Yetişkin Erkeklerde Fiziksel Aktivite Düzeyine Göre Alt Üriner Sistem Semptomlarının Karşılaştırılması

Yıl 2022, Cilt: 7 Sayı: 3, 495 - 499, 30.09.2022

Ahmet Raşit Değirmendereli Kemal Oskay Şeyda Toprak Çelenay

Öz

Amaç: Bu çalışmanın amacı yetişkin erkeklerde fiziksel aktivite düzeyine göre alt üriner sistem semptomlarını karşılaştırmaktı.
Gereç ve Yöntem: Çalışmaya yetmiş bir yetişkin erkek dahil edildi. Fiziksel aktivite düzeyleri Uluslararası Fiziksel Aktivite Anketi-7 ile değerlendirildi ve katılımcılar fiziksel aktivite düzeylerine göre 3 gruba ayrıldı [inaktif grup (n=25, ortanca yaş=38 (22-65) yıl, ortanca vücut kütle indeksi=27,37 (18,52-40,12) kg/m²), minimal aktif grup (n=24, ortanca yaş=35 (21-61) yıl, ortanca vücut kütle indeksi=26,49 (22,49-35,92) kg/m²) ve çok aktif grup (n=22, ortanca yaş=34 (23-51) yıl, ortanca vücut kütle indeksi=26,0 (21,33-40,24) kg/m²)]. Alt üriner semptomlar Uluslararası İdrar Kaçırma Konsültasyon Sorgulama Ölçeği-Erkek Alt Üriner Sistem Semptomları ile sorgulandı.
Bulgular: İşeme semptom skoru ve gece idrara kalkma semptom varlığının gruplar arasında farklı olduğu görüldü (p<0,050). İşeme semptom skorlarının sırasıyla en çok inaktif, minimal aktif ve çok aktif grupta olduğu saptandı (p<0,050). Ayrıca, inaktif grupta çok aktif gruba göre daha fazla gece idrara kalkma semptomu olduğu tespit edildi (p<0,050). Depolama semptom skoru ve gündüz sık idrara çıkma semptom varlığı fiziksel aktivite düzeyine göre gruplar arasında benzerdi (p>0,050).
Sonuç: İnaktif yetişkin erkeklerin, çok aktif olanlara göre daha fazla işeme ve gece idrara kalkma semptomu olduğu görüldü. Yetişkin erkeklerde alt üriner semptomların önlenmesi ve yönetiminde bilinçli fiziksel aktivite programlarının oluşturulması önemli olabilir.

Anahtar Kelimeler

Alt üriner sistem semptomları, egzersiz, erkekler, fiziksel aktivite.

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

yok

Comparison of Lower Urinary Tract Symptoms According to Physical Activity Level in Adult Men

Öz

Objective: The aim of this study was to compare lower urinary tract symptoms according to the physical activity level in adult men.
Material and Methods: Seventy-one adult men were included in the study. The physical activity levels were evaluated with the International Physical Activity Questionnaire-7 and the participants were divided into 3 groups according to their physical activity levels [inactive group (n=25, median age=38 (22-65) years, median body mass index=27.37 (18.52-40.12) kg/m²), minimally active group (n=24, median age=35 (21-61) years, median body mass index=26.49 (22.49-35.92) kg/m²) and very active group (n=22, median age=34 (23-51) years, median body mass index=26.0 (21.33-40.24) kg/m²)]. The lower urinary tract symptoms were questioned with the International Consultation on Incontinence Questionnaire-Male Lower Urinary Tract Symptoms.
Results: It was observed that voiding symptoms and the presence of nocturia symptom were different between the groups (p<0.050). It was determined that voiding symptom scores were mostly in the inactive, minimally active, and very active groups, respectively (p<0.050). In addition, more nocturia symptoms were detected in the inactive group than in the very active group (p<0.050). Storage and urinary frequency symptom scores were similar between the groups according to the physical activity level (p>0.050).
Conclusions: It was seen that inactive adult men had more voiding and nocturia symptoms than very active men. It may be important to establish conscious physical activity programs in the management and prevention of lower urinary tract symptoms in adult men.

Anahtar Kelimeler

Lower urinary tract symptoms, exercise, men, physical activity.

Proje Numarası

yok

Kaynakça

• Who.int [Internet]. Physical Activity; 2020 [cited 2022 April 16]. Available from: https://www.who.int/news-room/fact-sheets/detail/ physical-activity.
• Warburton DE, Bredin SS. Health benefits of physical activity: a systematic review of current systematic reviews. Curr Opin Cardiol. 2017 Sep;32(5):541-56.
• Chekroud SR, Gueorguieva R, Zheutlin AB, Paulus, M, Krumholz HM, Krystal JH, et al. Association between physical exercise and mental health in 1· 2 million individuals in the USA between 2011 and 2015: a cross-sectional study. Lancet Psychiatry. 2018 Sep;5(9):739-46.
• Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation subcommittee of the International Continence Society. Urology. 2003 Jan;61(1):37-49.
• Kim SK, Kim KH, Kim SH, Yoo SJ, Jeong YW. Health-related quality of life in adult males with lower urinary tract symptoms. Qual Life Res. 2019 Sep;28(9):2419-28.
• Arslantas D, Gokler ME, Unsal A, Başeskioğlu B. Prevalence of Lower Urinary Tract Symptoms Among Individuals Aged 50 Years and Over and Its Effect on the Quality of Life in a Semi‐Rural Area of Western Turkey. Low Urin Tract Symptoms. 2017 Jan;9(1):5-9.
• Raheem OA, Parsons JK. Associations of obesity, physical activity and diet with benign prostatic hyperplasia and lower urinary tract symptoms. Curr Opin Urol. 2014 Jan;24(1):10-4.
• Wang Y, Hu H, Xu K, Wang X, Na Y, Kang X. Prevalence, risk factors and the bother of lower urinary tract symptoms in China: a population-based survey. Int Urogynecol J. 2015 Jun;26(6):911-9.
• Mondul, AM, Giovannucci E, Platz EA. A prospective study of physical activity, sedentary behavior, and incidence and progression of lower urinary tract symptoms. J Gen Intern Med. 2020 Aug;35(8):2281-8.
• Orsini N, RashidKhani B, Andersson SO, Karlberg L, Johansson JE, Wolk A. Long-term physical activity and lower urinary tract symptoms in men. J Urol. 2006 Dec;176(6):246-50.
• Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003 Aug;35(8):1381-95.
• Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010 Aug;111(1):278-84.
• Donovan JL, Abrams P, Peters TJ, Kay HE, Reynard J, Chapple C, et al. The ICS-'BPH'Study: the psychometric validity and reliability of the ICSmale Questionnaire. Br J Urol. 1996 Apr;77(4):554-62.
• Mertoğlu O, Üçer O, Ceylan Y, Bozkurt O, Günlüsoy B, Albaz AC, et al. Reliability and validity of the Turkish language version of the International Consultation on Incontinence Questionnaire-male lower urinary tract symptoms. Int Neurourol J. 2016 Jun;20(2):159-63.
• Abdel-Aziz KF, Lemack GE. Overactive bladder in the male patient: bladder, outlet, or both? Curr Urol Rep. 2002 Dec;3(6):445-51.
• Platz EA, Smit E, Curhan GC, Nyberg Jr LM, Giovannucci E. Prevalence of and racial/ethnic variation in lower urinary tract symptoms and noncancer prostate surgery in US men. Urology. 2002 Jun;59(6):877-83.
• De Ridder D, Roumeguere T, Kaufman L. Urgency and other lower urinary tract symptoms in men aged≥ 40 years: a Belgian epidemiological survey using the ICIQ‐MLUTS questionnaire. Int J Clin Pract. 2015 Mar;69(3):358-65.
• Penson DF, Munro HM, Signorello LB, Blot WJ, Fowke JH, Urologic Diseases in America Project. Obesity, physical activity and lower urinary tract symptoms: results from the Southern Community Cohort Study. J Urol. 2011 Dec;186(6):2316-22.
• Park HJ, Park CH, Chang Y, Ryu S. Sitting time, physical activity and the risk of lower urinary tract symptoms: a cohort study. BJU Int. 2018 Aug;122(2):293-9.
• Parsons JK, Kashefi C. Physical activity, benign prostatic hyperplasia, and lower urinary tract symptoms. Eur Urol. 2008 Jun;53(6):1228-35.
• Warburton DER, Nicol_CR, Bredin SSD. Health benefits of physical activity: the evidence. CMAJ. 2006 Mar;174(6):801-9.
• Silva TL, Mota MM, Fontes MT, Araújo JE, Carvalho VO, Bonjardim LR, et al. Effects of one resistance exercise session on vascular smooth muscle of hypertensive rats. Arq Bras Cardiol. 2015 Aug;105(2):160-7.
• De Nunzio C, Ahyai S, Autorino R, Bachmann A, Bialek W, Briganti A, et al. Benign prostatic hyperplasia and lower urinary tract symptoms: research priorities. Eur Urol. 2011 Dec;60(6):1205-6.