Impact of Lower Urinary Tract Symptoms and Depression on Health-Related Quality of Life in Older Adults.
- Author:
Hyo Jeong SONG
1
;
Mi Ah HAN
;
Hyung Chang KANG
;
Kyung Suk PARK
;
Kwang Sung KIM
;
Mi Kyung KIM
;
Jina KANG
;
Eun Ok PARK
;
Mi Yeul HYUN
;
Chul Soo KIM
Author Information
1. Department of Nursing, Jeju National University College of Nursing, Jeju, Korea. hjsong@jejunu.ac.kr
- Publication Type:Original Article
- Keywords:
Lower urinary tract symptoms;
Depression;
Quality of life;
Aged
- MeSH:
Adult;
Aged;
Body Mass Index;
Comorbidity;
Cross-Sectional Studies;
Depression;
Diabetes Mellitus;
Humans;
Lower Urinary Tract Symptoms;
Prostate;
Quality of Life;
Statistics as Topic;
Surveys and Questionnaires;
Urinary Incontinence
- From:International Neurourology Journal
2012;16(3):132-138
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: 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. METHODS: 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. RESULTS: 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 R2=0.193, P<0.01) and LUTS (Partial R2=0.048, P=0.0047), and 24% of the variance in HRQoL was explained. CONCLUSIONS: LUTS and depression were the principal predictors of HRQoL in older adults.
