A Longitudinal Study of Bidirectional Relationships between Sleep Disorder and Frequency of Nocturia: Results from the Iwaki Health Promotion Project
A Longitudinal Study of Bidirectional Relationships between Sleep Disorder and Frequency of Nocturia: Results from the Iwaki Health Promotion Project
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DOI：
10.1159/000509976
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发表时间：
2020-12-03
影响因子：
1.6
通讯作者：
Ohyama, Chikara
中科院分区：
文献类型：
--
作者：
Konishi, Sakae;Hatakeyama, Shingo;Ohyama, Chikara
导读：睡眠障碍与夜尿频率之间的因果关系尚不清楚。方法：在基线和5年随访期间，我们对547名社区居民的睡眠障碍和夜尿频率进行了纵向评估。我们纳入的参与者>= 50岁，没有睡眠障碍（匹兹堡睡眠质量指数[PSQI] >= 5）和夜尿症（>= 1）。5年来，我们评估了睡眠障碍和夜尿症的时间变化以及睡眠障碍和夜尿症之间的双向关系。结果：在547名参与者中，我们在这项研究中包括268名中位年龄为61岁的成年人。中位PSQI和夜尿症在5年内分别从2岁增加到3岁和从1岁增加到2岁。在42名（16%）和137名（51%）参与者中分别观察到新发睡眠障碍（PSQI > 5）和夜尿症>1。交叉滞后面板分析显示，从PSQI到夜尿症的通径系数（β = 0.22, p = 0.031）显著高于夜尿症到PSQI的通径系数（β = 0.02, p = 0.941）。结论：我们的纵向研究显示，睡眠障碍对夜尿症的影响是显著的，尽管夜尿症可能不会显著加重社区居住成年人的睡眠障碍。
Introduction: The causal relationship between sleep disorder and frequency of nocturia remains unclear. Methods: We longitudinally evaluated sleep disorder and frequency of nocturia in 547 community-dwelling adults between baseline and 5-year follow-up. We included participants >= 50 years old who have no sleep disorder (the Pittsburgh Sleep Quality Index [PSQI] >= 5) nor nocturia (>= 1). For 5 years, we evaluated the temporal changes in sleep disorder and nocturia and the bidirectional relationships between sleep disorder and nocturia. Results: Of the 547 participants, we included 268 adults with a median age of 61 years in this study. Median PSQI and nocturia were significantly increased for 5 years from 2 to 3 and from 1 to 2, respectively. New onset of sleep disorder (PSQI > 5) and nocturia >1 was observed in 42 (16%) and 137 (51%) participants, respectively. The cross-lagged panel analysis showed that the path coefficient from PSQI to nocturia (beta = 0.22, p = 0.031) was significantly higher than that from nocturia to PSQI (beta = 0.02, p = 0.941). Conclusions: Our longitudinal study showed the effect of sleep disorder on nocturia was significant, although nocturia may not significantly worsen sleep disorder in community-dwelling adults.