treatment Outcome; D014554:Urination; D014570:Urologic Diseases / Q000150:complications* / Q000175:diagnosis*