TY - JOUR
T1 - Physical activity and benign prostatic hyperplasia-related outcomes and nocturia
AU - Wolin, Kathleen Y.
AU - Grubb, Robert L.
AU - Pakpahan, Ratna
AU - Ragard, Lawrence
AU - Mabie, Jerome
AU - Andriole, Gerald L.
AU - Sutcliffe, Siobhan
N1 - Publisher Copyright:
© 2014 by the American College of Sports Medicine.
PY - 2014/3/26
Y1 - 2014/3/26
N2 - Introduction: Benign prostatic hyperplasia (BPH) and its associated lower urinary tract symptoms (LUTS), including nocturia, are extremely common among middle- and older-age American men. Although studies on physical activity (PA) and prevalent BPHrelated outcomes suggest that PA may protect against the development of this common condition, only a few studies have examined the relation between PAand incident BPH-related outcomes and LUTSwithmixed findings. In addition, although nocturia is themost commonly reported and most bothersome LUTS in men with or without evidence of BPH, few studies have examined the association of PA and nocturia independent of BPH. The purpose of this analysis was to examine the association of PA with BPH-related outcomes and nocturia in the Prostate, Lung, Colorectal, andOvarian Cancer Screening trial. Methods:We examined this association with both prevalent (n = 28,404) and incident (n = 4710) BPH-related outcomes (measured by self-report of physician diagnosis, BPH surgery, finasteride use, and clinical indicators) and nocturia. Poisson regression with robust variance was used to calculate prevalence ratios and relative risks. Results: PA was weakly positively associated with several prevalent BPH-related outcomes and was strongly inversely associated with prevalent nocturia. In incident analyses, PA was only associated with nocturia. Men who were active Q1 hIwkj1 were 13% less likely (95% confidence interval, 2%-22%) to report nocturia and 34% less likely (95% confidence interval, 15%-49%) to report severe nocturia as compared with men who reported no PA. The associations were similar for men with and without additional BPH-related outcomes, except for prevalent nocturia, where the association was stronger for men without other BPH-related outcomes. Conclusions: Combined with other management strategies, PA may provide a strategy for the management of BPH-related outcomes, particularly nocturia.
AB - Introduction: Benign prostatic hyperplasia (BPH) and its associated lower urinary tract symptoms (LUTS), including nocturia, are extremely common among middle- and older-age American men. Although studies on physical activity (PA) and prevalent BPHrelated outcomes suggest that PA may protect against the development of this common condition, only a few studies have examined the relation between PAand incident BPH-related outcomes and LUTSwithmixed findings. In addition, although nocturia is themost commonly reported and most bothersome LUTS in men with or without evidence of BPH, few studies have examined the association of PA and nocturia independent of BPH. The purpose of this analysis was to examine the association of PA with BPH-related outcomes and nocturia in the Prostate, Lung, Colorectal, andOvarian Cancer Screening trial. Methods:We examined this association with both prevalent (n = 28,404) and incident (n = 4710) BPH-related outcomes (measured by self-report of physician diagnosis, BPH surgery, finasteride use, and clinical indicators) and nocturia. Poisson regression with robust variance was used to calculate prevalence ratios and relative risks. Results: PA was weakly positively associated with several prevalent BPH-related outcomes and was strongly inversely associated with prevalent nocturia. In incident analyses, PA was only associated with nocturia. Men who were active Q1 hIwkj1 were 13% less likely (95% confidence interval, 2%-22%) to report nocturia and 34% less likely (95% confidence interval, 15%-49%) to report severe nocturia as compared with men who reported no PA. The associations were similar for men with and without additional BPH-related outcomes, except for prevalent nocturia, where the association was stronger for men without other BPH-related outcomes. Conclusions: Combined with other management strategies, PA may provide a strategy for the management of BPH-related outcomes, particularly nocturia.
KW - Benign prostatic hyperplasia
KW - lower urinary tract symptoms
KW - nocturia
KW - physical activity
UR - http://www.scopus.com/inward/record.url?scp=84995332285&partnerID=8YFLogxK
U2 - 10.1249/MSS.0000000000000444
DO - 10.1249/MSS.0000000000000444
M3 - Article
C2 - 25010403
AN - SCOPUS:84995332285
SN - 0195-9131
VL - 47
SP - 581
EP - 592
JO - Medicine and Science in Sports and Exercise
JF - Medicine and Science in Sports and Exercise
IS - 3
ER -