Obstructive Sleep Apnea Syndrome as a Potential Cause of Nocturia in Younger Adults

Miyauchi, Yoshimasa; Homare, Okazoe; Tamaki, Makiko; Kakehi, Takako; Ichikawa, Hirohisa; Arakawa, Yukako; Mori, Yuichi; Koui, Fumikazu; Sugimoto, Mikio; Kakehi, Yoshiyuki

doi:10.1016/j.urology.2020.04.116

Cited by 10 publications

(4 citation statements)

References 20 publications

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“…One supportive evidence in this study was that the participants with nocturia had a higher IPSS (except times of nocturnal voiding) score, especially with regards to the storage scores. This relationship has been found to be more profound in men 18 and younger patients 19 , 20 , similar to the present study’s population.…”

Section: Discussionsupporting

confidence: 92%

The predictive factors of nocturia in young Asian adult males: an online survey

Cheng

Fan

Liou

et al. 2021

Sci Rep

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The present study investigated the association between severity of depressive mood and nocturia in young Asian adult men. Participants were 3127 adult male Facebook users aged 20–40 years who could read and write traditional Chinese. Participants completed online questionnaires on demographic characteristics, frequency of waking to urinate during the night (International Prostate Symptoms Score [IPSS]), and frequency of depressive symptoms (Taiwanese Depression Questionnaire [TDQ]). Those who awoke to pass urine during the main sleep period were considered to have nocturia. Student’s t test and Pearson’s chi square test were used to compare participants with and without nocturia. Univariate and multivariate logistic regression were used to evaluate predictive factors for nocturia. One thousand four hundred thirty (45.7%) participants had nocturia, and 21.9% were suspected to have depression. Age over 30 years, body mass index over 25 kg/m2, and higher IPSS score (except times of nocturnal voiding) were factors predictive of nocturia. Higher TDQ somatic subscores, rather than affective/cognitive subscores, were also predictive of nocturia. Associations were found between normal-high TDQ scores and nocturia. Young men with nocturia at risk of developing depression should be identified with a culturally relevant questionnaire. Early referral for psychiatric assessment and intervention may be warranted.

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Section: Discussionsupporting

confidence: 92%

The predictive factors of nocturia in young Asian adult males: an online survey

Cheng

Fan

Liou

et al. 2021

Sci Rep

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“…For internal consistency, a Cronbach's alpha value with a coefficient of 0.727 was calculated, and the questionnaire was found to be valid. 14,15 Later, health care providers should investigate the basis of clinically relevant dysfunction interfering with nocturia and a multidisciplinary treatment approach.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with these surveys, TANGO is useful in evaluating and identifying comorbidities that may be associated with nocturia. Many comorbidities related to common nocturia etiology can be evaluated by TANGO (cardiovascular disease, sleep problems, urinary symptoms, well‐being), and it generally facilitates comprehensive assessment for coexisting causes beyond acceptance as a subset of LUTS 14,15 . Later, health care providers should investigate the basis of clinically relevant dysfunction interfering with nocturia and a multidisciplinary treatment approach.…”

Section: Discussionmentioning

confidence: 99%

“TANGO” nocturia scanning tool: Turkish validity and reliability study

Çulha

Büyükyılmaz

et al. 2020

LUTS

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Background: The aim of this study is to evaluate the validity and reliability of the Targeting the Individual's Aetiology of Nocturia to Guide Outcomes (TANGO) screening tool, which is used to determine nocturia etiology. Methods: Patients hospitalized in urology, orthopedics, and general surgery clinics between September 2019 and January 2020 were included in the study. Demographic characteristics of the participants such as age, gender, drug use, and nocturia severity were assessed by the researchers. The Turkish version of the TANGO questionnaire consisting of 22 questions was filled in by the patients. The patients were asked to repeat the same test 4 weeks later. Results: A total of 124 patients were included in the study. The mean age of the patients participating in the study was 51.20 ± 18.50 (38-82). The result of the reliability assessment showed that the total score intraclass correlation coefficient was 0.715 (individual item score weighted kappa coefficients, 0.696-0.731) and the Cronbach's alpha coefficient was 0.727. A total of 112 patients filled in the TANGO screening tool again after 4 weeks. The test-retest reliability analysis kappa value was 0.75 (0.68-0.83). In the validity analysis, a moderately positive correlation was observed between the TANGO-Urinary Incontinence Score and the number of nocturia (r = 0.452, P = .003). Conclusion: According to the validation study, the TANGO screening tool is valid and reliable to determine the nocturia etiology for the Turkish population.

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“…OSA is a frequent cause of nocturia, especially in younger individuals without urological disorders. The prevalence of nocturia in patients with OSA is 50-70% [25].…”

Section: Plos Onementioning

confidence: 99%

SANReSP: A new Italian questionnaire to screen patients for obstructive sleep apnea

et al. 2022

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Purpose Obstructive sleep apnea (OSA) is a common, prevalent, and underdiagnosed disorder. Its lack of diagnosis and treatment is associated with increased morbidity and mortality. Previous screening questionnaires investigated parameters including body mass index, age, neck circumference, and sex, in addition to symptoms. This study aimed to validate a new Italian, self-administered, and easy-to-use six-item questionnaire that evaluates only subjective symptoms. Patients and methods The present study included 2622 patients (male, 2011; female, 611). Patients who were at least 18 years old, spoke Italian, referred to our sleep clinic for possible OSA, and completed the self-administered SANReSP questionnaire were recruited for the study. The predictive performance of the questionnaire was also evaluated. Results Nocturnal study showed 89.9% of OSA patients had apnea-hypopnea index (AHI) ≥ 5/h; 68.7%, AHI ≥ 15/h; and 48.2%, AHI ≥ 30/h. The optimal SANReSP score for AHI ≥ 5/h was >3 with a sensitivity and specificity of 74.76% and 67.92%, respectively, and an area under receiver operating characteristic curve (ROC) of 0.76. For moderate–severe OSA, the optimal SANReSP score was >3 (sensitivity, 78.18%; specificity, 46.53%; ROC, 0.66). For severe OSA, the optimal SANReSP score was >4 (sensitivity, 59.10%; specificity, 64.73%; ROC, 0.65). The probability of OSA increased with higher SANReSP scores (98.7% and 97.9% in men and women, respectively). Conclusion The SANReSP questionnaire is a short, easy-to-use, and self-administered screening tool for OSA. Its performance is similar to that of other widely used questionnaires; furthermore, it is advantageous in that it does not require anthropometric measurements.

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Obstructive Sleep Apnea Syndrome as a Potential Cause of Nocturia in Younger Adults

Cited by 10 publications

References 20 publications

The predictive factors of nocturia in young Asian adult males: an online survey

The predictive factors of nocturia in young Asian adult males: an online survey

“TANGO” nocturia scanning tool: Turkish validity and reliability study

SANReSP: A new Italian questionnaire to screen patients for obstructive sleep apnea

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