Is there an association between physical activity and lower urinary tract symptoms in adolescent girls? Results from the Avon Longitudinal Study of Parents and Children

doi:10.1007/s00192-023-05639-6

. 2023 Dec;34(12):2995-3003.

doi: 10.1007/s00192-023-05639-6. Epub 2023 Sep 16.

Is there an association between physical activity and lower urinary tract symptoms in adolescent girls? Results from the Avon Longitudinal Study of Parents and Children

Collaborators, Affiliations

Collaborators

Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium:
Linda Brubaker, Elizabeth R Mueller, Marian Acevedo-Alvarez, Cecilia T Hardacker, Jeni Hebert-Beirne, James W Griffith, Kimberly Sue Kenton, Melissa Simon, Oluwateniola Brown, Julia Geynisman-Tan, Margaret Mueller, Alayne D Markland, Camille P Vaughan, Tamera Coyne-Beasley, Kathryn L Burgio, Cora E Lewis, Beverly Rosa Williams, Emily S Lukacz, Heather Klusaritz, Yvette LaCoursiere, Jesse Nodora, Lisa Kane Low, Janis M Miller, Abby Smith, Gerald McGwin Jr, Kyle D Rudser, Sonya S Brady, Haitao Chu, Cynthia S Fok, Bernard L Harlow, Peter Scal, Todd Rockwood, Andrea Bilger, Terri H Lipman, Ann E Stapleton, Jean F Wyman, Aimee S James, Jerry L Lowder, Melanie R Meister, Leslie M Rickey, Deepa R Camenga, Julia Barthold

Affiliations

¹ Department of Obstetrics, Gynecology and Urology, Loyola University Chicago, Chicago, IL, USA.
² Department of Public Health Sciences, University of Connecticut School of Medicine, 263 Farmington Ave, Farmington, CT, 06030, USA. scunningham@uchc.edu.
³ Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
⁴ Department of Pediatrics, University of California San Diego, La Jolla, CA, USA.
⁵ Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.
⁶ Division of Biostatistics, University of Minnesota School of Public Health, Minneapolis, MN, USA.
⁷ Division of Urology, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
⁸ Division of Hematology/Oncology, University of Pittsburgh, Pittsburgh, PA, USA.
⁹ Division of Urology, Perelman School of Medicine, University of Pennsylvania Health System, Philadelphia, PA, USA.
¹⁰ Division of Public Health Sciences, Department of Surgery, and the Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO, USA.
¹¹ Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN, USA.

PMID: 37715786
PMCID: PMC10962925
DOI: 10.1007/s00192-023-05639-6

Is there an association between physical activity and lower urinary tract symptoms in adolescent girls? Results from the Avon Longitudinal Study of Parents and Children

Colleen M Fitzgerald et al. Int Urogynecol J. 2023 Dec.

. 2023 Dec;34(12):2995-3003.

doi: 10.1007/s00192-023-05639-6. Epub 2023 Sep 16.

Collaborators

Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium:
Linda Brubaker, Elizabeth R Mueller, Marian Acevedo-Alvarez, Cecilia T Hardacker, Jeni Hebert-Beirne, James W Griffith, Kimberly Sue Kenton, Melissa Simon, Oluwateniola Brown, Julia Geynisman-Tan, Margaret Mueller, Alayne D Markland, Camille P Vaughan, Tamera Coyne-Beasley, Kathryn L Burgio, Cora E Lewis, Beverly Rosa Williams, Emily S Lukacz, Heather Klusaritz, Yvette LaCoursiere, Jesse Nodora, Lisa Kane Low, Janis M Miller, Abby Smith, Gerald McGwin Jr, Kyle D Rudser, Sonya S Brady, Haitao Chu, Cynthia S Fok, Bernard L Harlow, Peter Scal, Todd Rockwood, Andrea Bilger, Terri H Lipman, Ann E Stapleton, Jean F Wyman, Aimee S James, Jerry L Lowder, Melanie R Meister, Leslie M Rickey, Deepa R Camenga, Julia Barthold

Affiliations

¹ Department of Obstetrics, Gynecology and Urology, Loyola University Chicago, Chicago, IL, USA.
² Department of Public Health Sciences, University of Connecticut School of Medicine, 263 Farmington Ave, Farmington, CT, 06030, USA. scunningham@uchc.edu.
³ Division of Urology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
⁴ Department of Pediatrics, University of California San Diego, La Jolla, CA, USA.
⁵ Centre for Academic Child Health, Bristol Medical School, University of Bristol, Bristol, UK.
⁶ Division of Biostatistics, University of Minnesota School of Public Health, Minneapolis, MN, USA.
⁷ Division of Urology, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
⁸ Division of Hematology/Oncology, University of Pittsburgh, Pittsburgh, PA, USA.
⁹ Division of Urology, Perelman School of Medicine, University of Pennsylvania Health System, Philadelphia, PA, USA.
¹⁰ Division of Public Health Sciences, Department of Surgery, and the Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO, USA.
¹¹ Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN, USA.

PMID: 37715786
PMCID: PMC10962925
DOI: 10.1007/s00192-023-05639-6

Abstract

Introduction and hypothesis: Lower urinary tract symptoms (LUTS) are common among adolescent girls. Physical activity (PA) has been implicated as both a risk (high-impact PA) and protective factor (low-impact, moderate to vigorous intensity PA) for LUTS in adult women, but its role in adolescent girls is unclear. This study investigated the prospective association between physical activity and LUTS risk in adolescent girls.

Methods: The sample comprised 3,484 female participants in the Avon Longitudinal Study of Parents and Children. Multivariate logistic regression models were used to examine daily minutes of moderate to vigorous PA (MVPA) at ages 11 and 15 years in relation to LUTS at ages 14 and 19 respectively. MVPA was assessed by 7-day accelerometer data. LUTS were assessed by questionnaire. MVPA were analyzed as continuous (minutes/day) and categorical variables (<10th percentile, 10-89th percentile, ≥90th percentile).

Results: Prevalence of LUTS ranged from 2.0% for bedwetting to 9.5% for nocturia at age 14 and from 2.0% for straining to urinate to 35.5% for interrupted urine flow at age 19. Physical activity was not associated with LUTS at either time-point.

Conclusions: Given the prevalence of LUTS in female adolescent populations, although this study did not find an association with accelerometer-measured MVPA, other aspects of PA that may serve as risk or protective factors deserve investigation.

Keywords: Adolescent girls; Avon Longitudinal Study of Parents and Children; Lower urinary tract symptoms; Physical activity; Sedentary behavior.

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References

1. Kyrklund K, Taskinen S, Rintala RJ, Pakarinen MP. Lower urinary tract symptoms from childhood to adulthood: a population based study of 594 Finnish individuals 4 to 26 years old. J Urol. 2012;188(2):588–593. - PubMed
1. Tam YH, Ng CF, Wong YS, Pang KK, Hong YL, Lee WM, Lai PT. Population-based survey of the prevalence of lower urinary tract symptoms in adolescents with and without psychotropic substance abuse. Hong Kong Med J. 2016;22(5):454–463. - PubMed
1. Serdinsek T, Sobocan M, But S, Spilak-Gomboc M, But I. Lower urinary tract symptoms in adolescent girls: a questionnaire-based study. Eur J Obstet Gynecol Reprod Biol. 2021;258:452–456. - PubMed
1. Heron J, Grzeda MT, von Gontard A, Wright A, Joinson C. Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study. BMJ Open. 2017;7(3):e014238. - PMC - PubMed
1. Alnaif B, Drutz HP. The prevalence of urinary and fecal incontinence in Canadian secondary school teenage girls: questionnaire study and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(2):134–137; discussion138. - PubMed

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[1] Kyrklund K, Taskinen S, Rintala RJ, Pakarinen MP. Lower urinary tract symptoms from childhood to adulthood: a population based study of 594 Finnish individuals 4 to 26 years old. J Urol. 2012;188(2):588–593. - PubMed

[2] Kyrklund K, Taskinen S, Rintala RJ, Pakarinen MP. Lower urinary tract symptoms from childhood to adulthood: a population based study of 594 Finnish individuals 4 to 26 years old. J Urol. 2012;188(2):588–593. - PubMed

[3] Tam YH, Ng CF, Wong YS, Pang KK, Hong YL, Lee WM, Lai PT. Population-based survey of the prevalence of lower urinary tract symptoms in adolescents with and without psychotropic substance abuse. Hong Kong Med J. 2016;22(5):454–463. - PubMed

[4] Tam YH, Ng CF, Wong YS, Pang KK, Hong YL, Lee WM, Lai PT. Population-based survey of the prevalence of lower urinary tract symptoms in adolescents with and without psychotropic substance abuse. Hong Kong Med J. 2016;22(5):454–463. - PubMed

[5] Serdinsek T, Sobocan M, But S, Spilak-Gomboc M, But I. Lower urinary tract symptoms in adolescent girls: a questionnaire-based study. Eur J Obstet Gynecol Reprod Biol. 2021;258:452–456. - PubMed

[6] Serdinsek T, Sobocan M, But S, Spilak-Gomboc M, But I. Lower urinary tract symptoms in adolescent girls: a questionnaire-based study. Eur J Obstet Gynecol Reprod Biol. 2021;258:452–456. - PubMed

[7] Heron J, Grzeda MT, von Gontard A, Wright A, Joinson C. Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study. BMJ Open. 2017;7(3):e014238. - PMC - PubMed

[8] Heron J, Grzeda MT, von Gontard A, Wright A, Joinson C. Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study. BMJ Open. 2017;7(3):e014238. - PMC - PubMed

[9] Alnaif B, Drutz HP. The prevalence of urinary and fecal incontinence in Canadian secondary school teenage girls: questionnaire study and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(2):134–137; discussion138. - PubMed

[10] Alnaif B, Drutz HP. The prevalence of urinary and fecal incontinence in Canadian secondary school teenage girls: questionnaire study and review of the literature. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(2):134–137; discussion138. - PubMed

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Is there an association between physical activity and lower urinary tract symptoms in adolescent girls? Results from the Avon Longitudinal Study of Parents and Children

Collaborators

Affiliations

Is there an association between physical activity and lower urinary tract symptoms in adolescent girls? Results from the Avon Longitudinal Study of Parents and Children

Authors

Collaborators

Affiliations

Abstract

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Abstract

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