Sleep disorders (SDs) are associated with an increased risk of both nocturia and daytime lower urinary tract symptoms (LUTS), according to a new study.
The study, by Richard J. Fantus, MD, of University of Chicago Medicine, and colleagues, included 3017 men who completed sleep, prostate, and kidney survey questionnaires as part of the National Health and Nutrition Examination Survey (2006–2008). Of these men, 270 (8.8%) reported SDs. These men had a significantly higher body mass index (30.8 vs 27.4 kg/m2) and significantly greater likelihood of reporting diabetes (20.3% vs 10.2%) and comorbidities (72.6% vs 45.2%) compared with men without SDs, he investigators reported online ahead of print in The Journal of Urology.
On multivariable analysis, men with SDs were 23% more likely to report nocturia, 12% more likely to report 2 or more LUTS, and 27% more likely to report daytime LUTS.
Based on these data, “clinicians should consider assessing LUTS in men with SDs as intervention could improve both nighttime and daytime urinary symptoms,” the authors concluded.
The researchers defined LUTS as the presence of 2 or more of the following symptoms: hesitancy, incomplete emptying, or nocturia (2 or more micturitions per night).
Fantus RJ, Packiam VT, Wang CH et al. The relationship between sleep disorders and lower urinary tract symptoms: Results from the National Health and Nutrition Examination Survey (NHANES). J Urol. 2018; published online ahead of print. doi: 10.1016/j.juro.2018.01.083