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Nocturia: a risk factor for falls in the elderly.

R B Stewart1, M T Moore, F E May

  • 1Department of Pharmacy Practice, College of Pharmacy, University of Florida, Gainesville.

Journal of the American Geriatrics Society
|December 1, 1992
PubMed
Summary

Nocturia, or nighttime urination, significantly increases fall risk in older adults. While it elevates the likelihood of falls, it does not appear to increase bone fracture risk.

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Area of Science:

  • Gerontology
  • Epidemiology
  • Urology

Background:

  • Nocturia is a common condition in older adults.
  • Falls are a major cause of injury and mortality in the elderly population.

Purpose of the Study:

  • To investigate whether nocturia is a risk factor for falls and bone fractures in older individuals.

Main Methods:

  • A cross-sectional study was conducted within a longitudinal health screening program.
  • Data from 1508 ambulatory elderly participants (65.5% women) were analyzed.
  • Falls in the past year and fractures in the past 5 years were self-reported.

Main Results:

  • Participants reporting nocturia at least twice per night had a significantly higher risk of falls (OR = 1.84).

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  • The risk of falls increased with more frequent nocturia events (OR = 2.15 for >3 events).
  • Nocturia was not significantly associated with an increased risk of bone fractures in the past 5 years.

    • Conclusions:

    • Nocturia is an independent risk factor for falls in ambulatory elderly individuals.
    • Preventive strategies targeting nocturia reduction are recommended.
    • Measures to mitigate fall risk during nocturia episodes are crucial for elderly care.