Nocturnal Polyuria in the Elderly Person

Donahue, James L.; Löwenthal, David

doi:10.1016/s0002-9629(15)40206-x

Cited by 21 publications

(24 citation statements)

References 41 publications

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“…Nocturnal polyuria probably has a variety of causes [17] and may occur secondary to the poor concentrating ability of the kidney with increasing age, or to postural factors, with dependant oedema in the limbs being reabsorbed overnight as a contributing factor [18,19]. Subclinical cardiac failure has also been postulated as a cause of nocturnal polyuria.…”

Section: Introductionmentioning

confidence: 99%

Nocturnal polyuria in community‐dwelling women

2004

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OBJECTIVETo determine the age prevalence of nocturnal polyuria among older women in the community, and to investigate the relationship between nocturnal polyuria and nocturia. PATIENTS AND METHODSIn all, 1183 women aged ≥50 years, who were registered with a family doctor practice and who had taken part in a prevalence study, were sent brief questionnaires and a frequency/volume chart (FVC) to complete. RESULTSThere were 227 FVCs with adequate data and 264 completed questionnaires available for analysis. The prevalence of nocturnal polyuria increased disproportionately with age. There was no clear relationship between nocturia or nocturnal polyuria and daytime frequency, nor was there a clear relationship between diuretic use and nocturnal polyuria. CONCLUSIONNocturnal polyuria is common among women in the community and not obviously related to daytime frequency. Night-time symptoms are common in women as well as men, and are troublesome to them.

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Section: Introductionmentioning

confidence: 99%

Nocturnal polyuria in community‐dwelling women

2004

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“…Urinary concentrating ability has been shown to decline with ageing in both humans (10) and rodents (20), which may be due in part to nephron loss with age. In young children, however, impaired renal concentrating ability has been strongly associated with reduced GFR and has been used as a marker of early renal failure (11).…”

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confidence: 99%

Urine-concentrating defects exacerbate with age in male offspring with a low-nephron endowment

Singh

Denton

Bertram³

et al. 2011

American Journal of Physiology-Renal Physiology

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“…Interestingly, no one mentioned that noisy equipment caused disrupted sleep, probably as extended care wards mainly catered for long-stay patients with non-acute conditions. Since the study did not record the frequency of nocturnal awakening due to voiding, it is possible to underestimate the incidence and impact of nocturnal voiding, particularly as patients only reported when situations became unbearable [17], and deliberately restricting fluids to 'normalize' and 'accept' nocturia symptoms [18]. Detecting sleep problems would therefore be challenging for staff unless practices were in place to ascertain patients' usual sleep patterns and sleep needs at different times during hospitalisation.…”

Section: Discussionmentioning

confidence: 99%

Older Patients ' Experiences of Sleep in the Hospital: Disruptions and Remedies

Lee¹,

Low²,

Twinn³

2008

TOSLPJ

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Abstract:Complaints of disruptive sleep are common occurrences during hospitalization of older people, with unpleasant consequences arising when disrupted sleep is left unmanaged. This aim of this study was to explore the perceptions of Chinese older patients on the causes of sleep disturbance, sleeping pattern changes and sleep remedies that could be implemented to improve sleep quality during hospitalization. Sleep diaries and interviews highlighted that a crucial role of nurses is to listen and involve older patients into identifying their own sleep problems and sleep-promoting remedies they consider to work in their favour. Through understanding the sleep problems from patients' perspectives, nurses can appreciate the significance of disrupted sleep for the person concerned and effectively design needs-based sleep interventions to manage the changing sleep patterns and sleep needs of patients in the clinical area.

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Nocturnal Polyuria in the Elderly Person

Cited by 21 publications

References 41 publications

Nocturnal polyuria in community‐dwelling women

Nocturnal polyuria in community‐dwelling women

Urine-concentrating defects exacerbate with age in male offspring with a low-nephron endowment

Older Patients ' Experiences of Sleep in the Hospital: Disruptions and Remedies

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