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Association of Overactive Bladder With Fall Risk Among US Adults Aged 20-69 Years.

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Overactive bladder (OAB) is linked to a higher risk of falls in US adults aged 20-69. Increased OAB symptom severity correlates with greater fall risk, suggesting OAB screening may aid fall prevention.

Keywords:
NHANESfallsnocturiaoveractive bladderurge urinary incontinence

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Area of Science:

  • Gerontology
  • Urology
  • Public Health

Background:

  • Falls represent a significant cause of morbidity and loss of independence in adults.
  • The relationship between overactive bladder (OAB) and fall risk remains under-investigated.
  • Understanding this association is crucial for developing targeted fall prevention strategies.

Purpose of the Study:

  • To evaluate the association between overactive bladder (OAB) and fall history in a nationally representative sample of US adults.
  • To determine if OAB independently predicts an increased risk of falls.
  • To explore the relationship between OAB symptom severity and fall history.

Main Methods:

  • Cross-sectional analysis of 4118 adults aged 20-69 from the 2021-2023 National Health and Nutrition Examination Survey (NHANES).
  • Overactive bladder (OAB) classified using a composite symptom severity score (urge urinary incontinence, nocturia).
  • Fall history assessed via self-report; multivariable logistic regression used to calculate adjusted odds ratios (aORs).

Main Results:

  • The prevalence of OAB was 19.6% and recent falls was 28.3% in the study population.
  • Individuals with OAB had a higher prevalence of recent falls (39.7%) compared to those without (25.7%).
  • OAB was independently associated with a 42% increased odds of experiencing a recent fall (aOR, 1.42; 95% CI, 1.10 to 1.83; p=0.01).

Conclusions:

  • Overactive bladder (OAB) is independently associated with an increased risk of recent falls in US adults aged 20-69.
  • A significant positive correlation exists between OAB symptom severity and fall risk.
  • Screening for OAB may serve as a valuable addition to fall risk assessments.