title: Self-rated sleep characteristics and bother from nocturia.
abstract: OBJECTIVE
  The aim of this study was to evaluate if men with varying degrees of bother from a similar number of nocturia episodes differ with respect to self-rated sleep characteristics and fatigue.
  
  
  METHODS
  As part of the baseline assessments during a nocturia treatment trial, 55 participants reported frequency and bother of nocturia using the AUA Symptom Inventory and completed 7-day sleep diaries prior to treatment. Participants who reported moderate nocturia (either two or three episodes nightly) were further grouped into categories of LOW (nocturia is no problem or a very small problem) or HIGH bother (nocturia is a big problem). Information from the participant completed sleep diaries was abstracted, including information on daytime napping, total sleep time, mean time needed to return to sleep, nighttime ratings of fatigue, and daytime ratings of fatigue.
  
  
  RESULTS
  Of the 55 individuals who completed the pilot study, 24 study participants reported two or three episodes of nocturia and had either HIGH (n = 11) or LOW (n = 13) bother. Participants categorised with HIGH bother were significantly more likely than those with LOW bother to report difficulty initiating sleep (47.7 ± 34.4 vs. 23.5 ± 13.6 min, p = 0.05), difficulty returning to sleep after an awakening (28.9 ± 16.1 vs. 15.4 ± 9.6 min, p = 0.03) and greater morning fatigue (3.3 ± 0.7 vs. 2.5 ± 1.0, p = 0.04 on a 7-point scale).
  
  
  CONCLUSIONS
  Since bother related to nocturia is linked to sleep quality, interventions targeting fatigue and sleep maintenance may provide useful targets in the management of nocturia in men.
authors.affiliation: Birmingham/Atlanta GRECC, Atlanta VA Medical Center, Decatur, GA, USA. epedigo@emory.edu
authors.forename: C P
authors.initials: CP
authors.lastname: Vaughan
authors.forename: R
authors.initials: R
authors.lastname: Eisenstein
authors.forename: D L
authors.initials: DL
authors.lastname: Bliwise
authors.forename: Y K
authors.initials: YK
authors.lastname: Endeshaw
authors.forename: Z J
authors.initials: ZJ
authors.lastname: Nagamia
authors.forename: R A
authors.initials: RA
authors.lastname: Wolf
authors.forename: T M
authors.initials: TM
authors.lastname: Johnson
mesh_terms: D000368:Aged; D059026:Diagnostic Self Evaluation; D005221:Fatigue / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D053158:Nocturia / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D010865:Pilot Projects; D011788:Quality of Life; D057566:Self Report; D007319:Sleep Initiation and Maintenance Disorders / Q000209:etiology; D012893:Sleep Wake Disorders / Q000209:etiology*; D014554:Urination / Q000502:physiology; D014563:Urodynamics / Q000502:physiology