Nocturia and its clinical implications in older women

Dutoglu, Ekrem; Soysal, Pınar; Smith, Lee; Arık, Ferhat; Kalan, Ugur; Kazancıoğlu, Rümeyza; Işık, Ahmet Turan

doi:10.1016/j.archger.2019.103917

Cited by 38 publications

(43 citation statements)

References 32 publications

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“…The association between cognitive dysfunction and nocturia was statistically significant in 6 studies [11,17,18,[21][22][23], all in the same direction ( Table 2). In 1 study [18], nocturia was more frequently identified in PD patients with cognitive dysfunction compared to those without (56% vs. 37% respectively).…”

Section: Assessment Of the Association Between Cognitive Dysfunction mentioning

confidence: 76%

“…Four studies specifically enrolled older patients [17,[21][22][23], 3 studies [18][19][20] were conducted in Parkinson's disease (PD) patients and 1 enrolled participants with probable Alzheimer's disease (AD) [11]. Cognitive dysfunction was assessed by Mini-Mental State Examination (MMSE) in 6 studies [11,17,[20][21][22][23], and also the Clinical Dementia Rating (CDR) scale in 1of these studies [11]. The Montreal Cognitive Assessment was used in 1 study [18], and a specific validated scale for impulsivity in PD in 1 study [19].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The Montreal Cognitive Assessment was used in 1 study [18], and a specific validated scale for impulsivity in PD in 1 study [19]. The prevalence of cognitive dysfunction ranged from 4 to 58% in the studies which reported this parameter [17,18,23]. Nocturia was defined as self-reported awakening from sleep to pass urine 2 or more times per night [21][22][23], or without any definite threshold [11,17] or by symptom questionnaires [18][19][20].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Nocturia was defined as self-reported awakening from sleep to pass urine 2 or more times per night [21][22][23], or without any definite threshold [11,17] or by symptom questionnaires [18][19][20]. Overall, nocturia was reported in 19 to 61% of study participants [17,20].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Nocturia in patients with cognitive dysfunction: a systematic review of the literature

et al. 2020

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Background: The objective of this study is to evaluate current literature on the association between cognitive dysfunction and nocturia. Methods: A systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was conducted through MEDLINE, EMBASE and COCHRANE databases and completed in November 2019. Randomized and non-randomized studies were included if they assessed the association between cognitive dysfunction and nocturia in older participants with or without neurological diseases. The quality of included studies was evaluated using the Risk of Bias Assessment tool for Non-randomized Studies (RoBANS). Results: A total of 8 cross-sectional studies conducted in older patient populations met the criteria for inclusion. A statistically significant association was identified in 6 studies on univariate analysis, which persisted in 2 studies after controlling for confounding factors. The association between cognitive dysfunction and nocturia was positive for all 6 significant analyses. The overall risk of bias was unclear. Conclusion: A significant positive association between cognitive dysfunction and nocturia was identified. However, research has been limited to cross-sectional studies, which precludes identification of causality between cognitive dysfunction and nocturia. Heightened awareness of the complex interplay between cognition and nocturia would allow professionals involved in the care of cognitively impaired patients with concomitant nocturia to more effectively manage these symptoms.

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Section: Assessment Of the Association Between Cognitive Dysfunction mentioning

confidence: 76%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Nocturia in patients with cognitive dysfunction: a systematic review of the literature

et al. 2020

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“…From another point of view, for example, the relationship of nocturia with falls is clearly known in women (1.6-fold increased risk), whereas in men, this relationship cannot be demonstrated in every study. 6,7 However, the nocturia-fall relationship in the general population is found to be less but still significant in studies conducted only in women (1.2-fold increased risk of falls). 8 Perhaps this decreased correlation could be due to the inclusion of the male sex, for which the relationship cannot be detected.…”

mentioning

confidence: 99%

Comment on “Prevalence, subtypes, and correlates of nocturia in the symptoms of Lower Urinary Tract Dysfunction Research Network cohort”

Soysal

2020

Neurourology and Urodynamics

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LUTS in Older Adults: Definitions, Comorbidity Impact, Patient Priorities, and Treatment Strategies for Managing Daytime and/or Nighttime Symptoms ‐ ICI‐RS 2024

Van Huele,

Everaert,

Gibson

et al. 2024

Neurourology and Urodynamics

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IntroductionLower urinary tract symptoms (LUTS) are prevalent among older adults, a population that faces multiple medical challenges, with frailty being a major concern. Despite the high prevalence of LUTS, current treatment strategies for older adults are often inadequate. This paper aims to address these issues by defining daytime and/or nighttime LUTS and examining the impact of comorbid conditions on these symptoms. We will identify the priorities of older patients regarding LUTS management and propose treatment strategies to improve outcomes in this vulnerable population.MethodsThis review is based on discussions at the ICI‐RS 2024 meeting in Bristol, UK, alongside an extensive literature review examining LUTS in older adults. The review explores distinctions between daytime and nighttime symptoms, the impact of frailty, patient priorities, treatment strategies and the role of comorbidities.ResultsLUTS in older adults present a complex and multifaceted challenge, with notable differences between daytime and nighttime manifestations, which may coexist. Clear definitions are needed. There is a lack of evidence that treating associated comorbidities will improve LUTS or urinary incontinence. Personalized care approaches, integrated into broader geriatric health strategies, are essential for addressing these symptoms. An ideal treatment strategy is proposed, focusing on daytime, nighttime or combined day‐ and nighttime LUTS. Further research is needed to refine treatment pathways and optimize outcomes for this population.ConclusionsA comprehensive, individualized approach is necessary to address LUTS in older adults. Future research should focus on refining diagnostic definitions, exploring the interplay between comorbidities and LUTS, and developing patient‐centered treatment strategies that account for both daytime and nighttime (or combined) symptoms.

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Nocturia and its clinical implications in older women

Cited by 38 publications

References 32 publications

Nocturia in patients with cognitive dysfunction: a systematic review of the literature

Nocturia in patients with cognitive dysfunction: a systematic review of the literature

Comment on “Prevalence, subtypes, and correlates of nocturia in the symptoms of Lower Urinary Tract Dysfunction Research Network cohort”

LUTS in Older Adults: Definitions, Comorbidity Impact, Patient Priorities, and Treatment Strategies for Managing Daytime and/or Nighttime Symptoms ‐ ICI‐RS 2024

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