Factors associated with Lower Urinary Tract Symptoms (LUTS) among Malaysian Men 40 years and above: Findings from National Health and Morbidity Survey (NHMS) 2019

Introduction Lower Urinary Tract Symptoms (LUTS) is one of the major men's health challenges and is thought to be linked to other comorbidities and unhealthy lifestyles. This study analyses the factors associated with developing LUTS among Malaysian men 40 years and above in 2019.  

Methods The study was part of the National Health and Morbidity Survey (NHMS) 2019. Validated self-administered bilingual International Prostate Symptom Score (IPSS) was used to assess the LUTS. The grading was based on a standard scoring system with participants scored 8 to 35 in IPSS considered having probable moderate-severe LUTS. Other comorbidities and unhealthy lifestyles were also obtained using face-to-face interview and in-situ measurements such as anthropometry assessment and blood check-up. Statistical analysis was performed using SPSS version 21.  

Results 2,251 men were included in this study. Prevalence of probable LUTS among Malaysian men was 16.3% (95%CI 14.1-18.8) with high prevalence were recorded among inactive males, 19.9% (95%CI:15.5-25.2), with two or more comorbidities, 18.6% (95%CI:15.6-21.9) and aged 60 years and above, 23.9% (95%CI 19.8-28.6). Inactive males were significantly associated with probable LUTS with AOR 1.57 (95%CI: 1.23, 2.00). Male aged 50 to 59 years old were significantly associated with probable LUTS with AOR 1.49 (95% CI: 1.09,2.03) while male aged 60 years and above with AOR 2.25 (95% CI: 1.69,3.01).  

Conclusions Ageing and physical inactive among male are associated with development of moderate to severe LUTS. It is recommended to have a more in-depth investigation such as clinical profiling of subjects to be included in the next survey.   

[Disclaimer: Abstract text might vary slightly from what is displayed in the e-poster]