The Association Between Obesity and the Nocturia in the U.S. Population

Moon, Shinje; Chung, Haegeun; Yu, Jae Myung; Ko, Kwang Jin; Choi, Don Kyoung; Kwon, Ohseong; Lee, Young Goo; Cho, Sung Tae

doi:10.5213/inj.1938062.031

Cited by 38 publications

(41 citation statements)

References 30 publications

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“…In this study, the risk of hypertension incidence increased nonlinearly with continuous change of BMI or WHtR. Similar results were reported that signi cant nonlinear association between the continuous change of BMI and hypertension after adjusting the covariates strati ed by gender and age groups indicating a dose-response relationship between adiposity indices and hypertension (39). Moreover, the other studies support our results hold that weight loss could lower blood pressure in both hypertension and non-hypertension population (40,41).…”

Section: Discussionsupporting

confidence: 91%

Gender-specific Predictive Ability for the Risk of Hypertension Incidence Related to Baseline Level or Trajectories of Adiposity Indices: Cohort Study of Functional Community in Beijing Urban from 2015 to 2019 year

Lu¹,

Dong²,

Sun³

et al. 2020

Preprint

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Background: Early prevention of hypertension is important for global cardiovascular disease morbidity and mortality. The current study aims to exploit better predictor for hypertension incidence related to baseline level or trajectories of adiposity indices, as well as the gender-specific effect.Methods: 6085 subjects from a functional community cohort in urban Beijing participated in our study. Restricted cubic splines were used to estimated nonlinear associations of BMI and WHtR as continuous variable with risk of hypertension. Stepwise logistic regression model was performed to estimate the RRs of adiposity indices and metabolic status, adjusted for covariates. Nomogram models and receiver operating characteristic (ROC) curve analysis was used to evaluate the predictive power of BMI trajectory groups and WHtR trajectory groups. Further, all analysis were performed by gender.Results: The risk of hypertension incidence was significant related to BMI trajectory groups (persistent overweight: RR=1.99, 95%CI: 1.57-2.52; persistent obese: RR=3.07, 95%CI: 2.40-3.93; persistent the highest: RR=4.55, 95%CI: 3.37-6.14) and WHtR trajectory groups (persistent medium: RR=2.90, 95%CI: 2.23-3.77; persistent high: RR=4.48, 95%CI: 3.41-5.89; increasing to higher: RR=7.77, 95%CI:5.48-11.0). In total population, BMI trajectories and WHtR trajectories showed similar ability to predict the risk of hypertension incidence with AUC 0.713 and 0.720, respectively. After stratified by gender, BMI trajectories showed higher power in female than male butsimilar in WHtR trajectories (BMI trajectories: 0.762 vs. 0.662; WHtR trajectories: 0.769 vs. 0.663). Conclusions: BMI and WHtR trajectories have higher predictive power for hypertension incidence compared to baseline data. Women are more vulnerable to obese and abnormal MS than man.

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Section: Discussionsupporting

confidence: 91%

Gender-specific Predictive Ability for the Risk of Hypertension Incidence Related to Baseline Level or Trajectories of Adiposity Indices: Cohort Study of Functional Community in Beijing Urban from 2015 to 2019 year

Lu¹,

Dong²,

Sun³

et al. 2020

Preprint

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“…Fitzgerald et al 2 found that the odds ratio of nocturia increased with age and BMI in a multivariate model. Other studies also reported that nocturia was signi cantly associated with obesity 11,12 . Similarly, in the present study, age older than 30 years, BMI over 25 kg/m 2 , and presence of moderate to severe LUTS were predictive factors for nocturia in our sample of young Asian men.…”

Section: Discussionmentioning

confidence: 92%

The Predictive Factors of Nocturia in Young Asian Adult Males – An Online Survey

Cheng

Fan

Liou

et al. 2021

Preprint

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The present study investigated the association between the severity of depressive mood and nocturia in young Asian adult men. Participants were 3,127 adult male Facebook users aged 20–40 years who could read and write traditional Chinese. Participants completed an online questionnaire about their demographic characteristics, the frequency of getting up to urinate during the night (International Prostate Symptoms Score [IPSS]), and the frequency of experiencing depressive symptoms (Taiwanese Depression Questionnaire [TDQ]). The severity of lower urinary tract symptoms (LUTS) and those who had nocturia were classified using the IPSS. 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 the predictive factors for nocturia. Two hundred fifty-one (8.0%) participants had nocturia, and 21.9% were suspected to have depression. Age over 30 years, body mass index over 25 kg/m2, the presence of moderate/severe LUTS, and higher TDQ scores were predictive of nocturia. Depression was associated with nocturia in young Asian adult males. Young men with nocturia who are 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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“…Debates are still ongoing as to whether decreased BMI leads to decreased nocturia or not, although there has been a report that reveals that decreased BMI does indeed lead to decreased nocturia [ 33 ]. Contrarily, other studies have revealed that a higher BMI is related to decreased nocturia [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Polysomnography and Nocturia Evaluations after Uvulopalatopharyngoplasty for Obstructive Sleep Apnea Syndrome

Tsou

Chou

Shie

et al. 2020

JCM

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A higher incidence rate of nocturia in patients with obstructive sleep apnea (OSA) has been observed. We investigated the differences in clinical examinations between OSA patients with and without nocturia, and further compared those with successful and unsuccessful uvulopalatopharyngoplasty (UPPP). This retrospective study enrolled 103 patients with OSA undergoing UPPP. Patients were diagnosed with OSA by following the 2018 American Academy of Sleep Medicine (AASM) Scoring Manual Version 2.5. Patients were divided into two groups depending on if they urinated more than twice per night. The medical data of body mass index (BMI), nocturia frequency per night, apnea–hypopnea index (AHI), Epworth Sleepiness Scale (ESS), International Prostatic Symptom Score (IPSS), and Overactive Bladder Symptom Score (OABSS) were analyzed before and after uvulopalatopharyngoplasty (UPPP) surgery. All of the measurements were compared between successful and unsuccessful surgery in the non-nocturia or nocturia groups, respectively. Fifty patients (41 males and nine females) without nocturia were assigned to group 1, and 53 patients (43 males and 10 females) with nocturia were assigned to group 2. Nocturia frequency and post-surgery AHI in group 2 were significantly higher than those in group 1 (p < 0.05). Significant decreases in IPSS and OABSS were observed in the successful surgery subgroup of group 2 (p < 0.05). A significant decrease in post-surgery AHI was observed between unsuccessful and successful surgery in patients with nocturia (p < 0.05), but not in the non-nocturia group (p > 0.05). Although AHI had a significant correlation to nocturia frequency in all OSA patients before UPPP, no significant correlation between AHI reduction and nocturia frequency was found. UPPP appeared to be an effective treatment for nocturia associated with OSA. OSA should be taken into consideration for patients who complain of nocturia syndrome. The relationship of AHI reduction and nocturia improvement after OSA treatment with UPPP is still unclear. In addition, it is necessary to establish the existence of nocturia in patients with OSA, as a result of its high prevalence in OSA patients. UPPP could reduce the symptoms of OSA and could also contribute to a reduction of nocturia even in the unsuccessful surgery group.

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The Association Between Obesity and the Nocturia in the U.S. Population

Cited by 38 publications

References 30 publications

Gender-specific Predictive Ability for the Risk of Hypertension Incidence Related to Baseline Level or Trajectories of Adiposity Indices: Cohort Study of Functional Community in Beijing Urban from 2015 to 2019 year

Gender-specific Predictive Ability for the Risk of Hypertension Incidence Related to Baseline Level or Trajectories of Adiposity Indices: Cohort Study of Functional Community in Beijing Urban from 2015 to 2019 year

The Predictive Factors of Nocturia in Young Asian Adult Males – An Online Survey

Polysomnography and Nocturia Evaluations after Uvulopalatopharyngoplasty for Obstructive Sleep Apnea Syndrome

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