Markland AD, Shan L, Brady SS, et al. - Researchers sought to operationalize a new definition for bladder health by determining the distribution of lower urinary tract symptoms (LUTS) and impact, along with linked factors, among women in the Coronary Artery Risk Development in Young Adults (CARDIA) study. CARDIA women (median age 51, range 42-59) with complete LUTS data were analyzed (n = 1,302). Among these women, 4 cluster groups were identified and compared: women who reported no or very mild symptoms and no impact on well-being (bladder health, 44%, n = 569), vs women with LUTS and negative impact on well-being ranging from mild (31%, n = 407), moderate (20%, n = 259), to severe (5%, n = 67). Per findings, the definition of bladder health was met in two out of 5 midlife women. Among women, bladder health and cardiovascular health may share common factors, including lower BMI and the absence of metabolic syndrome.