Lower urinary tract symptoms and diet quality: findings from the 2000-2001 National Health and Nutrition Examination Survey

Bradley A Erickson; Mary Vaughan-Sarrazin; Xin Liu; Benjamin N Breyer; Karl J Kreder; Peter Cram

doi:10.1016/j.urology.2012.03.004

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Lower urinary tract symptoms and diet quality: findings from the 2000-2001 National Health and Nutrition Examination Survey

Journal article

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Lower urinary tract symptoms and diet quality: findings from the 2000-2001 National Health and Nutrition Examination Survey

Bradley A Erickson, Mary Vaughan-Sarrazin, Xin Liu, Benjamin N Breyer, Karl J Kreder and Peter Cram

Urology (Ridgewood, N.J.), Vol.79(6), pp.1262-1267

06/2012

DOI: 10.1016/j.urology.2012.03.004

PMCID: PMC3565589

PMID: 22656406

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Abstract

To evaluate the association between dietary quality and the prevalence of lower urinary tract symptoms (LUTS). We used urinary symptom and dietary data obtained from the 2000-2001 National Health and Nutrition Examination Survey (NHANES) for the study. Dietary quality was assessed using the 10-component United States Department of Agriculture (USDA) Healthy Eating Index (HEI). We used bivariate methods to examine rates of LUTS among men with poor versus good diets. Multivariable logistic regression was used to calculate odds ratios after applying sample weights and controlling for age, race/ethnicity, smoking status, diabetes, alcohol intake, and exercise. Our study cohort consisted of 1385 men aged ≥40 years, of whom 279 (21.1%) reported LUTS. We found higher rates of LUTS among men with poor dietary intake of dairy (22.4% vs 16.4%, P = .013) and among men with poor intake of protein (24.6% vs 17.9%, P = .012) as well as among those with overall poor diet (25.8 vs 17.8%, P = .018) with little dietary variety (26.1 vs 17.6%, P = .001). On multivariate analysis, an unhealthy diet (odds ratios [OR] = 1.7; 95% confidence interval [CI] = 1.05-2.90) was associated with more LUTS, whereas alcohol intake was protective from LUTS (OR = 0.67; 95% CI = 0.48-0.93). In an analysis of NHANES data, we found that poor diet quality was independently associated with patient-reported LUTS.

Multivariate Analysis

Diet

Nutrition Surveys

Humans

Middle Aged

Adult

Logistic Models

Male

Aged

Lower Urinary Tract Symptoms - epidemiology

Details

Title: Subtitle: Lower urinary tract symptoms and diet quality: findings from the 2000-2001 National Health and Nutrition Examination Survey
Creators: Bradley A Erickson - Department of Urology, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa 52246, USA. Brad-erickson@uiowa.edu
Mary Vaughan-Sarrazin
Xin Liu
Benjamin N Breyer
Karl J Kreder
Peter Cram
Resource Type: Journal article
Publication Details: Urology (Ridgewood, N.J.), Vol.79(6), pp.1262-1267
DOI: 10.1016/j.urology.2012.03.004
PMID: 22656406
PMCID: PMC3565589
NLM abbreviation: Urology
ISSN: 0090-4295
eISSN: 1527-9995
Publisher: United States
Grant note: K12 DK083021 / NIDDK NIH HHS
Language: English
Date published: 06/2012
Academic Unit: Health Management and Policy; Obstetrics and Gynecology; Urology; General Internal Medicine; Internal Medicine
Record Identifier: 9984051716302771

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