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Lower urinary tract symptoms are associated with low levels of serum serotonin, high levels of adiponectin and fasting glucose, and benign prostatic enlargement

Haghsheno, Mohammad-Ali ; Mellstrom, Dan ; Peeker, Ralph ; Hammarsten, Jan ; Lorentzon, Mattias ; Sundh, Valter ; Karlsson, Magnus LU ; Ohlsson, Claes and Damber, Jan-Erik (2015) In Scandinavian Journal of Urology 49(2). p.155-161
Abstract
Objective. The aim of this study was to test whether lower urinary tract symptoms (LUTS) and urinary incontinence are associated with the metabolic syndrome (MetS). The association between LUTS and benign prostatic enlargement (BPE) was also investigated. Material and methods. A cross-sectional, representative risk factor analysis of LUTS, as measured by the International Prostate Symptom Score (IPSS), and urinary incontinence was conducted. Among 950 representative individuals, aged 69-81 years, the association between clinical, anthropometric, endocrine, metabolic and inflammatory factors on the one hand, as both major and minor aspects of MetS, and LUTS and urinary incontinence, on the other hand, was analysed. The prostate gland volume... (More)
Objective. The aim of this study was to test whether lower urinary tract symptoms (LUTS) and urinary incontinence are associated with the metabolic syndrome (MetS). The association between LUTS and benign prostatic enlargement (BPE) was also investigated. Material and methods. A cross-sectional, representative risk factor analysis of LUTS, as measured by the International Prostate Symptom Score (IPSS), and urinary incontinence was conducted. Among 950 representative individuals, aged 69-81 years, the association between clinical, anthropometric, endocrine, metabolic and inflammatory factors on the one hand, as both major and minor aspects of MetS, and LUTS and urinary incontinence, on the other hand, was analysed. The prostate gland volume was measured in a subgroup of 155 randomly selected individuals and the association between LUTS and BPE was estimated. Results. No significant association was found between LUTS or urinary incontinence and the major aspects of the MetS. However, in a multivariate analysis, serum serotonin showed an independent negative correlation with LUTS and with urinary incontinence while fasting serum glucose and serum adiponectin showed a positive correlation with LUTS. Furthermore, in a subgroup of 155 individuals, the prostate gland volume correlated positively with LUTS. Conclusions. The study did not show an association between LUTS or urinary incontinence and the major components of the MetS. However, serum serotonin showed an independent negative correlation with LUTS and with urinary incontinence while fasting serum glucose and serum adiponectin showed a positive correlation with LUTS. The data confirm the general knowledge that BPE may be one of the causative factors of LUTS. (Less)
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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
benign prostatic enlargement, lower urinary tract symptoms, serotonin, urinary incontinence
in
Scandinavian Journal of Urology
volume
49
issue
2
pages
155 - 161
publisher
Taylor & Francis
external identifiers
  • wos:000351395600012
  • scopus:84924935962
  • pmid:25253423
ISSN
2168-1813
DOI
10.3109/21681805.2014.936495
language
English
LU publication?
yes
id
72138940-912b-4f67-a1ff-4806aa11a91f (old id 5281989)
date added to LUP
2016-04-01 10:48:44
date last changed
2024-05-05 22:20:51
@article{72138940-912b-4f67-a1ff-4806aa11a91f,
  abstract     = {{Objective. The aim of this study was to test whether lower urinary tract symptoms (LUTS) and urinary incontinence are associated with the metabolic syndrome (MetS). The association between LUTS and benign prostatic enlargement (BPE) was also investigated. Material and methods. A cross-sectional, representative risk factor analysis of LUTS, as measured by the International Prostate Symptom Score (IPSS), and urinary incontinence was conducted. Among 950 representative individuals, aged 69-81 years, the association between clinical, anthropometric, endocrine, metabolic and inflammatory factors on the one hand, as both major and minor aspects of MetS, and LUTS and urinary incontinence, on the other hand, was analysed. The prostate gland volume was measured in a subgroup of 155 randomly selected individuals and the association between LUTS and BPE was estimated. Results. No significant association was found between LUTS or urinary incontinence and the major aspects of the MetS. However, in a multivariate analysis, serum serotonin showed an independent negative correlation with LUTS and with urinary incontinence while fasting serum glucose and serum adiponectin showed a positive correlation with LUTS. Furthermore, in a subgroup of 155 individuals, the prostate gland volume correlated positively with LUTS. Conclusions. The study did not show an association between LUTS or urinary incontinence and the major components of the MetS. However, serum serotonin showed an independent negative correlation with LUTS and with urinary incontinence while fasting serum glucose and serum adiponectin showed a positive correlation with LUTS. The data confirm the general knowledge that BPE may be one of the causative factors of LUTS.}},
  author       = {{Haghsheno, Mohammad-Ali and Mellstrom, Dan and Peeker, Ralph and Hammarsten, Jan and Lorentzon, Mattias and Sundh, Valter and Karlsson, Magnus and Ohlsson, Claes and Damber, Jan-Erik}},
  issn         = {{2168-1813}},
  keywords     = {{benign prostatic enlargement; lower urinary tract symptoms; serotonin; urinary incontinence}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{155--161}},
  publisher    = {{Taylor & Francis}},
  series       = {{Scandinavian Journal of Urology}},
  title        = {{Lower urinary tract symptoms are associated with low levels of serum serotonin, high levels of adiponectin and fasting glucose, and benign prostatic enlargement}},
  url          = {{http://dx.doi.org/10.3109/21681805.2014.936495}},
  doi          = {{10.3109/21681805.2014.936495}},
  volume       = {{49}},
  year         = {{2015}},
}