Nocturia and Comprehensive Geriatric Assessment Parameters in Older Men

Öz

Aim: The aim of this study was to demonstrate the relationship between nocturia and geriatric syndromes, and comprehensive geriatric assessment parameters (CGA) in older men.

Material and Methods: A total of 397 older outpatient men who had undergone CGA 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.

Results: The mean age of patients was 75.6 ± 8.1. There was a significant positive correlation between the frequency of nocturia and number of drugs, Timed-up Go, and Insomnia severity score (p<0.05), while there was a significant negative correlation between Mini Nutritional Assessment, Basic activities of daily living (BADL) and Tinetti total score, and hand grip strength (p<0.05). The prevalence of patients with 0, ≥1, ≥2, ≥3, and ≥4 nocturnal episodes was 11.6%, 88.4%, 70.5%, 47.3% and 25.4%, respectively. Patients with nocturia ≥2 had lower MNA scores and had a higher fall risk, depression, and dynapenia compared to patients with nocturia ≤1. There were higher rates of insomnia, depression, frailty, dynapenia, lower BADL and nutritional status with ≥3 nocturia episodes compared to ≤ 2 nocturia episodes (p<0.05).

Conclusions: Nocturia is common and associated with dynapenia, insomnia, frailty, polypharmacy, incontinence, increased fall risk and depression in older men. Therefore, nocturia is important for geriatric practice and ≥3 nocturia episodes may be used as a marker of poor health status in older men.

Anahtar Kelimeler

• Nocturia
• geriatric assessment
• insomnia
• men
• muscle strength

Geriatrik Erkeklerde Nokturi ve Ayrıntılı Geriatrik Değerlendirme Parametreleri

Öz

Amaç: Bu çalışmanın amacı yaşlı erkeklerde noktüri ile geriatrik sendromlar arasındaki ilişkiyi ve ayrıntılı geriatrik değerlendirme parametreleri (AGD) göstermektir.

Gereç ve Yöntemler: Bu kesitsel çalışmaya AGD uygulanan toplam 397 daha yaşlı ayakta hasta erkek dahil edildi. Noktüri değişkeni için, "Genel olarak, son 30 gün içinde, gece uyuduktan sonra sabah kalkana kadar genellikle kaç kez idrara çıktınız?" sorusu kullanılmıştır.

Bulgular: Hastaların ortalama yaşı 75,6±8,1 idi. Noktüri sıklığı ile ilaç sayısı, Kalk ve Yürü testi, İnsomnia Şiddet Skoru arasında pozitif (p<0,05); Mini Nütrisyon Değerlendirmesi (MNA), Temel Günlük Yaşam Aktiviteleri (TGYA), Tinetti toplam skoru ve el kavrama gücü arasında negatif (p<0,05) korelasyon vardı. 0, ≥1, ≥2, ≥3 ve ≥4 noktürnal epizodlu hastaların prevalansı sırasıyla %11,6, %88,4, %70,5, %47,3 ve %25,4 idi. Noktüri ≥2 olan hastalar, noktürisi 1 olan hastalara kıyasla daha düşük MNA skorlarına ve daha yüksek düşme riski, depresyon ve dinapeni gösterdiler. 2 noktüri epizodlarına göre ≥3 nokturi atakları ile daha yüksek uykusuzluk, depresyon, kırılganlık, dinapeni, daha düşük TGYA ve beslenme durumu oranları vardı (p <0.05).

Sonuç: Nokturi yaygındır ve yaşlı erkeklerde dinapeni, uykusuzluk, kırılganlık, polifarmasi, inkontinans, artmış düşme riski ve depresyon ile ilişkilidir. Bu nedenle noktüri, geriatri pratiği için önemlidir ve ≥3 noktüri atakları, yaşlı erkeklerde kötü sağlık durumunun bir belirteci olarak kullanılabilir.

Anahtar Kelimeler

• Noktüri
• ayrıntılı geriatrik değerlendirme
• kas gücü
• uykusuzluk

Kaynakça

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