The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?

Purpose The aims of this study were to assess the prevalence of nocturia and nocturnal polyuria (NP) and to define new cutoff values according to age and sex for both conditions. Methods Data from a population-based prevalence survey conducted among a random sample of 2,128 adults were analyzed in t...

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Main Authors: Ali Ersin Zumrutbas, Ali Ihsan Bozkurt, Okan Alkis, Cihan Toktas, Bulent Cetinel, Zafer Aybek
Format: Article
Language:English
Published: Korean Continence Society 2016-12-01
Series:International Neurourology Journal
Subjects:
Online Access:http://www.einj.org/upload/pdf/inj-1632558-279.pdf
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author Ali Ersin Zumrutbas
Ali Ihsan Bozkurt
Okan Alkis
Cihan Toktas
Bulent Cetinel
Zafer Aybek
author_facet Ali Ersin Zumrutbas
Ali Ihsan Bozkurt
Okan Alkis
Cihan Toktas
Bulent Cetinel
Zafer Aybek
author_sort Ali Ersin Zumrutbas
collection DOAJ
description Purpose The aims of this study were to assess the prevalence of nocturia and nocturnal polyuria (NP) and to define new cutoff values according to age and sex for both conditions. Methods Data from a population-based prevalence survey conducted among a random sample of 2,128 adults were analyzed in this study. Participants were requested to fill out a questionnaire including the International Continence Society (ICS) definitions of lower urinary tract symptoms and the International Consultation on Incontinence Questionnaire - Short Form. Additionally, a 1-day bladder diary was given to each individual. The participants were divided into 5 age groups. The prevalence of nocturia was calculated based on definitions of nocturia as ≥1 voiding episodes, ≥2 episodes, and ≥3 episodes. NP was evaluated according to the ICS definition. The mean±standard errors and 95th percentile values were calculated in each group as new cutoff values for NP. Results The prevalence of nocturia was estimated as 28.4%, 17.6%, and 8.9% for ≥1, ≥2, and ≥3 voiding episodes each night, respectively. When nocturia was defined as 2 or more voiding episodes at night, the prevalence decreased significantly. The mean NP index was 29.4%±15.0% in men and 23.1%±11.8% in women. For the age groups of <50 years, 50–59 years, and ≥60 years, the new cutoff values for the diagnosis of NP were calculated as 48%, 69%, and 59% for men and 41%, 50%, and 42% for women, respectively. Conclusions We found that the definition of nocturia was still controversial and that waking up once for voiding might be within the normal spectrum of behavior. The definition of NP should be modified, and new cutoff values should be defined using the data presented in our study and in other forthcoming studies.
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spelling doaj.art-f5d8fedb3df24bee8f0433ed64c5f6f92022-12-21T18:56:23ZengKorean Continence SocietyInternational Neurourology Journal2093-47772093-69312016-12-0120430431010.5213/inj.1632558.279631The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?Ali Ersin Zumrutbas0Ali Ihsan Bozkurt1Okan Alkis2Cihan Toktas3Bulent Cetinel4Zafer Aybek5 Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey Department of Public Health, Pamukkale University School of Medicine, Denizli, Turkey Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey Department of Urology, Istanbul University Cerrahpasa School of Medicine, Istanbul, Turkey Department of Urology, Pamukkale University School of Medicine, Denizli, TurkeyPurpose The aims of this study were to assess the prevalence of nocturia and nocturnal polyuria (NP) and to define new cutoff values according to age and sex for both conditions. Methods Data from a population-based prevalence survey conducted among a random sample of 2,128 adults were analyzed in this study. Participants were requested to fill out a questionnaire including the International Continence Society (ICS) definitions of lower urinary tract symptoms and the International Consultation on Incontinence Questionnaire - Short Form. Additionally, a 1-day bladder diary was given to each individual. The participants were divided into 5 age groups. The prevalence of nocturia was calculated based on definitions of nocturia as ≥1 voiding episodes, ≥2 episodes, and ≥3 episodes. NP was evaluated according to the ICS definition. The mean±standard errors and 95th percentile values were calculated in each group as new cutoff values for NP. Results The prevalence of nocturia was estimated as 28.4%, 17.6%, and 8.9% for ≥1, ≥2, and ≥3 voiding episodes each night, respectively. When nocturia was defined as 2 or more voiding episodes at night, the prevalence decreased significantly. The mean NP index was 29.4%±15.0% in men and 23.1%±11.8% in women. For the age groups of <50 years, 50–59 years, and ≥60 years, the new cutoff values for the diagnosis of NP were calculated as 48%, 69%, and 59% for men and 41%, 50%, and 42% for women, respectively. Conclusions We found that the definition of nocturia was still controversial and that waking up once for voiding might be within the normal spectrum of behavior. The definition of NP should be modified, and new cutoff values should be defined using the data presented in our study and in other forthcoming studies.http://www.einj.org/upload/pdf/inj-1632558-279.pdfNocturiaPolyuriaPrevalenceTerminology
spellingShingle Ali Ersin Zumrutbas
Ali Ihsan Bozkurt
Okan Alkis
Cihan Toktas
Bulent Cetinel
Zafer Aybek
The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?
International Neurourology Journal
Nocturia
Polyuria
Prevalence
Terminology
title The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?
title_full The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?
title_fullStr The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?
title_full_unstemmed The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?
title_short The Prevalence of Nocturia and Nocturnal Polyuria: Can New Cutoff Values Be Suggested According to Age and Sex?
title_sort prevalence of nocturia and nocturnal polyuria can new cutoff values be suggested according to age and sex
topic Nocturia
Polyuria
Prevalence
Terminology
url http://www.einj.org/upload/pdf/inj-1632558-279.pdf
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