Evidence map›Paper›PMID 40580043›Full record

ArticleLower urinary tract symptoms2025

Serum Serotonin Levels as a Potential Risk Factor for Overactive Bladder in a Community-Dwelling Population: A Four-Year Longitudinal Study.

Takafumi Fukushima, Teppei Okamoto, Tomoko Hamaya, Hirotake Kodama, Naoki Fujita, Hayato Yamamoto, Atsushi Imai, Shigeyuki Nakaji, Shingo Hatakeyama

Abstract read
In one paragraph

Article in Lower urinary tract symptoms, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Takafumi FukushimaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Teppei OkamotoDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.ORCID https://orcid.org/0000-0002-3750-3811
Tomoko HamayaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Hirotake KodamaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.ORCID https://orcid.org/0000-0002-5071-5149
Naoki FujitaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.ORCID https://orcid.org/0000-0001-8284-9582
Hayato YamamotoDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Atsushi ImaiDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Shigeyuki NakajiDepartment of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Shingo HatakeyamaDepartment of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.ORCID https://orcid.org/0000-0002-0026-4079

Funding

Japan Science and Technology Agency JPMJCE1302
6 · The paper itself

Abstract

purposeThis study aims to investigate the potential influence of serum serotonin (5-HT) levels on the development of overactive bladder (OAB) in a community-dwelling population.

methodsA four-year longitudinal study was conducted involving 615 subjects who participated in the Iwaki Health Promotion Project in Hirosaki, Japan, in both 2015 and 2019. OAB was defined as experiencing urinary urgency at least once a week with an Overactive Bladder Symptom Score (OABSS) of ≥ 3. Baseline data from 2015, including serum 5-HT levels, other laboratory data, and comorbidity information, were used for the analysis. The association between serum 5-HT levels and incident OAB in 2019 (OAB-2019) was examined using multivariate logistic regression analyses.

resultsThe study included 250 men and 365 women, of whom 74 individuals (29 men and 45 women) met the diagnostic criteria for OAB in 2019. Significant differences were observed between the OAB-2019 and non-OAB-2019 groups, including age, chronic kidney disease, irritable bowel syndrome, hypertension, glycemic status, mental status, and OAB in 2015. Participants in the OAB-2019 group had significantly lower serum 5-HT levels compared to the non-OAB-2019 group (100 vs. 129 ng/mL, p < 0.001). After adjusting for confounders, multivariable analysis revealed that serum 5-HT levels < 134 ng/mL (odds ratio: 2.48, 95% confidence interval: 1.39-5.83, p = 0.004), age, mental status, and OAB in 2015 independently served as risk factors for OAB-2019.

conclusionsLow serum 5-HT levels may be associated with an increased risk of OAB. Further research is needed to elucidate the underlying mechanisms responsible for this association.

Indexed as

SerotoninUrinary Bladder, OveractiveAdultAgedFemaleHumansIndependent LivingJapanLongitudinal StudiesMaleMiddle AgedRisk FactorsSerotoninoveractive bladderrisk factorserum serotonin

Identifiers

PMID40580043
PMCPMC12205573

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.