MP13-15 THE RELATIONSHIP BETWEEN SLEEP DISORDERS AND LOWER URINARY TRACT SYMPTOMS: RESULTS FROM THE NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY (NHANES)

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Epidemiology & Evaluation1 Apr 2017MP13-15 THE RELATIONSHIP BETWEEN SLEEP DISORDERS AND LOWER URINARY TRACT SYMPTOMS: RESULTS FROM THE NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY (NHANES) Richard Fantus, Brian Helfand, and Chi-Hsiung Wang Richard FantusRichard Fantus More articles by this author , Brian HelfandBrian Helfand More articles by this author , and Chi-Hsiung WangChi-Hsiung Wang More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.458AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES It has been demonstrated that sleep disorders (SDOs) are associated with the prevalence of nocturia in men. While previous literature supports that patients with obstructive sleep apnea (OSA), insomnia, and restless leg syndrome (RLS) are at increased risk of nocturia, the risk of daytime lower urinary tract symptoms (LUTS) in these groups has not been established. We sought to investigate the frequency of LUTS in men with and without different types of SDO. METHODS We examined the National Health and Nutrition Examination Survey (NHANES) database between 2006-2008. Men age 18-70 years who completed the sleep questionnaires in addition to the prostate and kidney forms were included in the study. LUTS was defined as having one more of the following symptoms: hesitancy, incomplete emptying, or nocturia (>=2). Physician-diagnosed SDOs were self reported by patients. Statistical analyses were used to compare groups of men with and without a SDO. RESULTS Of the 6185 men who completed all of the survey questions, 437 (7.1%) men reported a SDO. The clinical characteristics of men with and without a SDO are shown in Table 1. Men with SDOs were significantly older and significantly more likely to be Caucasian, have increased BMI and report more medical co-morbidities compared to men without SDOs. There was a significantly higher proportion of men with SDOs who reported nocturia compared to those without SDOs (39% vs 27.7%; p <.0001). Additionally, these men had a significantly higher risk of LUTS (including daytime LUTS) than men without SDOs (34.4% vs 22.8%, p <.0001). Men with OSA (31.7%) were significantly more likely to report >=2 LUTS compared to men with insomnia (18.2%) or RLS (12.5%) (p=.0002). CONCLUSIONS Older age, Caucasian race, elevated BMI, and increased comorbidity score appear to be associated with an increased risk of LUTS in men with SDOs. While men with SDOs report increased nocturia, they are also more likely to experience bothersome daytime LUTS. This is particularly relevant for men with OSA compared to other SDOs. Based upon the present data, clinicians should consider assessing LUTS in men with SDOs as intervention could improve both nighttime and daytime urinary symptoms. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e159 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Richard Fantus More articles by this author Brian Helfand More articles by this author Chi-Hsiung Wang More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...