Prevalence of nocturia among community-dwelling adults: a population-based study in Malaysia

Yow, Hui-Yin; Tiong, John Jeh Lung; Mai, Chun‐Wai; Werf, Esther van der; Zainuddin, Zulkifli Md; Toh, Charng-Chee; Ngoo, Kay-Seong; Goh, Eng-Hong; Fadzli, Ahmad Nazran; Lok, Sze-Han; Ong, Terence

doi:10.1186/s12894-021-00860-1

Cited by 8 publications

(8 citation statements)

References 43 publications

(70 reference statements)

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“…A total of 14 studies provided data relating to univariate analysis ( 7 – 11 , 15 , 18 , 20 , 22 – 25 , 29 , 33 ) and 25 studies provided data relating to multivariate analysis ( 6 – 14 , 16 – 21 , 24 , 26 – 34 ). The pooled results proved that diabetes significantly increases the risk of nocturia in univariate analysis (OR: 1.97; 95% CI: 1.54, 2.51; P < 0.00001).…”

Section: Resultsmentioning

confidence: 99%

The association between diabetes and nocturia: A systematic review and meta-analysis

Wang

Dang

et al. 2022

Front. Public Health

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BackgroundMany studies have explored the association between diabetes and nocturia, but it remains unclear. This article systematically analyses existing evidence of the relationship between diabetes and nocturia, including subgroup analysis based on the number of voids, gender, and continent, in the hope of reaching more reliable clinical conclusions relating to diabetes and nocturia.MethodsPubMed, Web of Science, and Cochrane Library were searched for identifying studies relating to diabetes and nocturia prior to July 2021. Literature quality evaluation was performed using the Newcastle Ottawa Scale. A random effect meta-analysis was used for pooled odds ratios (ORs) and confidence intervals (CIs) as a means of evaluating the relationship between diabetes and nocturia.ResultsIn total, 29 of 781 potentially relevant studies were proven to be eligible. The overall pooled OR demonstrated that diabetes increases the risk of nocturia (OR: 1.49; 95% CI: 1.38, 1.61; P < 0.00001). The association was found to be more robust among subjects ≥ 1 void than ≥ 2 void (OR: 1.74; 95% CI: 1.41, 2.14; P < 0.00001 vs. OR: 1.45; 95% CI: 1.33, 1.59; P < 0.00001), in males than females (OR: 1.59; 95% CI: 1.41, 1.79; P < 0.00001 vs. OR: 1.41; 95% CI: 1.20, 1.66; P < 0.0001) and in Asia than Europe or North America (OR: 1.54; 95% CI: 1.36, 1.75; P < 0.00001 vs. OR: 1.43; 95% CI: 1.19, 1.72; P = 0.0001 vs. OR: 1.45; 95% CI: 1.22, 1.73; P < 0.0001).ConclusionsDiabetes has an association with a 1.49-fold higher risk of nocturia. This association is more robust for Asian and male subjects or those at a lower nocturia cut-off.

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Section: Resultsmentioning

confidence: 99%

The association between diabetes and nocturia: A systematic review and meta-analysis

Wang

Dang

et al. 2022

Front. Public Health

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“…Gaps between health care seeking prevalence and population prevalence occur in several countries. In Malaysia, the prevalence of nocturia in adults was 57.3%; however, only 25.2% of the respondents sought medical help 11 . In Singapore, Korea, Brazil, and Taiwan, the health care seeking prevalence was even lower 5,[16][17][18] .…”

Section: The Awareness and Health Care Seeking Prevalence Of Lower Ur...mentioning

confidence: 99%

“…During the past decade, LUTS prevalence remarkably increased from 18.4% in 2008 to 45.8% in 2018, comprising up to 2.3 billion individuals worldwide 10 . Although the increasing LUTS prevalence has gained global attention, health care seeking behaviors remain low 5,11 . The health care seeking behavior is defined as “any activity undertaken by individuals who perceived themselves to have a health problem or to be ill to find an appropriate remedy,” which initially originated from the “illness behavior.” 12 The main essence of health care seeking behavior was not disease prevention during the asymptomatic phase but rather searching for a cure.…”

Section: The Awareness and Health Care Seeking Prevalence Of Lower Ur...mentioning

confidence: 99%

The reciprocal impacts of lower urinary tract symptoms (LUTS) on mental illness

Chang,

Liao,

Huang

et al. 2024

Urological Science

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Lower urinary tract symptoms (LUTS) are defined as symptoms related to the lower urinary tract or referred from similarly innervated anatomy. No specific criteria are used to precisely define LUTS owing to its multiorgan involvement instead of organ-centric (urethra and bladder). In the past decade, the prevalence of LUTS dramatically increased owing to low health care seeking behaviors. Initially, patients with LUTS seemed to not actively look for medical opinions because of cultural or ethnic barriers. Raising awareness of the significance of medical opinions may contribute to increasing health care seeking behaviors for LUTS. In addition to the association between LUTS and mental illness, a temporal relationship exists, that is, LUTS may cause mental illness and vice versa. This bidirectional correlation relationship was demonstrated by a nationwide observational study. The impacts of LUTS vary among different age groups. Older adults have higher LUTS prevalence, whereas younger ones with LUTS have higher risks of developing anxiety and depression. Similarly, the impacts of LUTS differ between men and women. Women have higher LUTS prevalence; however, men with LUTS have higher risks of developing anxiety and depression. In conclusion, significant association and temporal bidirectional relationship exist between LUTS and mental health. Our findings suggested that patients with LUTS also receive mental illness–related health care; similarly, patients with mental illness may have risks of developing subsequent LUTS.

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“…In population-based studies, the prevalence of one or more episodes of nocturia was 57.3% in the general population of Malaysia [3], 69.6% in women in the United States [4], and 76% in a multicenter study conducted in the United States, United Kingdom, and Switzerland [5]. The prevalence of two or more episodes was 23.2%, 28.8%, and 34%, respectively.…”

Section: Introductionmentioning

confidence: 99%

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

da Silva,

de Moraes,

de Sá

et al. 2023

OJOG

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Introduction: Nocturia has a multifactorial etiology, and its diagnostic approach involves, in addition to medical history and physical examination, the use of a bladder diary to define the pathophysiological mechanisms present in each case. Methods: This study investigated the prevalence of nocturia, its mechanisms, and associated factors in women with lower urinary tract symptoms attending two urogynecology clinics in the state of Rio de Janeiro, Brazil. Anamnesis, physical examination, and a 24-hour bladder diary were conducted. Two definitions of nocturia were considered: one or more nighttime voids and two or more nighttime voids. Mann-Whitney and Chi-square tests were used, with p-value ≤ 0.05 considered significant. Results: A total of 133 participants were included. The majority were aged 60 years or older (61.4%) and had three or more comorbidities (66.7%), with systemic arterial hypertension being the most prevalent (59.1%). Of the total participants, 54 (41.4%) completed the bladder diary. Among those with one or more nighttime voids (70.7%), the prevalence of nocturnal polyuria was 69.1%, reduced nocturnal bladder capacity was 17.3%, and global polyuria was 12.9%. Among participants with two or more nighttime voids (56.4%), the prevalences were respectively 68.2%, 19.1%, and 13.6%. Among the mechanisms, associations were found only with global polyuria, namely: use of insulin, body mass index and tobacco consumption. An association was also found between recurrent urinary tract infection and global polyuria in participants with two or more nighttime voids. Conclusions: The prevalence of nocturia was higher than that reported in general population studies and specialized services for lower urinary tract symptoms. Nocturnal polyuria was the most prevalent mechanism. Associations were observed between the use of insulin, body mass index, tobacco consumption, and recurrent urinary tract infection with global po-How to cite this paper: da Silva, I.A., de

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Prevalence of nocturia among community-dwelling adults: a population-based study in Malaysia

Cited by 8 publications

References 43 publications

The association between diabetes and nocturia: A systematic review and meta-analysis

The association between diabetes and nocturia: A systematic review and meta-analysis

The reciprocal impacts of lower urinary tract symptoms (LUTS) on mental illness

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

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