title: Relationship between neck circumference and overactive bladder in women with metabolic syndrome: a preliminary study.
abstract: OBJECTIVE
  To investigate relationship between overactive bladder (OAB) and metabolic syndrome (MtS) by using neck circumference (NC).
  
  
  METHODS
  In retrospective view of prospective collected data, 204 women with or without OAB were enrolled into study, between August 2012 and December 2013. All patients were administered OAB validated questionnaires (OAB-V8) and whose score was > 8 were accepted as OAB. Patients were divided into two groups and group 1 consisted of patients with OAB, group 2 consisted of patients without OAB. Demographic data with anthropometric measurements and blood analyses were recorded. Statistical analyses including receiver operating characteristic (ROC) curves were performed; statistically significant p was < 0.05.
  
  
  RESULTS
  Mean age was 41.06 ± 9.78 years. There were 115 (56.4 %) patients in group 1, and 89 (43.6 %) patients in group 2. OAB-V8 scores were significant higher in group 1 than group 2 (p < 0.001). Waist circumference (WC) and NC measurements were statistical significant longer in group 1 than group 2 (p < 0.001). In multivariate logistic regression analyses age, body mass index, MtS, WC, and NC were statistical significant associated with OAB. In ROC curves, area under the curve (AUC) was 0.72 cm2for relationship between OAB and WC (p < 0.001), and AUC was 0.73 cm2for relationship between OAB and NC (p = 0.004). Cut-off NC and WC values for OAB were determined as 35.25 cm and 98.5 cm, respectively.
  
  
  CONCLUSIONS
  OAB with metabolic syndrome seems like more common in women than in those without. NC may be a novel indicator for OAB in selected female patients with MtS.
authors: Department of Urology, Harran University School of Medicine, 63100, Sanliurfa, Turkey. yigitakin@yahoo.com.
authors: Yigit
authors: Y
authors: Akin
authors: Department of Family Medicine, Public Health Institute, Konya, Turkey.
authors: Hakan
authors: H
authors: Gulmez
authors: Department of Urology, Antalya Teaching and Research Hospital, Antalya, Turkey.
authors: Murat
authors: M
authors: Savas
authors: Department of Urology, Bagcilar Teaching and Research Hospital, Istanbul, Turkey.
authors: Serdar
authors: S
authors: Aykan
authors: Department of Family Medicine, Public Health Institute, Zonguldak, Turkey.
authors: Ozde
authors: O
authors: Onder
authors: Deparment of Urology, Acibadem University School of Medicine, Istanbul, Turkey.
authors: Selcuk
authors: S
authors: Yucel
mesh_terms: D000328:Adult; D000886:Anthropometry / Q000379:methods; D015992:Body Mass Index; D049628:Body Size; D015897:Comorbidity; D005260:Female; D006801:Humans; D015994:Incidence; D024821:Metabolic Syndrome / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology; D010865:Pilot Projects; D015203:Reproducibility of Results; D018570:Risk Assessment / Q000379:methods; D012680:Sensitivity and Specificity; D013223:Statistics as Topic; D014421:Turkey / Q000453:epidemiology; D053201:Urinary Bladder, Overactive / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology; D016387:Women's Health / Q000706:statistics & numerical data
keywords: Metabolic syndrome; Neck circumference; Overactive bladder; ROC Curve; Waist circumference