Nocturia and its clinical implications in older women

Dutoglu, Ekrem and Soysal, Pinar and Smith, Lee and Arik, Ferhat and Kalan, Ugur and Kazancioglu, Rumeyza and Isik, Ahmet T. (2019) Nocturia and its clinical implications in older women. Archives of Gerontology and Geriatrics, 85. p. 103917. ISSN 1872-6976

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Official URL: https://doi.org/10.1016/j.archger.2019.103917

Abstract

The aim of this study is to demonstrate the relationship between nocturia and geriatric syndromes, and comprehensive geriatric assessment parameters (CGA) in older women. 858 older outpatient women were included in this cross-sectional study. For the nocturia variable, the question, ‘‘Generally, during the past 30 days, how many times did you usually urinate after you have gone to sleep at night until the time you got up in the morning?’’ was used. The relationships between nocturia status and common geriatric syndromes, and CGA parameters were determined. The mean age of patients was 74.1±8.0 years. The prevalence of patients who reported average of 0, ≥1, ≥2, ≥3, and ≥4 nocturnal episodes was 14.7%, 85.3%, 66.3%, 42.13%, and 24.1%, respectively. When all the covariates including age, education, Charlson Comorbidities Index score, glomerular filtration rate, antimuscarinic drugs and alpha-blockers use, diabetes mellitus, chronic obstructive pulmonary disease, and incontinence were adjusted, there were higher rates of insomnia, recurrent falls and higher scores of Timed Up-Go test in older women with ≥2 nocturia episodes (p<0.05). There was a significant correlation between ≥ 3 nocturia episodes and lower Instrumental Activities of Daily Living scores and a significant correlation between ≥ 4 nocturnal episodes and frailty and polypharmacy (p<0.05). Nocturia is quite common and associated with insomnia, frailty, polypharmacy, incontinence, falls, lower gait speed, and functionality in older women.Therefore, nocturia is very important for geriatric practice and ≥2 nocturia episodes can be a marker of poor health status in older women.

Item Type: Journal Article
Keywords: nocturia, falls, frailty, geriatric syndromes, insomnia, polypharmacy
Faculty: Faculty of Science & Engineering
SWORD Depositor: Symplectic User
Depositing User: Symplectic User
Date Deposited: 24 Jul 2019 10:09
Last Modified: 14 Nov 2019 16:07
URI: http://arro.anglia.ac.uk/id/eprint/704584

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