Evaluation of Factors Influencing the Natural History of Nocturia in Elderly Subjects: Results of the Fujiwara-kyo Study
Purpose We evaluated the natural history of nocturia and determined factors influencing the incidence or remission of nocturia. Materials and Methods Study subjects were 4,427 volunteers 65 years old or older who participated in the Fujiwara-kyo Study. The nocturia prevalence was assessed at baselin...
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| Published in | The Journal of urology Vol. 189; no. 3; pp. 980 - 986 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Elsevier Inc
01.03.2013
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0022-5347 1527-3792 1527-3792 |
| DOI | 10.1016/j.juro.2012.09.118 |
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| Abstract | Purpose We evaluated the natural history of nocturia and determined factors influencing the incidence or remission of nocturia. Materials and Methods Study subjects were 4,427 volunteers 65 years old or older who participated in the Fujiwara-kyo Study. The nocturia prevalence was assessed at baseline and 1 year later. Nocturia incidence and remission rates were calculated and factors influencing these results were evaluated based on characteristics, including gender, age, body mass index, HbA1c, creatinine clearance, life style, comorbidities, depressive status, metabolic syndrome and voiding symptoms. Independent factors were determined by multivariate analysis. Results Of the 4,427 subjects 3,685 provided complete replies to self-administered questionnaires at baseline and 1 year later. The prevalence of nocturia at baseline and 1 year later was 47.0% and 50.3%, and nocturia incidence and remission rates were 20.0% and 15.4%, respectively. Male gender, high body mass index, voiding symptom deterioration and new onset overactive bladder were independent factors associated with the nocturia incidence. Male gender, sum of the voiding symptoms, age and new onset overactive bladder were independent negative factors associated with nocturia remission. Conclusions The prevalence of nocturia worsened with time, although nocturia in older subjects progressed dynamically. Male gender, age, body mass index, sum of voiding symptoms, voiding symptom deterioration and new onset overactive bladder influence the natural history of nocturia. |
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| AbstractList | We evaluated the natural history of nocturia and determined factors influencing the incidence or remission of nocturia.
Study subjects were 4,427 volunteers 65 years old or older who participated in the Fujiwara-kyo Study. The nocturia prevalence was assessed at baseline and 1 year later. Nocturia incidence and remission rates were calculated and factors influencing these results were evaluated based on characteristics, including gender, age, body mass index, HbA1c, creatinine clearance, life style, comorbidities, depressive status, metabolic syndrome and voiding symptoms. Independent factors were determined by multivariate analysis.
Of the 4,427 subjects 3,685 provided complete replies to self-administered questionnaires at baseline and 1 year later. The prevalence of nocturia at baseline and 1 year later was 47.0% and 50.3%, and nocturia incidence and remission rates were 20.0% and 15.4%, respectively. Male gender, high body mass index, voiding symptom deterioration and new onset overactive bladder were independent factors associated with the nocturia incidence. Male gender, sum of the voiding symptoms, age and new onset overactive bladder were independent negative factors associated with nocturia remission.
The prevalence of nocturia worsened with time, although nocturia in older subjects progressed dynamically. Male gender, age, body mass index, sum of voiding symptoms, voiding symptom deterioration and new onset overactive bladder influence the natural history of nocturia. We evaluated the natural history of nocturia and determined factors influencing the incidence or remission of nocturia.PURPOSEWe evaluated the natural history of nocturia and determined factors influencing the incidence or remission of nocturia.Study subjects were 4,427 volunteers 65 years old or older who participated in the Fujiwara-kyo Study. The nocturia prevalence was assessed at baseline and 1 year later. Nocturia incidence and remission rates were calculated and factors influencing these results were evaluated based on characteristics, including gender, age, body mass index, HbA1c, creatinine clearance, life style, comorbidities, depressive status, metabolic syndrome and voiding symptoms. Independent factors were determined by multivariate analysis.MATERIALS AND METHODSStudy subjects were 4,427 volunteers 65 years old or older who participated in the Fujiwara-kyo Study. The nocturia prevalence was assessed at baseline and 1 year later. Nocturia incidence and remission rates were calculated and factors influencing these results were evaluated based on characteristics, including gender, age, body mass index, HbA1c, creatinine clearance, life style, comorbidities, depressive status, metabolic syndrome and voiding symptoms. Independent factors were determined by multivariate analysis.Of the 4,427 subjects 3,685 provided complete replies to self-administered questionnaires at baseline and 1 year later. The prevalence of nocturia at baseline and 1 year later was 47.0% and 50.3%, and nocturia incidence and remission rates were 20.0% and 15.4%, respectively. Male gender, high body mass index, voiding symptom deterioration and new onset overactive bladder were independent factors associated with the nocturia incidence. Male gender, sum of the voiding symptoms, age and new onset overactive bladder were independent negative factors associated with nocturia remission.RESULTSOf the 4,427 subjects 3,685 provided complete replies to self-administered questionnaires at baseline and 1 year later. The prevalence of nocturia at baseline and 1 year later was 47.0% and 50.3%, and nocturia incidence and remission rates were 20.0% and 15.4%, respectively. Male gender, high body mass index, voiding symptom deterioration and new onset overactive bladder were independent factors associated with the nocturia incidence. Male gender, sum of the voiding symptoms, age and new onset overactive bladder were independent negative factors associated with nocturia remission.The prevalence of nocturia worsened with time, although nocturia in older subjects progressed dynamically. Male gender, age, body mass index, sum of voiding symptoms, voiding symptom deterioration and new onset overactive bladder influence the natural history of nocturia.CONCLUSIONSThe prevalence of nocturia worsened with time, although nocturia in older subjects progressed dynamically. Male gender, age, body mass index, sum of voiding symptoms, voiding symptom deterioration and new onset overactive bladder influence the natural history of nocturia. Purpose We evaluated the natural history of nocturia and determined factors influencing the incidence or remission of nocturia. Materials and Methods Study subjects were 4,427 volunteers 65 years old or older who participated in the Fujiwara-kyo Study. The nocturia prevalence was assessed at baseline and 1 year later. Nocturia incidence and remission rates were calculated and factors influencing these results were evaluated based on characteristics, including gender, age, body mass index, HbA1c, creatinine clearance, life style, comorbidities, depressive status, metabolic syndrome and voiding symptoms. Independent factors were determined by multivariate analysis. Results Of the 4,427 subjects 3,685 provided complete replies to self-administered questionnaires at baseline and 1 year later. The prevalence of nocturia at baseline and 1 year later was 47.0% and 50.3%, and nocturia incidence and remission rates were 20.0% and 15.4%, respectively. Male gender, high body mass index, voiding symptom deterioration and new onset overactive bladder were independent factors associated with the nocturia incidence. Male gender, sum of the voiding symptoms, age and new onset overactive bladder were independent negative factors associated with nocturia remission. Conclusions The prevalence of nocturia worsened with time, although nocturia in older subjects progressed dynamically. Male gender, age, body mass index, sum of voiding symptoms, voiding symptom deterioration and new onset overactive bladder influence the natural history of nocturia. |
| Author | Tanaka, Nobumichi Okamoto, Nozomi Torimoto, Kazumasa Kurumatani, Norio Hirayama, Akihide Morikawa, Masayuki Fujimoto, Kiyohide Yoshida, Kastunori Hirao, Yoshihiko Mastusita, Chie |
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| Keywords | urinary bladder body mass index OABSS aged creatinine clearance LUTS questionnaires OAB OAB Symptom Score Ccr I-PSS nocturia quality of life lower urinary tract symptoms overactive bladder BMI International Prostate Symptom Score Human Evaluation Nephrology Urinary system disease Questionnaire Urology Quality of life Voiding dysfunction Urinary system Urinary bladder Elderly Natural history Nocturia |
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| Snippet | Purpose We evaluated the natural history of nocturia and determined factors influencing the incidence or remission of nocturia. Materials and Methods Study... We evaluated the natural history of nocturia and determined factors influencing the incidence or remission of nocturia. Study subjects were 4,427 volunteers 65... We evaluated the natural history of nocturia and determined factors influencing the incidence or remission of nocturia.PURPOSEWe evaluated the natural history... |
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| SubjectTerms | Age Factors Aged Biological and medical sciences Female Follow-Up Studies Humans Incidence Japan - epidemiology Male Medical sciences Nephrology. Urinary tract diseases nocturia Nocturia - epidemiology Nocturia - etiology Nocturia - physiopathology Prevalence quality of life questionnaires Retrospective Studies Risk Assessment - methods Risk Factors Surveys and Questionnaires urinary bladder Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Urination Urology |
| Title | Evaluation of Factors Influencing the Natural History of Nocturia in Elderly Subjects: Results of the Fujiwara-kyo Study |
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