The aim of this study is to demonstrate the relationship between nocturia and geriatric syndromes, and comprehensive geriatric assessment parameters (CGA) in older women. 858 older outpatient women were included in this cross-sectional study. For the nocturia variable, the question, “Generally, during the past 30 days, how many times did you usually urinate after you have gone to sleep at night until the time you got up in the morning?” was used. The relationships between nocturia status and common geriatric syndromes, and CGA parameters were determined. The mean age of patients was 74.1 ± 8.0 years. The prevalence of patients who reported average of 0, ≥1, ≥2, ≥3, and ≥4 nocturnal episodes was 14.7%, 85.3%, 66.3%, 42.13%, and 24.1%, respectively. When all the covariates including age, education, Charlson Comorbidities Index score, glomerular filtration rate, antimuscarinic drugs and alpha-blockers use, diabetes mellitus, chronic obstructive pulmonary disease, and incontinence were adjusted, there were higher rates of insomnia, recurrent falls and higher scores of Timed Up-Go test in older women with ≥2 nocturia episodes (p < 0.05). There was a significant correlation between ≥3 nocturia episodes and lower Instrumental Activities of Daily Living scores and a significant correlation between ≥4 nocturnal episodes and frailty and polypharmacy (p < 0.05). Nocturia is quite common and associated with insomnia, frailty, polypharmacy, incontinence, falls, lower gait speed, and functionality in older women.Therefore, nocturia is very important for geriatric practice and ≥2 nocturia episodes can be a marker of poor health status in older women.

Archives of gerontology and geriatrics. 2019 Jul 25 [Epub ahead of print]

Ekrem Dutoglu, Pinar Soysal, Lee Smith, Ferhat Arik, Ugur Kalan, Rumeyza Turan Kazancioglu, Ahmet Turan Isik

Kayseri Education and Research Hospital, Department of Geriatric Medicine, Kayseri, Turkey., Department of Geriatric Medicine, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey. Electronic address: ., The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom., Tomarza Yasar Karayel State Hospital, Department of Internal Medicine, Kayseri, Turkey., Ermenek State Hospital, Department of Internal Medicine, Karaman, Turkey., Department of Nephrology, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey., Unit for Aging Brain and Dementia, Department of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.