Impact of lower urinary tract symptoms and depression on health-related quality of life in older adults

• Published in: International neurourology journal 2012, 16(3), , pp.132-138
• Main Authors: Song, Hyo Jeong, Han, Mi Ah, Kang, Hyung Chang, Park, Kyung Suk, Kim, Kwang Sung, Kim, Mi Kyung, Kang, Jina, Park, Eun Ok, Hyun, Mi Yeul, Kim, Chul Soo
• Format: Article
• Language: English
• Subjects: Aged; Depression; Lower urinary tract symptoms; Original; Quality of life; 비뇨기과학
• ISSN: 2093-4777; 2093-6931
• DOI: 10.5213/inj.2012.16.3.132

We aimed primarily to investigate the level of health-related quality of life (HRQoL), lower urinary tract symptoms (LUTS), and depression in older adults and secondly to identify the impact of LUTS and depression on HRQoL. A community-based cross-sectional study was conducted from April to November 2010. Participants were recruited from five community senior centers serving community dwelling older adults in Jeju city. Data analysis was based on 171 respondents. A structured questionnaire was used to guide interviews; the data were collected including demographic characteristics, body mass index, adherence to regular exercise, comorbidities (hypertension, diabetes mellitus, and osteoarthritis), depression, urinary incontinence, LUTS (measured via the International Prostate Symptom Score [IPSS]), and HRQoL as assessed by use of the EQ-5D Index. Stepwise multiple regression analysis was used to test predictors of HRQoL. Eighteen percent (18.6%) of the respondents reported depressive symptoms. The mean LUTS score was 8.9 (IPSS range, 0 to 35). The severity of LUTS, was reported to be mild (score, 0 to 7) by 53% of the respondents, moderate (score, 8 to 19) by 34.5%, and severe (score, 20 to 35) by 12.5%. HRQoL was significantly predicted by depression (Partial R(2)=0.193, P