# Association of overactive bladder with all‐cause and cardiovascular mortality in women: A propensity‐matched NHANES study

## TL;DR

This study finds that overactive bladder in women is linked to higher all-cause and cardiovascular mortality, and metabolic markers like TyG-WHtR are strongly associated with the condition.

## Contribution

The study identifies TyG-WHtR as the most effective metabolic index for predicting overactive bladder in women.

## Key findings

- OAB is an independent risk factor for all-cause and cardiovascular mortality in women.
- TyG-related indices show a positive association with OAB, with TyG-WHtR being the strongest predictor.
- Higher TyG-WHtR values are linked to an increased risk of OAB.

## Abstract

To examine the impact of overactive bladder (OAB) on all‐cause and cardiovascular mortality in women in a real‐world setting, and to examine the association of TyG‐related indices with OAB.

Data on 6580 women aged ≥20 years were collected from the National Health and Nutrition Examination Survey (NHANES) database. Kaplan–Meier curves and Cox survival analysis were used to evaluate the association between OAB and all‐cause and cardiovascular mortality. Biomarkers for metabolic syndrome were assessed for their association with OAB, including triglyceride‐glucose (TyG) and TyG‐related indices. The association between TyG‐related indices and OAB was evaluated using restricted cubic splines (RCS), receiver operating characteristic (ROC) curves and multivariate logistic regression, with propensity score matching (PSM) employed to balance confounders between OAB and non‐OAB groups.

Kaplan–Meier curves showed that OAB was associated with a poorer prognosis, and multivariate Cox regression analyses indicated that OAB was an independent risk factor for both all‐cause and cardiovascular mortality. RCS revealed a positive association between TyG‐related indices and OAB. Both ROC curves and multivariate logistic regression analysis indicated that TyG‐WHtR (TyG combined with waist‐to‐height ratio) was strongly associated with OAB, with a higher TyG‐WHtR associated with an increased risk of OAB. The retrospective design and selection bias may be the potential limitations.

OAB is positively associated with all‐cause and cardiovascular mortality in women. TyG‐related indices are positively associated with OAB, with TyG‐WHtR as the most effective index.