Sleep-disordered breathing and nocturia in older adults.
OBJECTIVE
To investigate the relationship between sleep-disordered breathing (SDB) and nocturia episodes in community-dwelling older adults.


METHODS
A cross-sectional study.


METHODS
Community.


METHODS
Community-dwelling older adults (N=72) recruited from independent living facilities and adult learning centers in Atlanta, Georgia.


METHODS
Three-day voiding diary, ambulatory sleep recording, focused physical examination, Epworth Sleepiness Scale, and Geriatric Depression Scale.


RESULTS
Fifty-eight of the 72 subjects completed the study. The mean age+/-standard deviation was 77.7+/-6.7; 44 (76%) were female. Of the 58 subjects, 26 (45%) had an apnea-hypopnea index (AHI) of less than 10 per hour of sleep, 21 (36%) had an AHI between 10 and 24 per hour sleep, and 11 (19%) had an AHI of 25 or higher per hour of sleep. The mean nocturia episodes were 1.7+/-1.1, 1.6+/-0.9, and 2.6+/-1.4 for subjects in these groups, respectively (F=3.82; P=.028). Those with an AHI of 25 or higher had more nocturia episodes, higher mean arterial blood pressure, and higher body mass index than those with a lower AHI.


CONCLUSIONS
These results suggest that older adults with severe SDB have a greater number of nocturia episodes. These findings underscore the importance of considering SDB as a differential diagnosis in the evaluation of older patients with nocturia.
Endeshaw
Yohannes W
YW
Division of Geriatrics and Gerontology, Emory University, Atlanta, Georgia 30329, USA. yendesh@emory.edu
Johnson
Theodore M
TM
Kutner
Michael H
MH
Ouslander
Joseph G
JG
Bliwise
Donald L
DL
D000368:Aged; D001794:Blood Pressure; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D012891:Sleep Apnea Syndromes / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D014555:Urination Disorders / Q000150:complications* / Q000503:physiopathology