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Nocturia in relation to sleep, health, and medical treatment in the elderly.
BJU Int. 2005 Sep; 96 Suppl 1:15-21.BI

Abstract

Nocturia is a common condition in the elderly that profoundly influences general health and quality of life. It appears to predict a higher risk of death. One consequence of nocturia is sleep deterioration, with increased daytime sleepiness and loss of energy and activity. Accidents, e.g. falls, are increased both at night and during the day in elderly persons with nocturia. Nocturia is caused by nocturnal polyuria, reduced voided volumes, or a combination of the two. Nocturnal polyuria can be caused by numerous diseases, e.g. diabetes insipidus, diabetes mellitus, congestive heart failure, and sleep apnoea. A disorder of the vasopressin system, with very low or undetectable vasopressin levels at night, is manifested as an increased nocturnal urine output, which in the most extreme cases reaches 85% of the 24-h diuresis: the prevalence of low or undetectable vasopressin levels at night has been estimated to be 3-4% in those aged >or= 65 years. Treatment of nocturia may include avoiding excessive fluid intake and use of diuretic medication in the afternoon rather than the morning, oral desmopressin at bedtime in cases of nocturnal polyuria, and antimuscarinic agents in the case of overactive bladder or impaired storage capacity of the bladder.

Authors+Show Affiliations

Department of Family Medicine, Karolinska Institute, Stockholm, Sweden. r.asplund@telia.com

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16083452

Citation

Asplund, Ragnar. "Nocturia in Relation to Sleep, Health, and Medical Treatment in the Elderly." BJU International, vol. 96 Suppl 1, 2005, pp. 15-21.
Asplund R. Nocturia in relation to sleep, health, and medical treatment in the elderly. BJU Int. 2005;96 Suppl 1:15-21.
Asplund, R. (2005). Nocturia in relation to sleep, health, and medical treatment in the elderly. BJU International, 96 Suppl 1, 15-21.
Asplund R. Nocturia in Relation to Sleep, Health, and Medical Treatment in the Elderly. BJU Int. 2005;96 Suppl 1:15-21. PubMed PMID: 16083452.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nocturia in relation to sleep, health, and medical treatment in the elderly. A1 - Asplund,Ragnar, PY - 2005/8/9/pubmed PY - 2005/9/15/medline PY - 2005/8/9/entrez SP - 15 EP - 21 JF - BJU international JO - BJU Int VL - 96 Suppl 1 N2 - Nocturia is a common condition in the elderly that profoundly influences general health and quality of life. It appears to predict a higher risk of death. One consequence of nocturia is sleep deterioration, with increased daytime sleepiness and loss of energy and activity. Accidents, e.g. falls, are increased both at night and during the day in elderly persons with nocturia. Nocturia is caused by nocturnal polyuria, reduced voided volumes, or a combination of the two. Nocturnal polyuria can be caused by numerous diseases, e.g. diabetes insipidus, diabetes mellitus, congestive heart failure, and sleep apnoea. A disorder of the vasopressin system, with very low or undetectable vasopressin levels at night, is manifested as an increased nocturnal urine output, which in the most extreme cases reaches 85% of the 24-h diuresis: the prevalence of low or undetectable vasopressin levels at night has been estimated to be 3-4% in those aged >or= 65 years. Treatment of nocturia may include avoiding excessive fluid intake and use of diuretic medication in the afternoon rather than the morning, oral desmopressin at bedtime in cases of nocturnal polyuria, and antimuscarinic agents in the case of overactive bladder or impaired storage capacity of the bladder. SN - 1464-4096 UR - https://www.unboundmedicine.com/medline/citation/16083452/Nocturia_in_relation_to_sleep_health_and_medical_treatment_in_the_elderly_ L2 - https://doi.org/10.1111/j.1464-410X.2005.05653.x DB - PRIME DP - Unbound Medicine ER -