Skip to main content

Nocturia in the Elderly

  • Chapter
  • First Online:
Nocturia

Abstract

Nocturia is a part of life for most older persons, especially men, nearly 90% of whom experience at least one episode of nighttime voiding [1]. It is often cited as one of the most bothersome of lower urinary tract symptoms (LUTS) [2, 3]. Unlike the other common LUTS, nocturia can cause significant morbidity and even mortality for elderly persons.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Malmsten UG, Milsom I, Molander U, et al. Urinary incontinence and lower urinary tract symptoms: an epidemiological study of men aged 45 to 99 years. J Urol. 1997;158:1733.

    Article  PubMed  CAS  Google Scholar 

  2. DuBeau CE, Yalla SV, Resnick NM. Implications of the most bothersome prostatism symptom for clinical care and outcomes research. J Am Geriatr Soc. 1995;43:985.

    PubMed  CAS  Google Scholar 

  3. Eckhardt MD, van Venrooij GE, van Melick HH, et al. Prevalence and bothersomeness of lower urinary tract symptoms in benign prostatic hyperplasia and their impact on well-being. J Urol. 2001;166:563.

    Article  PubMed  CAS  Google Scholar 

  4. Van Kerrebroeck P, Abrams P, Chaikin D, et al. The standardization of terminology in nocturia: report from the Standardization Subcommittee of the International Continence Society. BJU Int. 2002;90 Suppl 3:11.

    Article  PubMed  Google Scholar 

  5. Bliwise DL. Sleep in normal aging and dementia. Sleep. 1993;16:40.

    PubMed  CAS  Google Scholar 

  6. Ohayon MM, Zulley J, Guilleminault C, et al. How age and daytime activities are related to insomnia in the general population: consequences for older people. J Am Geriatr Soc. 2001;49:360.

    Article  PubMed  CAS  Google Scholar 

  7. Webb WB. Sleep in older persons: sleep structures of 50- to 60-year-old men and women. J Gerontol. 1982;37:581.

    PubMed  CAS  Google Scholar 

  8. Dijk DJ, Duffy JF, Czeisler CA. Age-related increase in awakenings: impaired consolidation of nonREM sleep at all circadian phases. Sleep. 2001;24:565.

    PubMed  CAS  Google Scholar 

  9. Inouye SK, Studenski S, Tinetti ME, et al. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007;55:780.

    Article  PubMed  Google Scholar 

  10. DuBeau CE, Kuchel GA, Johnson 2nd T, et al. Incontinence in the frail elderly: report from the 4th International Consultation on Incontinence. Neurourol Urodyn. 2010;29:165.

    Article  PubMed  Google Scholar 

  11. Weiss JP, Blaivas JG. Nocturia. J Urol. 2000;163:5.

    Article  PubMed  CAS  Google Scholar 

  12. Coyne KS, Zhou Z, Bhattacharyya SK, et al. The prevalence of nocturia and its effect on health-related quality of life and sleep in a community sample in the USA. BJU Int. 2003;92:948.

    Article  PubMed  CAS  Google Scholar 

  13. Newman AB, Spiekerman CF, Enright P, et al. Daytime sleepiness predicts mortality and ­cardiovascular disease in older adults. The Cardiovascular Health Study Research Group. J Am Geriatr Soc. 2000;48:115.

    PubMed  CAS  Google Scholar 

  14. Mock LL, Parmelee PA, Kutner N, et al. Content validation of symptom-specific nocturia quality-of-life instrument developed in men: issues expressed by women, as well as men. Urology. 2008;72:736.

    Article  PubMed  Google Scholar 

  15. Booth JM, Lawrence M, O’Neill K, et al. Exploring older peoples’ experiences of nocturia: a poorly recognised urinary condition that limits participation. Disabil Rehabil. 2010;32:765.

    Article  PubMed  Google Scholar 

  16. Abraham L, Hareendran A, Mills IW, et al. Development and validation of a quality-of-life measure for men with nocturia. Urology. 2004;63:481.

    Article  PubMed  Google Scholar 

  17. Bing MH, Moller LA, Jennum P, et al. Validity and reliability of a questionnaire for evaluating nocturia, nocturnal enuresis and sleep-interruptions in an elderly population. Eur Urol. 2006;49:710.

    Article  PubMed  CAS  Google Scholar 

  18. Tikkinen KA, Johnson 2nd TM, Tammela TL, et al. Nocturia frequency, bother, and quality of life: how often is too often? A population-based study in Finland. Eur Urol. 2010;57:488.

    Article  PubMed  Google Scholar 

  19. Lowenstein L, Brubaker L, Kenton K, et al. Prevalence and impact of nocturia in a urogynecologic population. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:1049.

    Article  PubMed  Google Scholar 

  20. Cassells C, Watt E. The impact of incontinence on older spousal caregivers. J Adv Nurs. 2003;42:607.

    Article  PubMed  Google Scholar 

  21. Canadian Study of Health and Aging Working Group. Patterns and health effects of caring for people with dementia: the impact of changing cognitive and residential status. Gerontologist. 2002;42:643.

    Article  Google Scholar 

  22. Nakagawa H, Ikeda Y, Kaiho Y, et al. Impact of nocturia on medical care use and its costs in an elderly population: 30 month prospective observation of National Health Insurance Beneficiaries in Japan. Neurourol Urodyn. 2009;28:930.

    Google Scholar 

  23. Dew MA, Hoch CC, Buysse DJ, et al. Healthy older adults’ sleep predicts all-cause mortality at 4 to 19 years of follow-up. Psychosom Med. 2003;65:63.

    Article  PubMed  Google Scholar 

  24. Bliwise DL, Foley DJ, Vitiello MV, et al. Nocturia and disturbed sleep in the elderly. Sleep Med. 2009;10:540.

    Article  PubMed  Google Scholar 

  25. Asplund R. Nocturia in relation to sleep, somatic diseases and medical treatment in the elderly. BJU Int. 2002;90:533.

    Article  PubMed  CAS  Google Scholar 

  26. Gourova LW, van de Beek C, Spigt MG, et al. Predictive factors for nocturia in elderly men: a cross-sectional study in 21 general practices. BJU Int. 2006;97:528.

    Article  PubMed  Google Scholar 

  27. Agarwal R, Light RP, Bills JE, et al. Nocturia, nocturnal activity, and nondipping. Hypertension. 2009;54:646.

    Article  PubMed  CAS  Google Scholar 

  28. Asplund R. Diuresis pattern, plasma vasopressin and blood pressure in healthy elderly persons with nocturia and nocturnal polyuria. Neth J Med. 2002;60:276.

    PubMed  CAS  Google Scholar 

  29. Sugaya K, Nishijima S, Oda M, et al. Biochemical and body composition analysis of nocturia in the elderly. Neurourol Urodyn. 2008;27:205.

    Article  PubMed  CAS  Google Scholar 

  30. Asplund R. Obesity in elderly people with nocturia: cause or consequence? Can J Urol. 2007;14:3424.

    PubMed  Google Scholar 

  31. Hakkinen JT, Shiri R, Koskimaki J, et al. Depressive symptoms increase the incidence of nocturia: Tampere Aging Male Urologic Study (TAMUS). J Urol. 2008;179:1897.

    Article  PubMed  Google Scholar 

  32. Guilleminault C, Lin CM, Goncalves MA, et al. A prospective study of nocturia and the quality of life of elderly patients with obstructive sleep apnea or sleep onset insomnia. J Psychosom Res. 2004;56:511.

    Article  PubMed  CAS  Google Scholar 

  33. Tikkinen KA, Auvinen A, Johnson 2nd TM, et al. A systematic evaluation of factors associated with nocturia – the population-based FINNO study. Am J Epidemiol. 2009;170:361.

    Article  PubMed  Google Scholar 

  34. Endeshaw Y. Correlates of self-reported nocturia among community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2009;64:142.

    Article  PubMed  Google Scholar 

  35. Temml C, Ponholzer A, Gutjahr G, et al. Nocturia is an age-independent risk factor for ­hip-fractures in men. Neurourol Urodyn. 2009;28:949.

    Article  PubMed  Google Scholar 

  36. Asplund R. Mortality in the elderly in relation to nocturnal micturition. BJU Int. 1999;84:297.

    Article  PubMed  CAS  Google Scholar 

  37. Gurwitz JH, Avorn J. The ambiguous relation between aging and adverse drug reactions. Ann Intern Med. 1991;114:956.

    PubMed  CAS  Google Scholar 

  38. Kaufman DW, Kelly JP, Rosenberg L, et al. Recent patterns of medication use in the ambulatory adult population of the United States: the Slone survey. JAMA. 2002;287:337.

    Article  PubMed  Google Scholar 

  39. Schmader K, Hanlon JT, Weinberger M, et al. Appropriateness of medication prescribing in ambulatory elderly patients. J Am Geriatr Soc. 1994;42:1241.

    PubMed  CAS  Google Scholar 

  40. Lipton HL, Bero LA, Bird JA, et al. The impact of clinical pharmacists’ consultations on ­physicians’ geriatric drug prescribing. A randomized controlled trial. Med Care. 1992;30:646.

    Article  PubMed  CAS  Google Scholar 

  41. Avorn J, Gurwitz JH, Rochon P. Principles of pharmacology. In: Cassel CK, Leipzip RM, Cohen HJ, et al., editors. Geriatric medicine: an evidence-based approach. 4th ed. New York: Springer; 2003. p. 65–81.

    Chapter  Google Scholar 

  42. Johnson TM, Burridge A, Issa MM, et al. The relationship between the action of arginine vasopressin and responsiveness to oral desmopressin in older men: a pilot study. J Am Geriatr Soc. 2007;55:562.

    Article  PubMed  Google Scholar 

  43. Harbison J. Sleep disorders in older people. Age Ageing. 2002;31:6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Catherine E. DuBeau MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

DuBeau, C.E., Tsui, J.F. (2012). Nocturia in the Elderly. In: Weiss, MD, FACS, J., Blaivas, MD, J., Van Kerrebroeck, MD, PhD, MMSc, P., Wein, MD, FACS, PhD(hon), A. (eds) Nocturia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1156-7_10

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-1156-7_10

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1155-0

  • Online ISBN: 978-1-4614-1156-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics