Nocturia, nocturnal polyuria, and sleep quality in the elderly

Asplund, Ragnar

doi:10.1016/j.jpsychores.2004.04.003

Cited by 87 publications

(50 citation statements)

References 53 publications

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“…Urinary dysfunction may persist beyond the post-acute period (Chiarelli et al, 2006), placing individuals at risk of further fall-related injury (Chiarelli, Mackenzie, & Osmotherly, 2009), sleep fragmentation (Asplund, 2004), and reduced QoL (Dubeau, Simon, & Morris, 2006). Despite this, UI and nocturia are frequently underinvestigated and managed (Edwards et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Incontinence and Nocturia in Older Adults After Hip Fracture: Analysis of a Secondary Outcome for a Parallel Group, Randomized Controlled Trial

Zusman

McAllister

Chen

et al. 2017

Gerontology and Geriatric Medicine

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Objective: To test the effect of a follow-up clinic on urinary incontinence (UI) and nocturia among older adults with hip fracture. Method: Fifty-three older adults (≥65 years) 3 to 12 months following hip fracture were enrolled and randomized to receive usual care plus the intervention (B4), or usual care (UC) only. The B4 group received management by health professionals, with need-based referrals. UI, nocturia, and quality of life were measured with questionnaires at baseline, 6 months, and 12 months. Results: There were 48 participants included in this analysis, and at baseline, 44% of study participants self-reported UI. At final assessment, six out of 24 B4 participants and 12 out of 24 UC participants reported UI. Four out of five study participants reported nocturia at baseline; this did not decrease during the study. Discussion: Following hip fracture, many older adults report UI and most report nocturia. Health professionals should be aware of the high occurrence of urinary symptoms among older adults post hip fracture.

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Section: Introductionmentioning

confidence: 99%

Incontinence and Nocturia in Older Adults After Hip Fracture: Analysis of a Secondary Outcome for a Parallel Group, Randomized Controlled Trial

Zusman

McAllister

Chen

et al. 2017

Gerontology and Geriatric Medicine

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“…Global polyuria can be caused by numerous diseases, such as diabetes insipidus, diabetes mellitus, congestive heart failure, and sleep apnea [8]. The nocturnal polyuria syndrome (NPS) is an overproduction of urine at night without increasing the normal 24-hour urination, defined as a urinary output greater than 20% of the daily total in young individuals and greater than 33% in older individuals [9].…”

Section: Introductionmentioning

confidence: 99%

The Relations between Enuresis in Childhood and Nocturnal Polyuria Syndrome in Adult Life

et al. 2012

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PurposeThe aim of this study, to investigate whether there is any association between enuresis in childhood and nocturnal polyuria syndrome (NPS) in adult life.MethodsThe study consisted of thirty five patients with nocturnal polyuria, and thirty five healthy people without nocturnal polyuria in adult life, were asked to assess their enuresis in childhood.ResultsThere was a history of enuresis in childhood in 18 (51.42%) of 35 of men with nocturnal polyuria and in 4 (11.42%) of 35 without nocturnal polyuria. Enuresis in childhood was significantly more common in men with nocturnal polyuria than without nocturnal polyuria. The difference was significant (P<0.0001). The prevalence of enuresis in the nocturnal polyuria (51.42%) was more than two-fold higher than reported prevalence in general populations.ConclusionsThe results of this study suggest that the history of enuresis in childhood seems to increase the risk of having NPS in adult life. This relationship should be taken into account in the evaluation of men with complaints from NPS in adult life and the possible common pathophysiology should be considered in the treatment planning.

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“…Thus, changes in homeostatic reserve and peripheral and/or central sensory mechanisms may be important contributors to aging-associated changes in bladder function. mouse cystometry; comparative aging study; sensory regulation THE PREVALENCE OF URINARY symptoms increases with age, and is a significant source of distress, morbidity, and expense in the elderly (3,13). Excluding outlet dysfunction, such as sphincteric failure and mechanical obstruction, symptoms of urgency or frequency, nocturia, incontinence, and retention are often regarded as the result of abnormal detrusor muscle activity during filling (detrusor overactivity, DO), and/or an underperforming detrusor during voiding (detrusor underactivity, DU) (2,40).…”

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confidence: 99%

Detrusor expulsive strength is preserved, but responsiveness to bladder filling and urinary sensitivity is diminished in the aging mouse

Smith

DeAngelis

Kuchel

2012

American Journal of Physiology-Regulatory, Integrative and Comp

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The prevalence of urinary symptoms increases with age and is a significant source of distress, morbidity, and expense in the elderly. Recent evidence suggests that symptoms in the aged may result from sensory dysfunction, rather than abnormalities of detrusor performance. Therefore, we employed a pressure/flow multichannel urethane-anesthetized mouse cystometry model to test the hypothesis that in vivo detrusor performance does not degrade with aging. Secondarily, we sought to evaluate sensory responsiveness to volume using pressure-volume data generated during bladder filling. Cystometric data from 2-, 12-, 22-, and 26-mo-old female C57BL6 mice were compared. All 2- and 12-mo-old mice, 66% of 22-mo-old mice, and 50% of 26-mo-old mice responded to continuous bladder filling with periodic reflex voiding. Abdominal wall contraction with voiding had a minimal contribution to expulsive pressure, whereas compliance pressure was a significant contributor. Maximum bladder pressure, estimated detrusor pressure, detrusor impulse (pressure-time integral), as well as indices of detrusor power and work, did not decrease with aging. Bladder precontraction pressures decreased, compliance increased, and nonvoiding contraction counts did not change with increasing age. Intervoid intervals, per-void volumes, and voiding flow rates increased with age. Calculations approximating wall stress during filling suggested loss of bladder volume sensitivity with increasing age. We conclude that aging is associated with an impaired ability to respond to the challenge of continuous bladder filling with cyclic voiding, yet among responsive animals, voiding detrusor contraction strength does not degrade with aging in this murine model. Furthermore, indirect measures suggest that bladder volume sensitivity is diminished. Thus, changes in homeostatic reserve and peripheral and/or central sensory mechanisms may be important contributors to aging-associated changes in bladder function.

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Nocturia, nocturnal polyuria, and sleep quality in the elderly

Cited by 87 publications

References 53 publications

Incontinence and Nocturia in Older Adults After Hip Fracture: Analysis of a Secondary Outcome for a Parallel Group, Randomized Controlled Trial

Incontinence and Nocturia in Older Adults After Hip Fracture: Analysis of a Secondary Outcome for a Parallel Group, Randomized Controlled Trial

The Relations between Enuresis in Childhood and Nocturnal Polyuria Syndrome in Adult Life

Detrusor expulsive strength is preserved, but responsiveness to bladder filling and urinary sensitivity is diminished in the aging mouse

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