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Menopausal stages and overactive bladder symptoms in middle‐aged women: A cross‐sectional study
Objective To examine the prevalence of overactive bladder (OAB) according to menopausal stages in middle‐aged women. Design Cross‐sectional study. Setting Total Healthcare Center in South Korea. Population Middle‐aged Korean women (n=3469, mean age, 49.5 ± 2.9 years). Methods Menopausal stages were...
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| Published in: | BJOG : an international journal of obstetrics and gynaecology 2024-12, Vol.131 (13), p.1805-1814 |
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| container_end_page | 1814 |
| container_issue | 13 |
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| container_title | BJOG : an international journal of obstetrics and gynaecology |
| container_volume | 131 |
| creator | Park, Jungeun Chang, Yoosoo Kim, Jae Heon Choi, Hye Rin Kwon, Ria Lim, Ga‐Young Ahn, Jiin Kim, Kye‐Hyun Kim, Hoon Hong, Yun Soo Zhao, Di Cho, Juhee Guallar, Eliseo Park, Hyun‐Young Ryu, Seungho |
| description | Objective
To examine the prevalence of overactive bladder (OAB) according to menopausal stages in middle‐aged women.
Design
Cross‐sectional study.
Setting
Total Healthcare Center in South Korea.
Population
Middle‐aged Korean women (n=3469, mean age, 49.5 ± 2.9 years).
Methods
Menopausal stages were defined according to the Stages of Reproductive Aging Workshop +10 criteria, and menopausal symptoms were assessed using the Korean version of Menopause‐Specific Quality of Life (MENQOL). Logistic regression models were used to estimate prevalence ratios with 95% confidence intervals for OAB according to menopausal stage and to assess the associations with menopausal symptoms.
Main Outcome Measures
OAB symptoms were evaluated using the Overactive Bladder Symptom Score (OABSS).
Results
The prevalence of OAB increased with menopausal stage; however, the multivariable‐adjusted prevalence ratios for women in menopausal transition and postmenopausal stage were insignificant (ptrend = 0.160) compared to those for premenopausal women. Among individual OAB symptoms, the multivariable‐adjusted prevalence ratios for nocturia increased with menopausal stage in a dose–response manner (ptrend = 0.005 for 1 time/day; ptrend |
| doi_str_mv | 10.1111/1471-0528.17912 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3079172757</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3124170369</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2552-db92c96ec3476531f5a48ba3d287d5db4503b7e5d83381db88a6365fb8a2dba33</originalsourceid><addsrcrecordid>eNqFkLtOwzAUhi0EoqUwsyFLLCxpfYljh61UXAXqArPlxKcoVRKXuGnVjUfgGXkS3AsdWPBi6-j7fx1_CJ1T0qfhDGgsaUQEU30qU8oOUHc_Ody8SUQ4Ux104v2UEJowwo9Rh6s0ZSnlXZS_QO1mpvWmxH5u3sFjU1vsFtCYfF4sAGelsRYa7FfVbO4qj4saV4W1JXx_foWAxUtXQX2NhzhvnPdh6iFEXb2pbO3qFB1NTOnhbHf30Nvd7evoIXoe3z-Ohs9RzoRgkc1SlqcJ5DyWieB0IkysMsMtU9IKm8WC8EyCsIpzRW2mlEl4IiaZMswGjvfQ1bZ31riPFvxcV4XPoSxNDa71mpPgSDIpZEAv_6BT1zZh40BRFlNJeJIGarClNh9rYKJnTVGZZqUp0Wv_em1br23rjf-QuNj1tlkFds__Cg-A2ALLooTVf3365mm8Lf4BPpORNg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3124170369</pqid></control><display><type>article</type><title>Menopausal stages and overactive bladder symptoms in middle‐aged women: A cross‐sectional study</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Park, Jungeun ; Chang, Yoosoo ; Kim, Jae Heon ; Choi, Hye Rin ; Kwon, Ria ; Lim, Ga‐Young ; Ahn, Jiin ; Kim, Kye‐Hyun ; Kim, Hoon ; Hong, Yun Soo ; Zhao, Di ; Cho, Juhee ; Guallar, Eliseo ; Park, Hyun‐Young ; Ryu, Seungho</creator><creatorcontrib>Park, Jungeun ; Chang, Yoosoo ; Kim, Jae Heon ; Choi, Hye Rin ; Kwon, Ria ; Lim, Ga‐Young ; Ahn, Jiin ; Kim, Kye‐Hyun ; Kim, Hoon ; Hong, Yun Soo ; Zhao, Di ; Cho, Juhee ; Guallar, Eliseo ; Park, Hyun‐Young ; Ryu, Seungho</creatorcontrib><description>Objective
To examine the prevalence of overactive bladder (OAB) according to menopausal stages in middle‐aged women.
Design
Cross‐sectional study.
Setting
Total Healthcare Center in South Korea.
Population
Middle‐aged Korean women (n=3469, mean age, 49.5 ± 2.9 years).
Methods
Menopausal stages were defined according to the Stages of Reproductive Aging Workshop +10 criteria, and menopausal symptoms were assessed using the Korean version of Menopause‐Specific Quality of Life (MENQOL). Logistic regression models were used to estimate prevalence ratios with 95% confidence intervals for OAB according to menopausal stage and to assess the associations with menopausal symptoms.
Main Outcome Measures
OAB symptoms were evaluated using the Overactive Bladder Symptom Score (OABSS).
Results
The prevalence of OAB increased with menopausal stage; however, the multivariable‐adjusted prevalence ratios for women in menopausal transition and postmenopausal stage were insignificant (ptrend = 0.160) compared to those for premenopausal women. Among individual OAB symptoms, the multivariable‐adjusted prevalence ratios for nocturia increased with menopausal stage in a dose–response manner (ptrend = 0.005 for 1 time/day; ptrend < 0.001 for ≥2 times/day). The association between menopausal stages and nocturia occurring ≥2 times/day was evident in women without OAB and with relatively high MENQOL scores, vasomotor symptoms and difficulty sleeping.
Conclusions
The prevalence of OAB, particularly nocturia, increased with menopausal stage, and the association was obvious in women with other menopausal symptoms. This finding underscores the importance of addressing nocturia as a potential menopausal symptom in middle‐aged women. Further studies are required to understand the mechanisms linking OAB with menopausal symptoms in middle‐aged women.</description><identifier>ISSN: 1470-0328</identifier><identifier>ISSN: 1471-0528</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/1471-0528.17912</identifier><identifier>PMID: 38992913</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aging ; Bladder ; Cross-Sectional Studies ; Female ; Humans ; Menopause ; Menopause - physiology ; Middle Aged ; middle‐aged women ; Nocturia ; Nocturia - epidemiology ; overactive bladder ; Population studies ; Post-menopause ; Prevalence ; Quality of Life ; Regression analysis ; Republic of Korea - epidemiology ; Urinary Bladder, Overactive - epidemiology</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2024-12, Vol.131 (13), p.1805-1814</ispartof><rights>2024 John Wiley & Sons Ltd.</rights><rights>Copyright © 2024 Royal College of Obstetricians and Gynaecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2552-db92c96ec3476531f5a48ba3d287d5db4503b7e5d83381db88a6365fb8a2dba33</cites><orcidid>0000-0002-3927-8646 ; 0000-0002-6945-9050</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38992913$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Jungeun</creatorcontrib><creatorcontrib>Chang, Yoosoo</creatorcontrib><creatorcontrib>Kim, Jae Heon</creatorcontrib><creatorcontrib>Choi, Hye Rin</creatorcontrib><creatorcontrib>Kwon, Ria</creatorcontrib><creatorcontrib>Lim, Ga‐Young</creatorcontrib><creatorcontrib>Ahn, Jiin</creatorcontrib><creatorcontrib>Kim, Kye‐Hyun</creatorcontrib><creatorcontrib>Kim, Hoon</creatorcontrib><creatorcontrib>Hong, Yun Soo</creatorcontrib><creatorcontrib>Zhao, Di</creatorcontrib><creatorcontrib>Cho, Juhee</creatorcontrib><creatorcontrib>Guallar, Eliseo</creatorcontrib><creatorcontrib>Park, Hyun‐Young</creatorcontrib><creatorcontrib>Ryu, Seungho</creatorcontrib><title>Menopausal stages and overactive bladder symptoms in middle‐aged women: A cross‐sectional study</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Objective
To examine the prevalence of overactive bladder (OAB) according to menopausal stages in middle‐aged women.
Design
Cross‐sectional study.
Setting
Total Healthcare Center in South Korea.
Population
Middle‐aged Korean women (n=3469, mean age, 49.5 ± 2.9 years).
Methods
Menopausal stages were defined according to the Stages of Reproductive Aging Workshop +10 criteria, and menopausal symptoms were assessed using the Korean version of Menopause‐Specific Quality of Life (MENQOL). Logistic regression models were used to estimate prevalence ratios with 95% confidence intervals for OAB according to menopausal stage and to assess the associations with menopausal symptoms.
Main Outcome Measures
OAB symptoms were evaluated using the Overactive Bladder Symptom Score (OABSS).
Results
The prevalence of OAB increased with menopausal stage; however, the multivariable‐adjusted prevalence ratios for women in menopausal transition and postmenopausal stage were insignificant (ptrend = 0.160) compared to those for premenopausal women. Among individual OAB symptoms, the multivariable‐adjusted prevalence ratios for nocturia increased with menopausal stage in a dose–response manner (ptrend = 0.005 for 1 time/day; ptrend < 0.001 for ≥2 times/day). The association between menopausal stages and nocturia occurring ≥2 times/day was evident in women without OAB and with relatively high MENQOL scores, vasomotor symptoms and difficulty sleeping.
Conclusions
The prevalence of OAB, particularly nocturia, increased with menopausal stage, and the association was obvious in women with other menopausal symptoms. This finding underscores the importance of addressing nocturia as a potential menopausal symptom in middle‐aged women. Further studies are required to understand the mechanisms linking OAB with menopausal symptoms in middle‐aged women.</description><subject>Adult</subject><subject>Aging</subject><subject>Bladder</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Menopause</subject><subject>Menopause - physiology</subject><subject>Middle Aged</subject><subject>middle‐aged women</subject><subject>Nocturia</subject><subject>Nocturia - epidemiology</subject><subject>overactive bladder</subject><subject>Population studies</subject><subject>Post-menopause</subject><subject>Prevalence</subject><subject>Quality of Life</subject><subject>Regression analysis</subject><subject>Republic of Korea - epidemiology</subject><subject>Urinary Bladder, Overactive - epidemiology</subject><issn>1470-0328</issn><issn>1471-0528</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNqFkLtOwzAUhi0EoqUwsyFLLCxpfYljh61UXAXqArPlxKcoVRKXuGnVjUfgGXkS3AsdWPBi6-j7fx1_CJ1T0qfhDGgsaUQEU30qU8oOUHc_Ody8SUQ4Ux104v2UEJowwo9Rh6s0ZSnlXZS_QO1mpvWmxH5u3sFjU1vsFtCYfF4sAGelsRYa7FfVbO4qj4saV4W1JXx_foWAxUtXQX2NhzhvnPdh6iFEXb2pbO3qFB1NTOnhbHf30Nvd7evoIXoe3z-Ohs9RzoRgkc1SlqcJ5DyWieB0IkysMsMtU9IKm8WC8EyCsIpzRW2mlEl4IiaZMswGjvfQ1bZ31riPFvxcV4XPoSxNDa71mpPgSDIpZEAv_6BT1zZh40BRFlNJeJIGarClNh9rYKJnTVGZZqUp0Wv_em1br23rjf-QuNj1tlkFds__Cg-A2ALLooTVf3365mm8Lf4BPpORNg</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Park, Jungeun</creator><creator>Chang, Yoosoo</creator><creator>Kim, Jae Heon</creator><creator>Choi, Hye Rin</creator><creator>Kwon, Ria</creator><creator>Lim, Ga‐Young</creator><creator>Ahn, Jiin</creator><creator>Kim, Kye‐Hyun</creator><creator>Kim, Hoon</creator><creator>Hong, Yun Soo</creator><creator>Zhao, Di</creator><creator>Cho, Juhee</creator><creator>Guallar, Eliseo</creator><creator>Park, Hyun‐Young</creator><creator>Ryu, Seungho</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3927-8646</orcidid><orcidid>https://orcid.org/0000-0002-6945-9050</orcidid></search><sort><creationdate>202412</creationdate><title>Menopausal stages and overactive bladder symptoms in middle‐aged women: A cross‐sectional study</title><author>Park, Jungeun ; Chang, Yoosoo ; Kim, Jae Heon ; Choi, Hye Rin ; Kwon, Ria ; Lim, Ga‐Young ; Ahn, Jiin ; Kim, Kye‐Hyun ; Kim, Hoon ; Hong, Yun Soo ; Zhao, Di ; Cho, Juhee ; Guallar, Eliseo ; Park, Hyun‐Young ; Ryu, Seungho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2552-db92c96ec3476531f5a48ba3d287d5db4503b7e5d83381db88a6365fb8a2dba33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aging</topic><topic>Bladder</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Menopause</topic><topic>Menopause - physiology</topic><topic>Middle Aged</topic><topic>middle‐aged women</topic><topic>Nocturia</topic><topic>Nocturia - epidemiology</topic><topic>overactive bladder</topic><topic>Population studies</topic><topic>Post-menopause</topic><topic>Prevalence</topic><topic>Quality of Life</topic><topic>Regression analysis</topic><topic>Republic of Korea - epidemiology</topic><topic>Urinary Bladder, Overactive - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Jungeun</creatorcontrib><creatorcontrib>Chang, Yoosoo</creatorcontrib><creatorcontrib>Kim, Jae Heon</creatorcontrib><creatorcontrib>Choi, Hye Rin</creatorcontrib><creatorcontrib>Kwon, Ria</creatorcontrib><creatorcontrib>Lim, Ga‐Young</creatorcontrib><creatorcontrib>Ahn, Jiin</creatorcontrib><creatorcontrib>Kim, Kye‐Hyun</creatorcontrib><creatorcontrib>Kim, Hoon</creatorcontrib><creatorcontrib>Hong, Yun Soo</creatorcontrib><creatorcontrib>Zhao, Di</creatorcontrib><creatorcontrib>Cho, Juhee</creatorcontrib><creatorcontrib>Guallar, Eliseo</creatorcontrib><creatorcontrib>Park, Hyun‐Young</creatorcontrib><creatorcontrib>Ryu, Seungho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Jungeun</au><au>Chang, Yoosoo</au><au>Kim, Jae Heon</au><au>Choi, Hye Rin</au><au>Kwon, Ria</au><au>Lim, Ga‐Young</au><au>Ahn, Jiin</au><au>Kim, Kye‐Hyun</au><au>Kim, Hoon</au><au>Hong, Yun Soo</au><au>Zhao, Di</au><au>Cho, Juhee</au><au>Guallar, Eliseo</au><au>Park, Hyun‐Young</au><au>Ryu, Seungho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Menopausal stages and overactive bladder symptoms in middle‐aged women: A cross‐sectional study</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2024-12</date><risdate>2024</risdate><volume>131</volume><issue>13</issue><spage>1805</spage><epage>1814</epage><pages>1805-1814</pages><issn>1470-0328</issn><issn>1471-0528</issn><eissn>1471-0528</eissn><abstract>Objective
To examine the prevalence of overactive bladder (OAB) according to menopausal stages in middle‐aged women.
Design
Cross‐sectional study.
Setting
Total Healthcare Center in South Korea.
Population
Middle‐aged Korean women (n=3469, mean age, 49.5 ± 2.9 years).
Methods
Menopausal stages were defined according to the Stages of Reproductive Aging Workshop +10 criteria, and menopausal symptoms were assessed using the Korean version of Menopause‐Specific Quality of Life (MENQOL). Logistic regression models were used to estimate prevalence ratios with 95% confidence intervals for OAB according to menopausal stage and to assess the associations with menopausal symptoms.
Main Outcome Measures
OAB symptoms were evaluated using the Overactive Bladder Symptom Score (OABSS).
Results
The prevalence of OAB increased with menopausal stage; however, the multivariable‐adjusted prevalence ratios for women in menopausal transition and postmenopausal stage were insignificant (ptrend = 0.160) compared to those for premenopausal women. Among individual OAB symptoms, the multivariable‐adjusted prevalence ratios for nocturia increased with menopausal stage in a dose–response manner (ptrend = 0.005 for 1 time/day; ptrend < 0.001 for ≥2 times/day). The association between menopausal stages and nocturia occurring ≥2 times/day was evident in women without OAB and with relatively high MENQOL scores, vasomotor symptoms and difficulty sleeping.
Conclusions
The prevalence of OAB, particularly nocturia, increased with menopausal stage, and the association was obvious in women with other menopausal symptoms. This finding underscores the importance of addressing nocturia as a potential menopausal symptom in middle‐aged women. Further studies are required to understand the mechanisms linking OAB with menopausal symptoms in middle‐aged women.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38992913</pmid><doi>10.1111/1471-0528.17912</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3927-8646</orcidid><orcidid>https://orcid.org/0000-0002-6945-9050</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1470-0328 |
| ispartof | BJOG : an international journal of obstetrics and gynaecology, 2024-12, Vol.131 (13), p.1805-1814 |
| issn | 1470-0328 1471-0528 1471-0528 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3079172757 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Aging Bladder Cross-Sectional Studies Female Humans Menopause Menopause - physiology Middle Aged middle‐aged women Nocturia Nocturia - epidemiology overactive bladder Population studies Post-menopause Prevalence Quality of Life Regression analysis Republic of Korea - epidemiology Urinary Bladder, Overactive - epidemiology |
| title | Menopausal stages and overactive bladder symptoms in middle‐aged women: A cross‐sectional study |
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