[논문]Impact of Obesity on Urinary Tract Infections in Korean Adults: Secondary Data Analysis Using Community-Based Cohort Study

Seo, Seung Hee; Jeong, Ihn Sook; Lee, Eun Joo

doi:10.4040/jkan.20228

Impact of Obesity on Urinary Tract Infections in Korean Adults: Secondary Data Analysis Using Community-Based Cohort Study 원문보기

Journal of Korean academy of nursing = 대한간호학회지, v.51 no.2, 2021년, pp.150 - 161

Seo, Seung Hee (Department of Urology, Pusan National University Yangsan Hospital) , Jeong, Ihn Sook (College of Nursing, Pusan National University) , Lee, Eun Joo (Department of Nursing, Dong-Eui University)

Abstract ▼ AI-Helper

Purpose: This study investigated the incidence of urinary tract infection (UTI) in community-dwelling adults and identified the association between obesity and UTI. Methods: The participants were 4,926 adults aged over 40 years who had no UTIs at the baseline survey of the Korean Genome Epidemiology Study. Obesity was defined according to the cirtieria of Korean Society for the Study of Obesity using body mass index (BMI) data. UTI was defined as those who had self-reported UTI or had either nitrite, or both leukocytes and blood in the urine dipstick test. Hazard ratio (HR) and 95% confidence interval (CI) were calculated using a multivariate Cox proportional hazards regression analysis to identify the association between the obesity and UTI. Results: The incidence proportion of UTI was 5.1%, and the incidence density per 1,000 person-years was 25.5. After controlling general characteristics, people with BMI ≥30.0 kg/m2 remained 1.66 times (HR = 1.66, 95% CI = 1.06~2.60; p < .05) more likely to have UTI than those with normal weight. This trend was also present in men or people aged ≥ 60 years. Among women aged ≥ 60 years, people with BMI ≥ 30.0 kg/m2 were 1.98 times (HR = 1.98, 95% CI = 1.01~3.86; p < .05) more likely to have UTI than those with normal weight. Conclusion: The BMI ≥ 30.0 kg/m2 is a risk factor of UTIs in Korean adult men over 40 years and women aged ≥ 60 years. It is necessary to emphasize the importance of obesity management to men or women aged ≥ 60 years, specifically.

주제어

참고문헌 (38)

NCD Risk Factor Collaboration (NCD-RisC). Trends in adult body-mass index in 200 countries from 1975 to 2014: A pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet. 2016;387(10026): 1377-1396. https://doi.org/10.1016/S0140-6736(16)30054-X

상세보기
Ministry of Health & Welfare (MOHW), Korea Disease Control and Prevention Agency (KDCA). Korea health statistics 2018: Korea National Health and Nutrition Examination Survey (KNHANES VII-3). Cheongju: KDCA; 2019 Dec. Report No.: 11-1351159-000027-10.
GBD 2015 Obesity Collaborators, Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, et al. Health effects of overweight and obesity in 195 countries over 25 years. The New England Journal of Medicine. 2017;377(1):13-27. https://doi.org/10.1056/NEJMoa1614362

상세보기
Song HJ, Hwang J, Pi S, Ahn S, Heo Y, Park S, et al. The impact of obesity and overweight on medical expenditures and disease incidence in Korea from 2002 to 2013. PLoS One. 2018;13(5):e0197057. https://doi.org/10.1371/journal.pone.0197057

상세보기
Dobner J, Kaser S. Body mass index and the risk of infection - from underweight to obesity. Clinical Microbiology and Infection. 2018;24(1):24-28. https://doi.org/10.1016/j.cmi.2017.02.013

상세보기
Shang Q, Wang H, Song Y, Wei L, Lavebratt C, Zhang F, et al. Serological data analyses show that adenovirus 36 infection is associated with obesity: A meta-analysis involving 5739 subjects. Obesity (Silver Spring). 2014;22(3):895-900. https://doi.org/10.1002/oby.20533

상세보기
Harpsoe MC, Nielsen NM, Friis-Moller N, Andersson M, Wohlfahrt J, Linneberg A, et al. Body mass index and risk of infections among women in the Danish National Birth Cohort. American Journal of Epidemiology. 2016;183(11):1008-1017. https://doi.org/10.1093/aje/kwv300

상세보기
Ghilotti F, Bellocco R, Ye W, Adami HO, Trolle Lagerros Y. Obesity and risk of infections: Results from men and women in the Swedish National March Cohort. International Journal of Epidemiology. 2019;48(6):1783-1794. https://doi.org/10.1093/ije/dyz129

상세보기
Guilherme A, Virbasius JV, Puri V, Czech MP. Adipocyte dysfunctions linking obesity to insulin resistance and type 2 diabetes. Nature Reviews Molecular Cell Biology. 2008;9(5):367-377. https://doi.org/10.1038/nrm2391

상세보기
Tagliabue C, Principi N, Giavoli C, Esposito S. Obesity: Impact of infections and response to vaccines. European Journal of Clinical Microbiology & Infectious Diseases. 2016;35(3):325-331. https://doi.org/10.1007/s10096-015-2558-8

상세보기
Kanneganti TD, Dixit VD. Immunological complications of obesity. Nature Immunology. 2012;13(8):707-712. https://doi.org/10.1038/ni.2343

상세보기
Green WD, Beck MA. Obesity altered T cell metabolism and the response to infection. Current Opinion in Immunology. 2017;46:1-7. https://doi.org/10.1016/j.coi.2017.03.008

상세보기
Torres L, Martins VD, Faria AMC, Maioli TU. The intriguing relationship between obesity and infection. Journal of Infectiology. 2018;1(1):6-10.
Wie SH. Diagnosis and treatment of urinary tract infections. Proceedings of The Korean Journal of Medicine, Annual spring conference 2014; 2014 Apr 1; Seoul. Seoul: The Korean Association of Internal Medicine; c2014. p. 22-26.
National Health Insurance Service. Cystitis, it is the most common in the 50's women [internet]. Wonju: National Health Insurance Service; c2016 [cited 2020 Aug 20]. Available from: https://www.nhis.or.kr/nhis/healthin/wbhace05000m01.do?modeview&articleNo206010.
Health Insurance Review and Assessment Service (HIRA). 2019 Medical expenditure review results [Internet]. Wonju: HIRA; c2020 [cited 2020 Aug 20]. Available from: http://www.hira.or.kr/bbsDummy.do?pgmidHIRAA020045030000&brdScnBltNo4&brdBltNo2405&pageIndex1#-none.
Okubo Y, Handa A. The impact of obesity on pediatric inpatients with urinary tract infections in the United States. Journal of Pediatric Urology. 2017;13(5):455.e1-455.e5. https://doi.org/10.1016/j.jpurol.2017.03.038

상세보기
Kim YJ, Lee JH. Disseminated osteomyelitis after urinary tract infection in immunocompetent adult: A case report. World Journal of Clinical Cases. 2020;8(16):3542-3547. https://doi.org/10.12998/wjcc.v8.i16.3542

상세보기
Jo YS, Choi JY, Chung H, Kim Y, Na SJ. Recurrent Guillain-Barre syndrome following urinary tract infection by Escherichia coli. Journal of Korean Medical Science. 2018;33(4):e29. https://doi.org/10.3346/jkms.2018.33.e29

상세보기
Lee JH, Subhadra B, Son YJ, Kim DH, Park HS, Kim JM, et al. Phylogenetic group distributions, virulence factors and antimicrobial resistance properties of uropathogenic Escherichia coli strains isolated from patients with urinary tract infections in South Korea. Letters in Applied Microbiology. 2016;62(1):84-90. https://doi.org/10.1111/lam.12517

상세보기
Shin HR, Moon J, Lee HS, Ahn SJ, Kim TJ, Jun JS, et al. Increasing prevalence of antimicrobial resistance in urinary tract infections of neurological patients, Seoul, South Korea, 2007-2016. International Journal of Infectious Diseases. 2019;84:109-115. https://doi.org/10.1016/j.ijid.2019.05.002

상세보기
Semins MJ, Shore AD, Makary MA, Weiner J, Matlaga BR. The impact of obesity on urinary tract infection risk. Urology. 2012;79(2):266-269. https://doi.org/10.1016/j.urology.2011.09.040

상세보기
Saliba W, Barnett-Griness O, Rennert G. The association between obesity and urinary tract infection. European Journal of Internal Medicine. 2013;24(2):127-131. https://doi.org/10.1016/j.ejim.2012.11.006

상세보기
Nseir W, Farah R, Mahamid M, Sayed-Ahmad H, Mograbi J, Taha M, et al. Obesity and recurrent urinary tract infections in premenopausal women: A retrospective study. International Journal of Infectious Diseases. 2015;41:32-35. https://doi.org/10.1016/j.ijid.2015.10.014

상세보기
Kaspersen KA, Pedersen OB, Petersen MS, Hjalgrim H, Rostgaard K, Moller BK, et al. Obesity and risk of infection: Results from the Danish Blood Donor Study. Epidemiology. 2015;26(4):580-589. https://doi.org/10.1097/EDE.0000000000000301

상세보기
Nassaji M, Ghorbani R, Tamadon MR, Bitaraf M. Association between body mass index and urinary tract infection in adult patients. Nephro-Urology Monthly. 2014;7(1):e22712. https://doi.org/10.5812/numonthly.22712

상세보기
Seo MH, Lee WY, Kim SS, Kang JH, Kang JH, Kim KK, et al. 2018 Korean Society for the Study of Obesity guideline for the management of obesity in Korea. Journal of Obesity & Metabolic Syndrome. 2019;28(1):40-45. https://doi.org/10.7570/jomes.2019.28.1.40

상세보기
Kim Y, Han BG; KoGES group. Cohort profile: The Korean Genome and Epidemiology Study (KoGES) consortium. International Journal of Epidemiology. 2017;46(4):1350. https://doi.org/10.1093/ije/dyx105

상세보기
Korea Disease Control and Prevention Agency (KDCA). Status by cohort [Internet]. Cheongju: KDCA; c2020 [cited 2020 Aug 20]. Available from: http://www.kdca.go.kr/contents.es?mida40504030900.
Little P, Turner S, Rumsby K, Warner G, Moore M, Lowes JA, et al. Dipsticks and diagnostic algorithms in urinary tract infection: Development and validation, randomised trial, economic analysis, observational cohort and qualitative study. Health Technology Assessment. 2009;13(19):iii-iv, ix-xi, 1-73. https://doi.org/10.3310/hta13190

상세보기
Detweiler K, Mayers D, Fletcher SG. Bacteruria and urinary tract infections in the elderly. The Urologic Clinics of North America. 2015;42(4):561-568. https://doi.org/10.1016/j.ucl.2015.07.002

상세보기
Cortes-Penfield NW, Trautner BW, Jump RLP. Urinary tract infection and asymptomatic bacteriuria in older adults. Infectious Disease Clinics of North America. 2017;31(4):673-688. https://doi.org/10.1016/j.idc.2017.07.002

상세보기
Ingersoll MA. Sex differences shape the response to infectious diseases. PLoS Pathogens. 2017;13(12):e1006688. https://doi.org/10.1371/journal.ppat.1006688

상세보기
Mama M, Manilal A, Gezmu T, Kidanewold A, Gosa F, Gebresilasie A. Prevalence and associated factors of urinary tract infections among diabetic patients in Arba Minch Hospital, Arba Minch province, South Ethiopia. Turkish Journal of Urology. 2018;45(1):56-62. https://doi.org/10.5152/tud.2018.32855

상세보기
Aydin A, Kocaoz S, Kara P. Prevalence of lower urinary tract symptoms in pregnant adolescents and the influencing factors. Journal of Pediatric and Adolescent Gynecology. 2020;33(2):160-166. https://doi.org/10.1016/j.jpag.2019.10.007

상세보기
Nichols GA, Brodovicz KG, Kimes TM, Deruaz-Luyet A, Bartels DB. Prevalence and incidence of urinary tract and genital infections among patients with and without type 2 diabetes. Journal of Diabetes and its Complications. 2017; 31(11):1587-1591. https://doi.org/10.1016/j.jdiacomp.2017.07.018

상세보기
Duanngai K, Sirasaporn P, Ngaosinchai SS. The reliability and validity of using the urine dipstick test by patient self-assessment for urinary tract infection screening in spinal cord injury patients. Journal of Family Medicine and Primary Care. 2017;6(3):578-582. https://doi.org/10.4103/2249-4863.222024

상세보기
Jung C, Brubaker L. The etiology and management of recurrent urinary tract infections in postmenopausal women. Climacteric. 2019;22(3):242-249. https://doi.org/10.1080/13697137.2018.1551871

상세보기

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

Impact of Obesity on Urinary Tract Infections in Korean Adults: Secondary Data Analysis Using Community-Based Cohort Study 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (38)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트