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Original Research

Open Access

The association between lower urinary tract symptoms and depressive symptoms in older Korean adults: a cross-sectional study

  • Do Gyeong Lim1
  • Seong Hyeon Yu1
  • Ju-Wan Kim2
  • Jae-Young Han3
  • Min-Ho Shin4
  • Kwangsung Park1,5,*,

1Department of Urology, Chonnam National University Medical School, 61469 Gwangju, Republic of Korea

2Departments of Psychiatry Chonnam National University Medical School, 61469 Gwangju, Republic of Korea

3Department of Physical & Rehabilitation Medicine, Chonnam National University Medical School & Hospital, 61469 Gwangju, Republic of Korea

4Department of Preventive Medicine, Chonnam National University Medical School, 58128 Hwasun, Republic of Korea

5Advanced Institute of Aging Science, Chonnam National University, 61469 Gwangju, Republic of Korea

DOI: 10.22514/jomh.2024.094 Vol.20,Issue 6,June 2024 pp.78-84

Submitted: 05 December 2023 Accepted: 04 January 2024

Published: 30 June 2024

*Corresponding Author(s): Kwangsung Park E-mail: kpark@jnu.ac.kr

Abstract

This study aimed to investigate the relationship between lower urinary tract symptoms (LUTS) and depressive symptoms in Korean adults aged 60 and above. We prospectively collected data from 524 older adults (68.7% male, 31.3% female) who visited a community center called Bitgoeul Senior Health Town, Gwangju, Korea, between 2021 and 2022. The mean age of the participants was 77.78 ± 5.44 years. All participants completed a set of questionnaires, including the International Prostate Symptom Score (IPSS), Subjective Memory Complaints Questionnaire (SMCQ), and Geriatric Depression Scale Short Form (GDS-SF). The mean total IPSS score was 8.76 ± 6.10, the mean SMCQ 3.68 ± 2.66, and the mean GDS-SF score 2.75 ± 3.15, respectively. Severe voiding symptoms were more prevalent in older adults with advanced age, insomnia and high SMCQ and GDS-SF scores. Multivariable analyses revealed that IPSS was significantly associated with depressive symptoms (β = 3.233, p < 0.001). Furthermore, female gender (95% confidence interval (CI): 1.11–4.07, odds ratio (OR) = 2.12, p = 0.023). Moderate or severe IPSS scores (95% CI: 1.03–2.98, OR = 1.75, p = 0.040) and high SMCQ scores (95% CI: 2.14–6.15, OR = 3.62, p < 0.001) were identified as independent risk factors for depression in older adults. Our findings indicate a significant association between the severity of subjective voiding symptoms and depressive symptoms in older Korean adults. These results underscore the necessity of assessing and managing LUTS in this demographic, considering patients’ mental health and overall well-being.


Keywords

Aged; Health care surveys; Lower urinary tract symptoms; Depression


Cite and Share

Do Gyeong Lim,Seong Hyeon Yu,Ju-Wan Kim,Jae-Young Han,Min-Ho Shin,Kwangsung Park. The association between lower urinary tract symptoms and depressive symptoms in older Korean adults: a cross-sectional study. Journal of Men's Health. 2024. 20(6);78-84.

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