![]() Schatzl G, Temml C, Schmidbauer J, Dolezal B, Haidinger G, Madersbacher S. Health of the elderly with regard to sleep and nocturnal micturition. Arch Gerontol Geriatr 2005 40: 103–11.Īsplund R, Åberg H. Nocturnal giddiness in relation to nocturia and other symptoms and to medication in the elderly. Nocturia in the elderly in relation to thirst, dry mouth and dry eyes. Elderly males and females do differ in urinary symptoms and bother. The prevalence of nocturia and its effect on health-related quality of life and sleep in a community sample in the USA. J Urol 2006 175: 596–600.Ĭoyne K-S, Zhou Z, Bhattacharyya S-K, Thompson C-L, Dhawan R, Versi E. Is nocturia equally common among men and women? A population based study in Finland. Tikkinen KA, Tammela TL, Huhtala H, Auvinen A. This chapter emphasizes the importance of correctly diagnosing and treating nocturia in order to improve the patients’ sleep and, in turn, to reduce the risk of fall injuries and their detrimental consequences and to improve health and QoL. Antimuscarinic drugs may be administered to depress involuntary bladder contractions. Nocturia is also more prevalent in association with reduced bladder capacity. The increased urine output can be treated with desmopressin orally at bedtime, in generally low doses. In some elderly people, a disorder of the vasopressin system, with very low or undetectable levels of vasopressin at night and in some cases throughout the entire 24-h period may cause an increase in nocturnal urine output, which in most extreme cases will account for 85% of the 24-h diuresis. Nocturia may be attributable to nocturnal polyuria (nocturnal urine overproduction), a diminished nocturnal bladder capacity, or a combination of the two. Giddiness both at night and during the daytime is another common consequence, since in three cases of four nocturia is due to nocturnal urine overproduction, causing a negative fluid balance. Particularly, waking up three or more times a night to void is related to a steep increase in sleep disturbances. Consequently, their daytime performance is impaired and they are more inclined to daytime sleepiness and napping than the elderly in general. Elderly persons with nocturia are troubled by sleep impairment because of involuntary awakenings, increased nightmares, and a general feeling of insufficient and non-restorative sleep. The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society.Nocturia, waking up at night to void, is a highly prevalent disorder in the elderly, with a profound impact on life expectancy, health, and quality of life (QoL). & of the International Continence Society Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z If you have deactivated JavaScript, please use the Back button of your browser. ![]()
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