Shift Workers With Shift Work Disorder Have Worse Lower Urinary Tract Symptoms

To examine the association between shift work or shift work disorder (SWD) and lower urinary tract symptoms (LUTS). Nonstandard shift workers are defined as those working shifts outside of a normal 7 AM-6 PM work day. Men presenting to a single andrology clinic between July 2014 and June 2017 comple...

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Published in:Urology (Ridgewood, N.J.) N.J.), 2019-06, Vol.128, p.66-70
Main Authors: Sigalos, John T., Kohn, Taylor P., Cartagenova, Luis, Dao, Zachary, Gondokusumo, Jabez C., Santiago, Javier, Kohn, Jaden R., Pickett, Stephen M., Pastuszak, Alexander W., Lipshultz, Larry I.
Format: Article
Language:English
Subjects:
Adult
Follow-Up Studies
Humans
Incidence
Lower Urinary Tract Symptoms - diagnosis
Lower Urinary Tract Symptoms - epidemiology
Lower Urinary Tract Symptoms - etiology
Male
Middle Aged
Occupational Diseases - diagnosis
Occupational Diseases - epidemiology
Occupational Diseases - etiology
Quality of Life
Retrospective Studies
Severity of Illness Index
Shift Work Schedule - adverse effects
Surveys and Questionnaires
United States - epidemiology
Work Schedule Tolerance - physiology
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Summary:To examine the association between shift work or shift work disorder (SWD) and lower urinary tract symptoms (LUTS). Nonstandard shift workers are defined as those working shifts outside of a normal 7 AM-6 PM work day. Men presenting to a single andrology clinic between July 2014 and June 2017 completed questionnaires that included questions about work schedules, shift work status, SWD[1][1], personal well-being via the Patient Health Questionnaire-9, and LUTS (International Prostate Symptom Score [IPSS]). Men who had previously undergone prostate surgery were excluded. Shift work and SWD on IPSS was assessed via multivariate linear regression. Of the 2571 men who completed all questionnaires, 619 (24.1%) reported working nonstandard shifts in the past month. Of these, 196 (31.7%) had high risk of SWD as determined by a questionnaire. When controlling for age, medications, surgical intervention for benign prostatic hyperplasia, comorbidities, and testosterone (T) levels, nonstandard shift work overall was not associated with worse LUTS (P = .82). However, nonstandard shift workers at high risk for SWD had IPSS scores that were clinically significantly higher (3.74 points ± 0.57 standard error) than nonstandard shift workers without SWD (P
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2019.02.025