Kim Joo Seop, Chung Hye Soo, Yu Jae Myung, Cho Sung Tae, Moon Shinje, Yoo Hyung Joon
Department of Internal Medicine, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Department of Urology, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Ann Geriatr Med Res. 2018 Dec;22(4):184-188. doi: 10.4235/agmr.18.0044. Epub 2018 Dec 31.
The risk factors of nocturia in older adults remain unclear. We aimed to investigate factors associated with nocturia using the National Health and Nutrition Examination Survey (NHANES) data.
Among 40,790 participants, 4,698 participants aged ≥65 years were included from the NHANES dataset between 2005 and 2012. A multivariate logistic regression analysis was performed to determine the odds ratio (OR) for nocturia. A subgroup analysis was conducted based on sex and underlying diseases.
In the multivariate logistic regression model, obesity (OR, 1.46; 95% confidence interval [CI], 1.28-1.68), hypertension (OR, 1.28; 95% CI, 1.07-1.52), and diabetes mellitus (DM) (OR, 1.27; 95% CI, 1.11-1.45) were significantly associated with nocturia. These factors were associated with nocturia regardless of sex. In a subgroup of participants with hypertension, obesity (OR, 1.44; 95% CI, 1.25-1.67) and DM (OR, 1.26; 95% CI, 1.09-1.45) were associated with nocturia. In the additional analysis on patients with DM, nocturia was associated with obesity (OR, 1.33; 95% CI, 1.06-1.67) and duration of DM (OR, 1.02; 95% CI, 1.01-1.03).
This study demonstrated that hypertension, DM, and obesity were significantly associated with the prevalence of nocturia in older adult patients regardless of sex. In particular, obesity was associated with nocturia in every subgroup analysis.
老年人夜尿症的危险因素仍不明确。我们旨在利用美国国家健康与营养检查调查(NHANES)数据调查与夜尿症相关的因素。
在40790名参与者中,从2005年至2012年的NHANES数据集中纳入了4698名年龄≥65岁的参与者。进行多因素逻辑回归分析以确定夜尿症的比值比(OR)。基于性别和基础疾病进行亚组分析。
在多因素逻辑回归模型中,肥胖(OR,1.46;95%置信区间[CI],1.28 - 1.68)、高血压(OR,1.28;95% CI,1.07 - 1.52)和糖尿病(DM)(OR,1.27;95% CI,1.11 - 1.45)与夜尿症显著相关。无论性别如何,这些因素都与夜尿症相关。在高血压参与者亚组中,肥胖(OR,1.44;95% CI,1.25 - 1.67)和DM(OR,1.26;95% CI,1.09 - 1.45)与夜尿症相关。在对DM患者的进一步分析中,夜尿症与肥胖(OR,1.33;95% CI,1.06 - 1.67)和DM病程(OR,1.02;95% CI,1.01 - 1.03)相关。
本研究表明,无论性别如何,高血压、DM和肥胖与老年患者夜尿症的患病率显著相关。特别是,在每项亚组分析中肥胖都与夜尿症相关。