![]() Selective slow wave sleep but not rapid eye movement sleep suppression impairs morning glucose tolerance in healthy men. Slow-wave sleep and the risk of type 2 diabetes in humans. Nocturia, sleep-disordered breathing, and cardiovascular morbidity in a community-based cohort. Quantitative association between nocturnal voiding frequency and objective sleep quality in the general elderly population: the HEIJO-KYO cohort. Nocturia and disturbed sleep in the elderly. Nocturia and quality of life: results from the Boston area community health survey. LUTS/BPH in clinical practice: the importance of nocturia and quality of sleep. Elucidation of the pattern of the onset of male lower urinary tract symptoms using cluster analysis: efficacy of tamsulosin in each symptom group. Nocturia is the lower urinary tract symptom with greatest impact on quality of life of men from a community setting. A population-based survey of the prevalence, potential risk factors, and symptom-specific bother of lower urinary tract symptoms in adult Chinese women. What is the most bothersome lower urinary tract symptom? Individual- and population-level perspectives for both men and women. The association of nocturia with cardiac disease, diabetes, body mass index, age and diuretic use: results from the BACH survey. Analyzing why men seek treatment for lower urinary tract symptoms and factors associated with non-improvement. Perception of nocturia and medical consulting behavior among community-dwelling women. Association of nocturia and mortality: results from the Third National Health and Nutrition Examination Survey. Nocturia frequency, bother, and quality of life: how often is too often? A population-based study in Finland. ![]() The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society. By systematically analysing an individual's causes of nocturia, clinicians can design appropriate treatment strategies to most effectively treat this condition. Numerous treatment options for nocturia exist, but most are associated with minor benefit or lack sufficient evidence supporting their use. Evaluation of quality of life and sleep using simple measures is essential in order to assess the impact of nocturia on a patient. Through the use of the frequency volume chart, clinicians can accurately quantify nocturia and determine its aetiology. Nocturia is not simply a consequence of lower urinary tract disease rather, it is a multifactorial disorder that is often a manifestation of an underlying renal or systemic disease. Unsurprisingly, several studies have also linked nocturia with reduced survival. Through disruption of sleep, nocturia impairs quality of life and worsens health outcomes, and is associated with a variety of morbidities including diabetes, coronary artery disease, obstructive sleep apnoea, obesity, metabolic syndrome, and depression. The treatment of NPS may include avoidance of excessive fluid intake, use of diuretics medication in the afternoon rather than the morning, and desmopressin orally at bedtime.Nocturia is an extremely common condition that has major sequelae for affected patients. In NPS, there are serious sleep disturbances, partly due to the need to get up for micturition, but there is also increased difficulty in falling asleep after nocturnal awakenings and increased sleepiness in the morning. The calculated prevalence of NPS is about 3% in an elderly population, with no gender difference. NPS is caused by a disturbance of the vasopressin system, with a lack of nocturnal increase in plasma vasopressin or, in some cases, no detectable levels of the hormone at any time of the 24-h period. In the nocturnal polyuria syndrome (NPS), the 24-h diuresis is normal or only slightly increased, while there is a shift in diuresis from daytime to night. Nocturnal polyuria can be caused by numerous diseases, such as diabetes insipidus, diabetes mellitus, congestive heart failure, and sleep apnoea. Nocturia is caused by nocturnal polyuria, a reduced bladder capacity, or a combination of the two. Accidents, e.g., fall injuries, are increased both at night and in the daytime in elderly persons with nocturia. One consequence of nocturia is sleep deterioration, with increased daytime sleepiness and loss of energy and activity. Nocturia is a common symptom in the elderly, which profoundly influences general health and quality of life.
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