The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?

Zümrütbaş, Ali Ersin; Bozkurt, Ali İhsan; Alkış, Okan; Toktas, Cihan; Çeti̇nel, Bülent; Aybek, Zafer

doi:10.5213/inj.1632558.279

Cited by 29 publications

(27 citation statements)

References 22 publications

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“…Liew and colleagues reported that the prevalence of nocturia among Singaporean adults was 55% [13]. Meanwhile, the reported prevalence were 46% in the Dutch population [14], 31% in the US population [5] and 28.4% in the Turkish population [15]. In the present study, there was a signi cant higher prevalence among women.…”

Section: Discussionsupporting

confidence: 46%

Prevalence of Nocturia Among Community-dwelling Adults: A Population-based Study in Malaysia

Yow

Tiong²,

Mai

et al. 2020

Preprint

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Background: Nocturia is widely prevalent condition with detrimental effects on quality of life and general health. In Malaysia, there is a lack of up-to-date prevalence study on nocturia. This study aimed to investigate the prevalence of nocturia and awareness pertaining to nocturia among Malaysian adults.Methods: A cross-sectional population-based study was conducted among Malaysian adults aged ≥ 18 years old. The data was collected by mixed mode self-administered questionnaire from May 2019 to September 2019. Nocturia was defined as one or more voids at night.Results: There were a total of 4616 respondents with 74.5% of response rate. The overall prevalence of nocturia among Malaysian adults was found to be 57.3%. In multivariate analysis, respondents aged 31 – 40 (1.91 [1.52 - 2.40]) or > 60 years old (2.03 [1.48 - 2.71]), and those who presented with hypertension (2.84 [2.28 - 3.53]), diabetes mellitus (1.78 [1.42 - 2.25]), renal disease (3.58 [1.93 - 6.63]) or overactive bladder (1.61 [1.10 - 2.35]) were associated with higher prevalence of nocturia. A significantly lower disease prevalence (p < 0.05) was noted among those aged 41 – 50 (0.73 [0.59 - 0.91]), male (0.78 [0.69 - 0.88]) and Chinese (0.47 [0.30 - 0.74]) or Indian (0.34 [0.21 - 0.54]) ethnicities. A total of 37.3% of respondents with nocturia reported that they faced sleeping difficulty about half the time or more after waking up in the middle of night. Those who had ≥ 2 voids per night experienced significantly higher mean bother score than those who had 1 void per night (p < 0.001). Approximately half (56.7%) of all respondents were not aware that night time urination is a medical condition. Only 25.2% of respondents with nocturia had sought medical attention for their nocturia.Conclusion: The prevalence of nocturia among Malaysian adults is high and strongly influenced by age, gender, race and comorbidities. However, the general awareness on nocturia among Malaysians is poor and relates to low treatment-seeking behaviour we found. The findings also highlighted the impact of nocturia on sleep and the need for nocturia education to better address this disease.

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Section: Discussionsupporting

confidence: 46%

Prevalence of Nocturia Among Community-dwelling Adults: A Population-based Study in Malaysia

Yow

Tiong²,

Mai

et al. 2020

Preprint

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“…In fact, nocturia has not been defined at all in many studies. The new definition reflects the fact that nocturia is first a symptom, which may or may not be a complaint (ie, of an abnormality), with mixed and multiple etiologies and a prevalence in the general population which is well described for men and women of different ages worldwide …”

Section: Nocturnal Symptomsmentioning

confidence: 99%

“…The new definition reflects the fact that nocturia is first a symptom, which may or may not be a complaint (ie, of an abnormality), with mixed and multiple etiologies and a prevalence in the general population which is well described for men and women of different ages worldwide. 2,15,16 Night-time frequency can sometimes be confused with nocturia. However night-time frequency includes voids when an individual goes to bed, with the intention of sleeping, but cannot sleep and needs to void at least once before falling asleep (2002 nocturia document).…”

Section: -H Polyuria (Not Changed)mentioning

confidence: 99%

International Continence Society (ICS) report on the terminology for nocturia and nocturnal lower urinary tract function

Hashim

Blanker

Drake

et al. 2019

Neurourology and Urodynamics

198

233

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Introduction The terminology for nocturia and nocturnal lower urinary tract function is reviewed and updated in a clinically and practically‐based consensus report. Methods This report has been created by a Working Group under the auspices and guidelines of the International Continence Society (ICS) Standardisation Steering Committee (SSC). All relevant definitions were updated on the basis of research over the last 16 years since the publication of the first nocturia standardization document in 2002. An extensive process of 16 rounds of internal and external reviews was involved to examine each definition exhaustively, with decision‐making by collective opinion (consensus). Results A clinically‐based terminology report for nocturia and nocturnal lower urinary tract function, encompassing five key definitions divided into signs and symptoms has been developed. Clarity and user‐friendliness have been key aims to make it interpretable by healthcare professionals and allied healthcare practitioners involved in the care of individuals with nocturnal lower urinary tract function. Conclusion A consensus‐based terminology report for nocturia and nocturnal lower urinary tract function has been produced to aid clinical practice and research.

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“…Age distribution, the definition of NP, and comorbidities (e.g. hypertension, congestive heart failure, and excessive evening fluid intake) have the potential to affect the prevalence rate of NP . A high proportion of patients aged ≥70 (40%) in the present study may explain the higher prevalence of NP.…”

Section: Discussionmentioning

confidence: 75%

Clinical characteristics of self‐reported nocturia in patients with interstitial cystitis, and effects of bladder hydrodistention (with fulguration of Hunner lesions) on nocturia

Otsuka

Suzuki

Aki

et al. 2018

LUTS

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Objective: The aim of this study was to investigate the clinical characteristics of nocturia in patients with interstitial cystitis (IC), and the effects of bladder hydrodistention (with fulguration of Hunner lesions) on nocturia.Methods: The records of 81 patients who were diagnosed with IC were reviewed. Clinical characteristics were evaluated using the Interstitial Cystitis Symptom Index (ICSI), a visual analogue scale (VAS), and bladder diary data. Differences in characteristics between Hunner-and non-Hunner-type IC were compared. Correlations between nocturia and other clinical variables were assessed. Stepwise multiple regression analysis was performed to identify factors associated with nocturia. Further, changes in nocturia before and after hydrodistention (with fulguration of Hunner lesions) were analyzed. Results: The mean (AE SD) age of patients was 62.2 AE 15.3 years. Significant differences in nocturia were observed between Hunner-and non-Hunner-type IC. Nocturia was positively correlated with age, urgency score (ICSI and VAS), mean number of urgency episodes per 24 hours and the nocturnal polyuria (NP) index, and negatively correlated with average voided volume. Age, NP index, average voided volume, and the presence of Hunner lesions were independent factors associated with nocturia. Bladder hydrodistention significantly decreased nocturia in non-Hunner type IC without NP. In addition, regardless of the presence or absence of NP, bladder hydrodistention with fulguration of Hunner lesions significantly decreased nocturia in Hunner-type IC.Conclusions: The severity of nocturia is associated with age, NP, average voided volume, and the presence of Hunner lesions in IC patients. Bladder hydrodistention (with fulguration of Hunner lesions) has the potential to decrease nocturia.

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The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?

Cited by 29 publications

References 22 publications

Prevalence of Nocturia Among Community-dwelling Adults: A Population-based Study in Malaysia

Prevalence of Nocturia Among Community-dwelling Adults: A Population-based Study in Malaysia

International Continence Society (ICS) report on the terminology for nocturia and nocturnal lower urinary tract function

Clinical characteristics of self‐reported nocturia in patients with interstitial cystitis, and effects of bladder hydrodistention (with fulguration of Hunner lesions) on nocturia

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