Nocturia and Aging: Diagnosis and Treatment

Boongird, Sarinya; Shah, Nirav; Nolin, Thomas D.; Unruh, Mark

doi:10.1053/j.ackd.2010.04.004

Cited by 17 publications

(14 citation statements)

References 82 publications

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“…In our study, we found a high prevalence of LUTS in community-dwelling men, which is in accordance with previously reported results [1,3,11,12,13,14]. Nocturia was the most common symptom (58.9%), followed by frequency (35.9%), and weak urinary stream (27.7%).…”

Section: Discussionsupporting

confidence: 92%

“…Nocturia is defined by the International Continence Society as the need to awaken one or more times at night to void [15]. However, many studies considered nocturia to be 2 or more voids per night, based on the fact that 1 void per night does not significantly affect QoL [13]. Therefore, in our study, we considered nocturia to be 2 or more voids per night when analyzing the prevalence of nocturia.…”

Section: Discussionmentioning

confidence: 99%

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Nocturia is the Lower Urinary Tract Symptom With Greatest Impact on Quality of Life of Men From a Community Setting

et al. 2014

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PurposeLower urinary tract symptoms are numerous, but the specific impact of each of these symptoms on the quality of life (QoL) has not been evaluated in community-dwelling men. An assessment of these symptoms and their effects on QoL was the focus of this study.MethodsWe performed a cross-sectional study with 373 men aged >50 years from a community setting. Patients completed the International Prostate Symptom Score questionnaire, which includes questions on each of the specific urinary symptoms and a question addressing health-related QoL that are graded from 0 to 5. We used the Pearson correlation test to assess the impact of each symptom on QoL.ResultsNocturia (58.9%) was the most prevalent urinary symptom. The mean score was 0.9±1.4 for incomplete emptying, 1.0±1.5 for frequency, 0.9±1.3 for intermittency, 0.8±1.3 for urgency, 1.0±1.5 for weak stream, 0.5±1.0 for straining, and 2.0±1.6 for nocturia. Nocturia and frequency were the only symptoms associated with poorer QoL, with nocturia showing a stronger association.ConclusionsNocturia affects 50% of community dwelling men aged >50 years, and is the lower urinary tract symptom with the greatest negative impact on QoL.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Nocturia is the Lower Urinary Tract Symptom With Greatest Impact on Quality of Life of Men From a Community Setting

et al. 2014

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“…Previous studies have also shown the effect of overnight hypertension on overnight micturition. Moreover, the following observations were reported: a significant decrease in day-to-night urine volume ratio, a significant increase in night MAP, an insignificant increase in day MAP, abnormal circadian rhythms, and disorders in the 24-hour blood pressure profile with a nondipping pattern (11,32,(36)(37)(38)(39).…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Nocturia and Nocturnal Polyuria After Renal Transplantation and Associated Factors

Lebadi¹,

Monfared²,

Roshan³

et al. 2017

Nephro-Urol Mon

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Background: Although uncontrolled systemic hypertension is associated with poor survival and allograft outcomes in patients after renal transplant, nondipping systolic blood pressure at night is not identified as an independent factor for deterioration of renal function after renal transplant. Therefore, in this study, we aimed to evaluate the prevalence of nocturia and nocturnal polyuria in renal transplant patients. Methods: This cross sectional study included 114 renal transplant patients above 18 years, who were referred to the nephrology clinics of Rasht, Iran in 2016. The patients were asked to collect 24-hour urine samples twice at home, once during the day and once at night. Urine volume, creatinine, sodium, osmolarity, and creatinine clearance of resting and working periods were measured. Monitoring of ambulatory 24-hour blood pressure was performed simultaneously, and findings including the mean arterial pressure (MAP) were evaluated during the day and night. Moreover, dimensions of the transplanted kidney, postvoid residual (PVR) urine, and prostate size were evaluated by ultrasonography. Results: The analyses showed that 81 (71.1%) patients had nocturia, while 77 (67.5%) patients had nocturnal polyuria. The mean age of the patients with nocturia was significantly higher than that of patients without nocturia (P = 0.003). MAP in patients with nocturnal polyuria was higher than that of patients without nocturnal polyuria. Blood pressure nondipping at night was significantly more common among patients with nocturia and nocturnal polyuria (P < 0.001). The increased level of urine sodium at resting time (night) was associated with nocturnal polyuria and nocturia (P < 0.001). In addition, the increase in creatinine clearance at resting time was associated with nocturnal polyuria and nocturia (P = 0.04 and P < 0.001, respectively). A higher level of creatinine clearance was reported during the day in patients without nocturnal polyuria or nocturia (P < 0.001). Conclusions:Since nondipping blood pressure is associated with more tissue damage and deterioration of renal transplant outcomes, control of hypertension and changes in the time of antihypertensive drug administration (for improving blood pressure dipping at night) may prevent the adverse effects of nondipping blood pressure.

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“…The basal ANP level has been shown to increase by threefold to fivefold with aging, while plasma renin and aldosterone levels decrease. In patients with edema-forming states such as CHF or lower extremity venous stasis, large quantities of fluid and solute accumulated in the lower extremities may become mobilized into the circulatory system at night when the patient is supine [25,26]. ANP is then released by atrial myocytes in response to atrial distention and sympathetic stimulation.…”

Section: Causesmentioning

confidence: 99%

Evaluation and Management of Nocturia in Older Men

Harel

Weiss

2011

Curr Bladder Dysfunct Rep

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Nocturia is defined as the need to wake at night one or more times to void, with each void preceded and followed by sleep. Although a substantial association between age and nocturia has been established in several epidemiologic studies, nocturia is an underreported condition. Therefore, the true extent of the problem in the population may be underestimated. Nocturia is one of the most bothersome lower urinary tract symptoms and is associated with significant morbidity and even mortality. Nocturia is a multifactorial condition, with nocturnal polyuria representing a highly prevalent and often unrecognized cause. Classification of the etiology of nocturia is greatly facilitated by the liberal use of frequency volume charts. Treatment centers around lifestyle modifications, attention to comorbidities, and judicious use of various targeted medical therapies.

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Nocturia and Aging: Diagnosis and Treatment

Cited by 17 publications

References 82 publications

Nocturia is the Lower Urinary Tract Symptom With Greatest Impact on Quality of Life of Men From a Community Setting

Nocturia is the Lower Urinary Tract Symptom With Greatest Impact on Quality of Life of Men From a Community Setting

The Prevalence of Nocturia and Nocturnal Polyuria After Renal Transplantation and Associated Factors

Evaluation and Management of Nocturia in Older Men

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