Nocturia and disturbed sleep in the elderly (original) (raw)
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Nocturia Compounds Nocturnal Wakefulness in Older Individuals with Insomnia
Journal of Clinical Sleep Medicine, 2013
Current knowledge/Study Rationale: Despite the overwhelming preponderance of older individuals who indicate that nocturia is the primary cause of their sleep disruption, there is relatively little objective data to support this assertion. There is also scant data on the interrelationship between nocturia and insomnia. Study Impact: Our data indicate that nocturia compounds the negative impact of insomnia. Mitigation of the alerting aspects of nocturia-associated behaviors may enable an improvement in sleep.
Alexandria Scientific Nursing Journal, 2020
Nocturia is one of the greatest disruptive lower urinary tract symptoms and among the prime sources of disturbed sleep in the elderly. By splitting the sleep cycle, it adversely influences the quality of sleep and subsequently is associated with daytime exhaustion. Even with the highly disrupting nature of nocturia, geriatric sufferers often do not seek medical attention, viewing it as an expected result of aging or being too ashamed to discuss it. Objective: Determine the relationship between nocturia, sleep quality and day time energy among community dwelling older adults. Setting: Seven outpatient clinics in the main university hospital in Alexandria, Egypt. Subjects: A convenience sample of 130 geriatric patients with nocturia. Tools: Socio-demographic and clinical data structured interview schedule of geriatric patients, sleep quality and day time energy of geriatric patients with nocturia structured interview schedule. Results: 46.9 and 31.5% of elders with nocturia had fairly...
BJU International, 2004
In all, 5204 people participated in the survey, with 919 in the nested case-control study. The sample population had a mean age of 45.8 years, was 52.6% female and 80% Caucasian. In the community sample, 31% reported >1 void/night and 14.2% reported >2 voids/night. The prevalence of nocturia increased with age, with no gender differences. For OAB cases, 66.8% reported >1 void/night and 42.2% reported >2. In the case-control cohort there were significant HRQoL differences (P < 0.01), with increasing episodes of nocturia in all OAB-q subscales except social interaction. The amount of sleep per night was significantly correlated with the sleep, concern and social interaction OABq subscale scores. The number of nocturia episodes/night was also significantly (P = 0.02) associated with the number of hours of sleep/night. CONCLUSION Nocturia is widely prevalent and increases with age, affecting men and women equally. Incremental increases in the number of voids/ night have further negative effects on sleep, symptom bother, and HRQoL.
Nocturia × disturbed sleep: a review
International Urogynecology Journal, 2011
In this article, we provide a concise review of the literature on nocturia and its interference with sleep and, consequently, on quality of life. There are few studies addressing the possible influences of nocturia on sleep disruption. Nocturia is a potential contributor to sleep disorders because affected individuals experience nonrestorative sleep due to frequent interruptions. We also attempted to determine whether individuals with nocturia wake to urinate or, alternately, urinate because they are awake. This review attempts to outline this specific association by examining the possible interactions with other medical conditions and the pathophysiology and prevalence. Most studies have observed a higher prevalence among women; however, the impact on quality of life is higher in men. Nocturia is not necessarily associated with natural aging. The exploration of these topics provides information to clarify the implications of nocturia on sleep, sleep disruption, and other related consequences. Additional evidence is still required to address the question of whether nocturia leads to disordered sleep or whether disordered sleep leads to nocturia.
The effect of nocturia on sleep
Sleep Medicine Reviews, 2011
Sleep plays a vital role in physical and mental functioning. It is increasingly recognized that disturbed sleep is a highly prevalent and chronic condition that merits greater awareness due to the wide-ranging and serious repercussions associated with it. Nocturia is one of the causes of sleep disturbance and has been shown to impair functioning, quality of life, health and productivity, with those experiencing two or more voids per night reporting significant 'bother'. Nocturia warrants full consideration as a significant target for intervention, aiming to reduce the burden of disturbed sleep on individuals, families and society. Currently however, a definitive evaluation of the most relevant sleep endpoints in nocturia therapy is lacking. One endpoint often used is the duration of the initial sleep period, which when evaluated in combination with the number of voiding episodes per night might be an indication of the severity of sleep disruption in patients with nocturia.
Nocturia Reported in Nightly Sleep Diaries: Common Occurrence With Significant Implications?
Health Psychology, 2014
Objective-Nocturia (nocturnal awakenings associated with urination) is so common a nocturnal behavior that its association with poor sleep is often overlooked. This study examined nocturia and its potential role in poor sleep by examining reported nightly awakenings and associated bathroom trips. Methods-Sleep diaries were kept by 119 adults with poor sleep for intervals up to 14 days. Diaries collected data on nightly number of awakenings and nightly number of bathroom trips. The proportion of nocturnal awakenings accompanied by voiding for each night was calculated and averaged within each individual. Demographics and various health conditions were examined in relation to this measure. Results-Nocturia was defined when at least two-thirds of all awakenings were associated with nocturnal voiding. Absence of nocturia was defined when less than one-third of awakenings were associated with voiding. Remaining cases were defined as having possible nocturia. Estimates of nocturia derived from pre-study screening were related to nocturia as defined by sleep diaries.
Strong impact of nocturia on sleep quality in patients with lower urinary tract symptoms
The world journal of men's health, 2012
Nocturia is a bothersome symptom that impacts sleep quality in patients with lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BPH). This study was performed to evaluate the impact of nocturia on sleep quality. A total of 58 male patients with LUTS/BPH were enrolled. LUTS/BPH patients without nocturia were included in the control group. The inclusion criteria were eight or more points on the International Prostate System Score (IPSS) including more than one episode of nocturia and a prostate volume larger than 20 ml. IPSS, prostate volume, uroflowmetry, and the Pittsburgh Sleep Quality Index (PSQI) from each patient were recorded. Patients with nocturia showed a higher mean global PSQI (8.5±0.4) than patients without nocturia (4.82±0.4) (p<0.01). Patients with nocturia showed a higher percentage of severe sleep disorders (74.1%) than patients without nocturia (35.3%) (p<0.01). The regression coefficient between the number of episodes of nocturia and mean global...
Impact of Nocturia on Sleep and Energy
European Urology Supplements, 2007
Keywords: Benign prostatic hyperplasia Chronic disease Lower urinary tract symptoms Nocturia Quality of life Quality of sleep Sleep disturbance Please visit www.eu-acme.org/ europeanurology to read and answer questions on-line. The EU-ACME credits will then be attributed automatically.
Nocturia: a bothersome urological symptom in the elderly
Clinical Interventions in Aging, 2016
We read with great interest the valuable study by Shao et al, 1 which has been recently published in Clinical Interventions in Aging. The authors mentioned the nocturia as a negative factor, leading to a problem in the sleep status and the daily function of the patients who suffer from lower urinary tract symptoms. For assessment of sleep quality and daytime dysfunction, Shao et al used the "Pittsburgh Sleep Quality Index" and "Epworth Sleepiness Scale," however, other instruments such as "Insomnia Severity Index" and "Medical Outcomes Study Sleep Scale" also could be used which have high validity and reliability. 2-4 There are not any precise studies using the "Insomnia Sever