Sauna habits/bathing and changes in lower urinary tract symptoms – Tampere Ageing Male Urologic Study (TAMUS)
Sauna habits/bathing and changes in lower urinary tract symptoms – Tampere Ageing Male Urologic Study (TAMUS)
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桑拿习惯/沐浴和下尿路症状的变化 – 坦佩雷老年男性泌尿学研究 (TAMUS)
DOI：
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发表时间：
2021
影响因子：
1.5
通讯作者：
A. Auvinen
中科院分区：
文献类型：
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作者：
A. Pöyhönen;Jonne Åkerla;J. Koskimäki;T. Tammela;A. Auvinen
目的评价桑拿浴对芬兰人群下尿路症状（LUTS）的影响。方法1994年对50岁、60岁和70岁男性进行邮寄调查，1999年和2004年进行重复问卷调查。根据丹麦前列腺症状评分（DAN-PSS-1）对10种不同类型的LUTS进行评估。在第一份问卷中评估每周桑拿浴的频率，并将其分为三个亚组（0-1、2和≥3）。每个LUTS的患病率、发病率和缓解率根据初始和随访评估进行评估。此外，测定每个时间点的DAN-PSS-1平均症状评分、LUTS用药情况和手术治疗情况。采用卡方检验、线性逐线性检验和二元logistic回归分析评估统计学显著性。以人群为基础的队列最初包括3163名男性，其中1306名（41.3%）回答了所有三轮问卷，并被纳入分析。桑拿浴频率与九种LUTS患病率之间没有明确的关联，也与发病率和缓解率之间没有明确的关联。唯一的例外是不完全排空的感觉，与频繁的桑拿浴相关的患病率较低。桑拿浴习惯对LUTS的药物治疗和手术治疗没有明显差异。结论从长期来看，桑拿浴对LUTS的发展和自然史没有影响。
Abstract Objective To evaluate the effect of sauna bathing on lower urinary tract symptoms (LUTS) in a Finnish population-based cohort. Methods A mail survey was sent to a population-based cohort of 50-, 60-, and 70-year-old men in 1994 followed by repeat questionnaires in 1999 and 2004. The evaluation of ten different types of LUTS was based on Danish Prostatic Symptom Score (DAN-PSS-1). The weekly frequency of sauna bathing was assessed in the first questionnaire and divided into three subgroups (0–1, 2, and ≥3). The prevalence, incidence, and remission rate of each LUTS was assessed based on the initial and follow-up assessments. In addition, the mean DAN-PSS-1 symptoms score, medication for LUTS, and operative treatment were determined at each time-point. Chi-square test, a linear-by-linear test, and binary logistic regression analysis were used to assess statistical significance. Results The population-based cohort included initially 3,163, men of whom 1,306 (41.3%) responded to all three questionnaire rounds and were included in the analysis. There was no clear association between sauna bathing frequency and prevalence of the nine LUTS, nor with incidence and remission rates. The only exception was feelings of incomplete emptying, with lower prevalence associated with frequent sauna bathing. There were no clear differences in the medications or operations for LUTS by sauna bathing habits. Conclusion Based on our results, sauna bathing does not affect LUTS development or natural history in the long-term.