Prevalence and associated factors in community-dwelling subjects - a population-based study

Abstract

SUMMARY OBJECTIVES To assess the prevalence of nocturia and identify factors associated with it in a community-dwelling population. METHODS A cross-sectional study was conducted in subjects aged 45 years or more and registered with a Family Doctor Program. Information was collected about nocturia, other urinary symptoms, physical examination, co-morbidities, demographics, socio-economic, and lifestyle factors. Multiple logistics regression models were developed to analyze associated factors for nocturia according to gender and the number of nocturnal micturitions(≥1 and ≥2). RESULTS Out of the 661 individuals included in the study, 62.3% were women. Among the women, the prevalence rates for nocturia ≥1 time and ≥2 times were, respectively, 68.4% and 49%, whereas, among the men, they were 64.3% and 43.8%. Among the women, nocturia ≥1 time was associated with brown skin, a higher BMI, lower schooling, and calcium channel blockers(CCB) use, while nocturia ≥2 times showed association with higher BMI, lower schooling, obstructive sleep apnea (OSA), and the use of CCB. Among the men, nocturia ≥1 time was associated positively with age, alcohol intake, and OSA, and negatively with angiotensin receptor blockers and beta-blockers use. Besides, nocturia ≥2 times was associated with age, not having health insurance, and OSA. CONCLUSIONS Nocturia is a condition highly prevalent in the studied population. For the female subjects, a higher BMI, lower schooling, and the use of CCB were associated with nocturia regardless of the definition used, whereas, among the men, that same association was found with age, not having health insurance, and OSA.

Associations between constipation symptoms and the sleep quality in non-dialysis chronic kidney disease patients: a cross-sectional study

“…In our study, calcium-channel blockers and diuretics were associated with an increased prevalence of deteriorated sleep quality. It is in agreement with recent studies that have shown that both drug groups are associated with nocturia [35][36][37] and decreased gastrointestinal motility [19,[38][39][40]. Recent review articles comprehensively analyzed possible pathogenic mechanisms of CKD-related constipation [41,42].…”

Mechanisms and Associated Factors of Nocturia in Women Attending Two Urogynecology Clinics: A Cross-Sectional Study

“…The prevalence of nocturia defined by one or more episodes (70.7%) was similar to a cross-sectional study conducted by Daugherty et al (2021) in the United States (69.6%), which included 7620 adult women [4], and another cross-sectional study conducted by Cruz et al (2020) in the state of Rio de Janeiro, Brazil (68.4%), which included 411 women over 45 years old [26]. However, the prevalence of two or more episodes was higher than that of the Brazilian study (56.4% versus 49%) and nearly double that of the American study (28%).…”

Canadian Urological Association best practice report: Diagnosis and management of nocturia

“…Obesity is an independent risk factor for nocturia, with Level 1 evidence. [43][44][45][46][47] Obesity contributes to OSA which can lead to NP, as well as to other chronic disorders along with their required treatments which may also contribute to nocturia. There is no consensus, however, as to the role of weight loss or the most appropriate way to implement it in the setting of nocturia.…”