Objective: To investigate the prevalence of lower urinary tract symptoms (LUTS) in women with hip osteoarthritis (OA) and to examine the relationship between LUTS, disability, and physical activity levels.
Materials and Methods: This cross-sectional study included 40 female patients diagnosed with hip OA. LUTS were assessed using the Bristol Female Lower Urinary Tract Symptoms (BFLUTS) questionnaire. Hip OA–related disability was evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and physical activity levels were measured with the International Physical Activity Questionnaire–Short Form (IPAQ-SF). Participants were categorized as having low, moderate, or high physical activity levels according to IPAQ-SF scores.
Results: The median total BFLUTS score was 12 [0, 24]. Filling symptoms were highly prevalent, including nocturia (75%), urgency (60%), and urinary frequency (52.5%). Urge incontinence was reported by 50% of participants. WOMAC total scores were positively correlated with incontinence (r = 0.592, p < 0.001), quality of life (r = 0.518, p = 0.001), and total BFLUTS scores (r = 0.435, p = 0.005). IPAQ-SF total scores were negatively correlated with incontinence (r = −0.378, p = 0.016) and total BFLUTS scores (r = −0.362, p = 0.022). Participants with low physical activity had significantly higher incontinence and total BFLUTS scores (p < 0.05).
Conclusion: LUTS are highly prevalent in women with hip OA and are associated with greater functional disability and lower physical activity levels. These findings underscore the importance of the systematic assessment and management of LUTS in this population.
Keywords: disability, hip osteoarthritis, lower urinary tract symptoms, physical activity
Abstract
Objective: To investigate the prevalence of lower urinary tract symptoms (LUTS) in women with hip osteoarthritis (OA) and to examine the relationship between LUTS, disability, and physical activity levels.
Materials and Methods: This cross-sectional study included 40 female patients diagnosed with hip OA. LUTS were assessed using the Bristol Female Lower Urinary Tract Symptoms (BFLUTS) questionnaire. Hip OA–related disability was evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and physical activity levels were measured with the International Physical Activity Questionnaire–Short Form (IPAQ-SF). Participants were categorized as having low, moderate, or high physical activity levels according to IPAQ-SF scores.
Results: The median total BFLUTS score was 12 [0, 24]. Filling symptoms were highly prevalent, including nocturia (75%), urgency (60%), and urinary frequency (52.5%). Urge incontinence was reported by 50% of participants. WOMAC total scores were positively correlated with incontinence (r = 0.592, p < 0.001), quality of life (r = 0.518, p = 0.001), and total BFLUTS scores (r = 0.435, p = 0.005). IPAQ-SF total scores were negatively correlated with incontinence (r = −0.378, p = 0.016) and total BFLUTS scores (r = −0.362, p = 0.022). Participants with low physical activity had significantly higher incontinence and total BFLUTS scores (p < 0.05).
Conclusion: LUTS are highly prevalent in women with hip OA and are associated with greater functional disability and lower physical activity levels. These findings underscore the importance of the systematic assessment and management of LUTS in this population.
Keywords: disability, hip osteoarthritis, lower urinary tract symptoms, physical activity