Stewart R B, Moore M T, May F E, Marks R G, Hale W E
Department of Pharmacy Practice, College of Pharmacy, University of Florida, Gainesville.
J Am Geriatr Soc. 1992 Dec;40(12):1217-20. doi: 10.1111/j.1532-5415.1992.tb03645.x.
To determine if nocturia is a risk factor for reported falls and bone fractures in older persons.
Cross-sectional study comparing falls in men and women with and without nocturia.
Longitudinal health screening program of ambulatory elderly participants.
Participants included 988 (65.5%) women and 520 (34.5%) men who had completed their tenth annual visit to the program.
Reported falls in the past year and reported bone fractures in the past 5 years.
Participants who reported nocturia at least twice during the night were at significantly greater risk to report falls (Odds Ratio = 1.84; 95% CI = 1.05-3.22), and the risk increased in subjects reporting more than three nocturia events (Odds Ratio = 2.15; 95% CI = 1.04-4.44). The significant increase in falls reported by nocturia participants did not result in an increase in reported bone fractures in the past 5 years (P < 0.4360).
Nocturia is an important risk factor for falls in ambulatory elderly persons. Preventive measures should be taken to decrease nocturia events and to decrease the risk of falling during these nocturia events.
确定夜尿症是否为老年人跌倒和骨折的危险因素。
一项横断面研究，比较有和没有夜尿症的男性和女性的跌倒情况。
对非卧床老年参与者的纵向健康筛查项目。
参与者包括988名（65.5%）女性和520名（34.5%）男性，他们已完成该项目的第十次年度随访。
过去一年报告的跌倒情况和过去5年报告的骨折情况。
报告夜间至少夜尿两次的参与者报告跌倒的风险显著更高（优势比=1.84；95%置信区间=1.05-3.22），报告夜尿超过三次的受试者风险增加（优势比=2.15；95%置信区间=1.04-4.44）。夜尿症参与者报告的跌倒显著增加，但在过去5年中报告的骨折并未增加（P<0.4360）。
夜尿症是门诊老年人跌倒的重要危险因素。应采取预防措施减少夜尿事件，并降低这些夜尿事件期间跌倒的风险。
