Prevalence of nocturia among community-dwelling adults: a population-based study in Malaysia

BMC Urology

Teng-Aik Ong¹  Ahmad Nazran Fadzli¹  Kay-Seong Ngoo²  Charng-Chee Toh³  John Jeh Lung Tiong⁴  Esther van der Werf⁵  Hui-Yin Yow⁶  Sze-Han Lok⁶  Chun-Wai Mai⁷  Zulkifli Md Zainuddin⁸  Eng-Hong Goh⁹ 

[1] Department of Surgery, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia;Department of Surgery, Hospital Angkatan Tentera Tuanku Mizan, Kuala Lumpur, Malaysia;Department of Urology, Hospital Selayang, Selangor, Malaysia;Ferring Pharmaceuticals Malaysia & Singapore, Kuala Lumpur, Malaysia;Louis Bolk Institute, Bunnik, The Netherlands;School of Pharmacy, Faculty of Health and Medical Sciences, Taylor’s University (Lakeside Campus), Subang Jaya, Malaysia;School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia;Urology Unit, Department of Surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia;Urology, Nephrology & Men’s Health Clinic, Prince Court Medical Centre, Kuala Lumpur, Malaysia;

关键词: Prevalence;    Nocturia;    Awareness;    Malaysia;    Survey;   

DOI  :  10.1186/s12894-021-00860-1

来源: Springer

【 摘 要 】

BackgroundNocturia is widely prevalent condition with detrimental effects on quality of life and general health. In Malaysia, there is a lack of up-to-date prevalence study on nocturia. This study aimed to investigate the prevalence of nocturia and awareness pertaining to nocturia among Malaysian adults.MethodsA cross-sectional population-based study was conducted among Malaysian adults aged ≥ 18 years old. The data was collected by mixed mode self-administered questionnaire from May 2019 to September 2019. Nocturia was defined as one or more voids at night.ResultsThere were a total of 4616 respondents with 74.5% of response rate. The overall prevalence of nocturia among Malaysian adults was found to be 57.3%. In multivariate analysis, respondents aged 31–40 (1.91 [1.52–2.40]) or > 60 years old (2.03 [1.48–2.71]), and those who presented with hypertension (2.84 [2.28–3.53]), diabetes mellitus (1.78 [1.42–2.25]), renal disease (3.58 [1.93–6.63]) or overactive bladder (1.61 [1.10–2.35]) were associated with higher prevalence of nocturia. A significantly lower disease prevalence (p < 0.05) was noted among those aged 41–50 (0.73 [0.59–0.91]), male (0.78 [0.69–0.88]) and Chinese (0.47 [0.30–0.74]) or Indian (0.34 [0.21–0.54]) ethnicities. A total of 37.3% of respondents with nocturia reported that they faced sleeping difficulty about half the time or more after waking up in the middle of night. Those who had ≥ 2 voids per night experienced significantly higher mean bother score than those who had 1 void per night (p < 0.001). Approximately half (56.7%) of all respondents were not aware that night time urination is a medical condition. Only 25.2% of respondents with nocturia had sought medical attention for their nocturia.ConclusionsThe prevalence of nocturia among Malaysian adults is high and strongly influenced by age, sex, race and comorbidities. However, the general awareness pertaining to nocturia being a health issue remains low among Malaysians. The findings also highlighted the impact of nocturia on sleep and the need for nocturia education to better address this disease.

【 授权许可】

CC BY