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Relationship Between Marijuana Use and Overactive Bladder (OAB): A Cross-Sectional Research of NHANES 2005 to 2018 - 05/12/22

Doi : 10.1016/j.amjmed.2022.08.031 
Shenhao Zhu, MD 1 , Zhongyuan Wang, MM 1 , Zhijun Tao, MM 1 , Shangqian Wang, MD, PhD , Zengjun Wang, MD, PhD
 Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China 

Requests for reprints should be addressed to Zengjun Wang, MD, PhD, Department of Urology, The First Affiliated Hospital of Nanjing Medical University, No 300 Guangzhou Road, Nanjing 210000, China.Department of UrologyThe First Affiliated Hospital of Nanjing Medical UniversityNo 300 Guangzhou RoadNanjing210000ChinaRequests for reprints should be addressed to Shangqian Wang, MD, PhD, Department of Urology, The First Affiliated Hospital of Nanjing Medical University, No 300 Guangzhou Road, Nanjing 210000, China.Department of UrologyThe First Affiliated Hospital of Nanjing Medical UniversityNo 300 Guangzhou RoadNanjing210000China

Abstract

Background

Current research is starting to focus on the medical value of marijuana and the possible health problems it can cause. Previous studies have shown that marijuana can relieve lower urinary tract symptoms, which can pose a significant public health burden. In this study, we assessed the association between regular marijuana use and overactive bladder as part of low urinary tract symptoms.

Methods

Data from the National Health and Nutrition Examination Survey 2005-2018 were obtained for analysis. The Overactive Bladder Symptom Score scale was used to define the presence of overactive bladder for each participant. Multivariate logistic regression and ordinal logistic regression were used to analyze the association of marijuana use with the onset and severity of overactive bladder, respectively.

Results

We found that approximately 24% of the US population reported regular marijuana use. Compared with nonregular users, regular marijuana users were younger, thinner, more likely to be male, smokers, low-income, less educated, unmarried, and non-Hispanic White/Black. Multivariate logistic regression revealed that marijuana exposure may be an independent risk factor for overactive bladder (odds ratio 1.39; 95% confidence interval, 1.16-1.66). Ordinal logistic regression results showed that marijuana exposure was associated with the severity of overactive bladder (odds ratio 1.45; 95% confidence interval, 1.30-1.60). Moreover, all frequencies of regular use showed almost consistent effects on the onset and severity of overactive bladder.

Conclusion

Regular marijuana use may increase the risk of overactive bladder. Our data do not support the evidence for the use of cannabinoids in the medical treatment of patients with overactive bladder, especially given the thorny health problems caused by marijuana.

El texto completo de este artículo está disponible en PDF.

Keywords : Lower urinary tract symptoms, Marijuana, NHANES, Overactive bladder


Esquema


 Funding: None.
 Conflicts of Interest: None.
 Authorship: SHZ performed the statistical analyses, interpreted the results, and wrote the first draft. ZYW and ZJT contributed to the study design, interpreted the results, participated in the discussion, revised the draft of the manuscript, and approved the final version. SQW and ZJW conceived the idea and designed the study, performed the statistical analysis, interpreted the results, drafted and revised the manuscript, and approved the final version. All authors had access to the data and agree to be accountable for the accuracy or integrity of any part of the work.


© 2022  Elsevier Inc. Reservados todos los derechos.
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Vol 136 - N° 1

P. 72-78 - janvier 2023 Regresar al número
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