{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T20:04:59Z","timestamp":1789157099429,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the characteristics of underactive bladder (UAB) in participants of the 2023 Japan Community Health Survey (JaCS 2023).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The JaCS 2023 was conducted among individuals aged 20\u201399\u2009years old who had anonymously registered with a Japanese online research company. We divided the 6210 participants of JACS 2023 into UAB and non\u2010UAB groups as defined by the International Continence Society Working Group (ICS\u2010WG) and evaluated the prevalence of UAB as well as concomitant lower urinary tract symptoms. In addition, an association between UAB and vulnerability\u2010related factors, namely participants' characteristics including frailty and comorbidities, was explored by univariable and multivariable analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The prevalence of UAB in Japanese community\u2010dwelling men and women aged 20\u2009years or older was 9.3% and 4.0% overall (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001), respectively, and when excluding benign prostatic hyperplasia or pelvic organ prolapse, 7.0% and 3.7%, respectively, (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). A significant increase in the prevalence of UAB with age was observed (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). In addition, storage symptoms including overactive bladder were more frequent in the UAB group than the non\u2010UAB group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). Frailty and several comorbidities were independently associated with UAB.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>According to the definition proposed by the ICS\u2010WG, the JaCS 2023 demonstrated that UAB was more prevalent in men than in women and increased in prevalence with age. Storage symptoms including overactive bladder sometimes coexisted with UAB. Vulnerability\u2010related factors were associated with UAB.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.15595","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T06:24:57Z","timestamp":1728455097000},"page":"51-59","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Underactive bladder as defined by the International Continence Society in the 2023 Japan Community Health Survey"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0169-4783","authenticated-orcid":false,"given":"Noritoshi","family":"Sekido","sequence":"first","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Department of Urology Toho University Ohashi Medical Center  Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Omae","sequence":"additional","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Department of Innovative Research and Education for Clinicians and Trainees (DiRECT) Fukushima Medical University Hospital  Fukushima Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasue","family":"Kubota","sequence":"additional","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Department of Advanced Medical Nursing Nagoya City University Graduate School of Nursing  Nagoya Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0408-3678","authenticated-orcid":false,"given":"Takahiko","family":"Mitsui","sequence":"additional","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Department of Urology University of Yamanashi Graduate School of Medical Sciences  Chuo Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6324-0739","authenticated-orcid":false,"given":"Naoya","family":"Masumori","sequence":"additional","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Department of Urology Sapporo Medical University School of Medicine  Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3618-5214","authenticated-orcid":false,"given":"Nobuhiro","family":"Haga","sequence":"additional","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Department of Urology, Faculty of Medicine Fukuoka University  Fukuoka Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2962-1607","authenticated-orcid":false,"given":"Motoaki","family":"Saito","sequence":"additional","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Department of Pharmacology, Kochi Medical School Kochi University  Nankoku Kochi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuji","family":"Sakakibara","sequence":"additional","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Neurology Clinic, Tsudanuma and Dowakai Chiba Hospital  Funabashi Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikako","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Department of Women's Health Nursing &amp; Midwifery Tohoku University Graduate School of Medicine  Sendai Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0819-9478","authenticated-orcid":false,"given":"Satoru","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Epidemiological Survey Executive Committee, the Japanese Continence Society  Chiyoda Tokyo Japan"},{"name":"Department of Urology Nihon University School of Medicine  Itabashi Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23701"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-014-0811-1"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-016-1382-0"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15454"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.03.035"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.09.022"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.02.042"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-8-24"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25407"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.07601.x"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12292"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-017-0720-9"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24001"},{"key":"e_1_2_14_15_1","first-page":"305","article-title":"High\u2010fat and high\u2010sucrose diet leads to skeletal muscle loss and bladder dysfunction in rat","volume":"15","author":"Wada N","year":"2023","journal-title":"Res Rep Urol"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16766"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.08.014"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25381"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1757-5672.2011.00095.x"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)65887-7"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2020.08.016"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08371.x"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12018"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.2147\/NSS.S40618"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.7792"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/13685538.2018.1481941"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2011.10.020"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1812-1"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8624"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.10.015"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334419848734"}],"container-title":["International Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iju.15595","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T06:42:37Z","timestamp":1764484957000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iju.15595"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,9]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/iju.15595"],"URL":"https:\/\/doi.org\/10.1111\/iju.15595","archive":["Portico"],"relation":{},"ISSN":["0919-8172","1442-2042"],"issn-type":[{"value":"0919-8172","type":"print"},{"value":"1442-2042","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,9]]},"assertion":[{"value":"2024-07-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}