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14 - Nocturia in the aging population

from Part 3 - Sleepdisorders in the elderly

Published online by Cambridge University Press:  04 August 2010

By
Ragnar Asplund
Edited by
S. R. Pandi-Perumal ,
Jaime M. Monti  and
Andrew A. Monjan
S. R. Pandi-Perumal
Affiliation:
Somnogen Inc, New York
Jaime M. Monti
Affiliation:
Universidad de la República, Uruguay
Andrew A. Monjan
Affiliation:
National Institute on Aging, Bethesda, Maryland
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Summary

Nocturia has a detrimental influence on life expectancy, health, and overall quality of life. Its prevalence is fairly equal in men and women and shows an age-related increase in both sexes. There are numerous medical conditions that are associated with increased nocturnal voiding, such as cardiac diseases, diabetes, obesity, edemas of different origins, and sleep apnea. On the basis of analyses of information collected from frequency-volume charts, the pathophysiological conditions underlying nocturia can be categorized as: nocturnal polyuria, a low nocturnal bladder capacity, or a combination of the two. Clinical conditions should be treated as appropriately as possible before more specific treatment of nocturia is considered. Clinical trials have specifically addressed the use of medications for treating nocturia through improvement of bladder capacity. Estrogen treatment has been shown to have a favorable influence on urological symptoms in general, but studies indicating a specific effect on nocturia are lacking.

Keywords

agingmemory encodingmemory stagessleep stagessleep-dependent memory processingneuropsychologyneuroimagingmemory systems
Type
Chapter
Information
Principles and Practice of Geriatric Sleep Medicine , pp. 150 - 159
Publisher: Cambridge University Press
Print publication year: 2009

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