To evaluate the relationship between nocturia and medical history of nocturnal enuresis: two conditions where diurnal urination rhythm is disturbed.
The Nagahama study is a longitudinal population-based health survey involving people aged 30-75 years in Nagahama city, Japan. Our analysis included 5,402 participants who completed enuresis and International Prostate Symptom Score questionnaires. Associations between nocturnal enuresis and nocturia were evaluated cross-sectionally and longitudinally with three models: (1) univariate analysis; (2) adjusted for basic characteristics (e.g., age, sex, body mass index, activity, alcohol, and smoking); and (3) adjusted for basic and clinical variables (e.g., hyperglycemia, hyperlipidemia, hypertension, renal insufficiency, insomnia, obstructive sleep apnea, and mental health).
In total, 1,613 participants (29.9%) had a medical history of enuresis. The mean night-time frequency was 0.73 at baseline and 0.85 at the 5-year follow-up. The cross-sectional analysis showed participants with a medical history of enuresis had night-time frequency more often than those without this history (0.84 vs. 0.68, p < .0001). Significant differences were observed in Models 2 (p < .0001) and 3 (p < .0001). The longitudinal analysis showed nocturia progression was significantly related to a history of enuresis, with odds ratios of 1.32 (p < .0001) in Model 1, 1.21 (p < .01) in Model 2, and 1.22 (p < .01) in Model 3.
Medical history of enuresis during school age was significantly related to nocturia in adulthood in the cross-sectional analysis, and to progression to nocturia in the longitudinal analysis. These two conditions may possess a common causative association.
Neurourology and urodynamics. 2020 Oct 29 [Epub ahead of print]
Hiromitsu Negoro, Arinobu Fukunaga, Kazuya Setoh, Takahisa Kawaguchi, Satoshi Funada, Takayuki Yoshino, Yasuharu Tabara, Koji Yoshimura, Akihiro Kanematsu, Hiroyuki Nishiyama, Fumihiko Matsuda, Osamu Ogawa, Nagahama Study Group
Department of Urology, Kyoto University Graduate School of Medicine, Kyoto, Japan., National Cancer Center Hospital, Tokyo, Urology, Japan., Center for Genomic Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan., Department of Urology, Shizuoka General Hospital, Shizuoka, Japan., Department of Urology, Hyogo College of Medicine, Hyogo, Japan., Department of Urology, University of Tsukuba, Ibaraki, Japan.