Prevalence and Correlates of Nocturia in Community-dwelling Older Men: Results from the Korean Longitudinal Study on Health and Aging
이영주, 정성진, 변석수, 이정재, 한지원, 김기웅,
소속 상세정보
이영주 ( Lee Young-Ju )
Seoul National University College of Medicine Department of Urology
정성진 ( Jeong Seong-Jin )
Seoul National University Bundang Hospital Department of Urology
변석수 ( Byun Seok-Soo )
Seoul National University Bundang Hospital Department of Urology
이정재 ( Lee Jung-Jae )
Kyungpook National University College of Medicine Department of Psychiatry
한지원 ( Han Ji-Won )
Seoul National University Bundang Hospital Department of Neuropsychiatry
김기웅 ( Kim Ki-Woong )
Seoul National University Bundang Hospital Department of Neuropsychiatry
KMID : 0358320120530040263
Abstract
Purpose: To determine the prevalence and correlates of nocturia in Korean community-dwelling older men.
Materials and Methods: A study population of 439 Korean elderly men (≥65 years of age, including 299 men from a randomly sampled population) was sampled from residents of Seongnam, Korea. Standardized face-to-face interviews and questionnaires were performed. In-person interviews solicited sociodemographic information, medical history, Mini-Mental State Examination (MMSE) score, and measurement of body mass index. Transrectal ultrasonography and laboratory tests including urinalysis and measurement of creatinine and prostate-specific antigen were performed. For the analysis of prevalence, 299 randomly sampled men were included. Men who answered the International Prostate Symptom Score questionnaire (n=424) were included in the analysis of the correlates of nocturia. Nocturia was defined as having to get up to urinate two or more times per night (≥2).
Results: The overall prevalence of nocturia was 56.0% for community-dwelling older men. There was a significant correlation between age and the prevalence of nocturia (p<0.001). The univariate analysis revealed a significant association between nocturia and MMSE score (odds ratio [OR], 0.88; p<0.001), history of benign prostatic hyperplasia (BPH) (OR, 2.85; p=0.003), alpha-blocker usage (OR, 2.79; p=0.018), alcohol consumption (OR, 0.65; p=0.035), and smoking (OR, 0.58; p=0.025). Age, duration of education, MMSE score, and prostate volume were also significantly associated with nocturia. In the multivariate regression analysis using forward elimination, nocturia was significantly associated with a history of BPH and MMSE score.
Conclusions: The prevalence of nocturia was 56.0% in Korean community-dwelling older men. Nocturia was associated with age and a history of BPH. MMSE score was protective.
키워드
Aged; Aged; 80 and over; Nocturia; Prevalence
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