Prevalence of Nocturia in United States Men: Results From the National Health and Nutrition Examination Survey
Prevalence of Nocturia in United States Men: Results From the National Health and Nutrition Examination Survey
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DOI：
10.1016/j.juro.2010.10.083
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发表时间：
2011-03-01
影响因子：
6.6
通讯作者：
Burgio, Kathryn L.
中科院分区：
文献类型：
--
作者：
Markland, Alayne D.;Vaughan, Camille P.;Burgio, Kathryn L.
目的：我们估计在美国男性人口中的患病率，并确定相关factors.Materials和方法：数据进行了分析，为5,297名男子（20岁或以上）谁参加了2005-2006年和2007-2008年周期的NHANES，美国非制度化人口的横断面调查。夜间起床2次或2次以上排尿被编码为排尿困难。潜在因素包括年龄、种族/民族、教育、腰围、自我报告的健康状况、慢性疾病和既往诊断为良性前列腺肥大和/或前列腺癌（40岁或以上男性）。患病率和患病率比值比估计从多变量logistic回归分析使用适当的抽样weights.Results：的患病率为21%（加权95%CI 19.3-23.0）。夜尿患病率随年龄增长而增加（p < 0.001），从20 - 34岁男性的8.2%（CI 6.7-10.2）增至75岁或以上男性的55.8%（CI 51.3-60.2）。非西班牙裔黑人男性中有更多的人患有糖尿病（30.2%，CI 26.7-34.1），而其他种族/民族（20.1%，CI 18.1-22.1，p < 0.001）。重要因素包括年龄增长10年（POR 1.5，CI 1.5-1.6），非西班牙裔黑人人种/种族（POR 2.0，CI 1.6-2.7），健康自评一般/较差（POR 1.5，CI 1.2-1.9）、重度抑郁症（POR 2.5，CI 1.6-3.9）、高血压（POR 1.4，CI 1.0-1.9）和关节炎（POR 1.3，CI 1.0-1.7）。在40岁以上的男性中，良性前列腺增大（POR 1.4，CI 1.1-1.8）和前列腺癌（POR 1.6，CI 1.0-2.4）与前列腺增生症有关。结论：在调整年龄和种族标准后，前列腺增生症在美国男性中很常见。即使在控制了其他因素的情况下，非西班牙裔黑人男性也有更大的患病几率。
Purpose: We estimated the prevalence of nocturia in the United States male population and identified associated factors.Materials and Methods: Data were analyzed for 5,297 men (20 years old or older) who participated in the 2005-2006 and 2007-2008 cycles of the NHANES, a cross-sectional survey of the United States noninstitutionalized population. Getting up 2 or more times at night to urinate was coded as nocturia. Potential factors included age, race/ethnicity, education, waist circumference, self-reported health status, chronic diseases, and prior diagnosis of benign prostatic enlargement and/or prostate cancer (men 40 years old or older). Prevalence and prevalence odds ratios were estimated from a multivariable logistic regression analysis using appropriate sampling weights.Results: The prevalence of nocturia was 21% (weighted 95% CI 19.3-23.0). Nocturia increased in prevalence with age (p < 0.001) from 8.2% (CI 6.7-10.2) in men 20 to 34 years old up to 55.8% (CI 51.3-60.2) in men 75 years old or older. More nonHispanic black men had nocturia (30.2%, CI 26.7-34.1) than other racial/ethnic groups (20.1%, CI 18.1-22.1, p < 0.001). Significant factors included 10-year increase in age (POR 1.5, CI 1.5-1.6), nonHispanic black race/ethnicity (POR 2.0, CI 1.6-2.7), fair/poor self-rated health (POR 1.5, CI 1.2-1.9), major depression (POR 2.5, CI 1.6-3.9), hypertension (POR 1.4, CI 1.0-1.9) and arthritis (POR 1.3, CI 1.0-1.7). Among men 40 years old or older benign prostatic enlargement (POR 1.4, CI 1.1-1.8) and prostate cancer (POR 1.6, CI 1.0-2.4) were associated with nocturia.Conclusions: After adjusting for age and race norms nocturia was common among United States men. NonHispanic black men had greater odds of nocturia even when controlling for other factors.