4.2 Article

Risk of multiple lower and upper urinary tract problems among male older adults with type-2 diabetes: a population-based study

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AGING MALE
卷 26, 期 1, 页码 -

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TAYLOR & FRANCIS LTD
DOI: 10.1080/13685538.2023.2208658

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Diabetes; chronic renal failure (CRF); urinary incontinence (UI); kidney stone; benign prostatic hyperplasia (BPH); older adults; men; India

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This study explores the risk of diabetes-associated lower and upper urinary tract diseases among male older adults aged 45 and above in India. The prevalence of various urinary tract problems and diabetes among male older adults was estimated, and multivariate logistic regression analysis revealed that diabetes is associated with chronic renal failure, incontinence, and kidney stones. The study emphasizes the need for further investigation and prevention of these urinary complications in male older adults with diabetes in India.
Aim This study explores the risk of diabetes-associated lower and upper urinary tract diseases among male older adults aged 45 and above in India. Methods Longitudinal Ageing Study in India (LASI), 2017-2018 data was used in this study. The prevalence of various urinary tract problems and diabetes among male older adults was estimated by background characteristics using bivariate cross-tabulation. In addition, multivariate logistic regression was applied to examine the likelihood of urological disorders associated with diabetes. Result The prevalence of incontinence was highest among male older adults with diabetes, followed by kidney stones, benign prostatic hyperplasia, and chronic renal failure. Multivariate logistic regression estimation showed that men diagnosed with diabetes were 80% more likely to experience chronic renal failure, 78% more likely to suffer from incontinence, and 37% more likely to suffer from kidney stones than those without diabetes when controlling for various socio-demographic, behavioral, and co-morbidity status of the older adults. Conclusions The study findings suggest that diabetes is associated with multiple urinary complications among male older adults in India and needs more careful investigation of the phenomenon. Independent risk factors such as changes in lifestyle with regular monitoring and diagnosis may help to prevent the progression of diabetes and reduce the risk of diabetes-associated lower and upper urinary tract diseases among male older adults.

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