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Sleep and Nocturia in Older Adults
Camille P Vaughan1, Donald L Bliwise2
1Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Atlanta VA Medical Center, Decatur, GA, USA; Division of General Medicine and Geriatrics, Department of Medicine, Emory University, Atlanta, GA, USA.
Sleep Medicine Clinics
|February 8, 2018
Summary
Nocturia often disrupts sleep in older adults. Multicomponent treatments, including behavioral therapy, show promise for reducing nocturia and improving sleep quality, potentially rivaling drug therapies.
Area of Science:
- Gerontology
- Sleep Medicine
- Urology
Background:
- Nocturia and sleep disturbances frequently coexist in older adults.
- Sleep problems stemming from nocturia significantly contribute to patient distress.
- A comprehensive treatment approach is often necessary.
Purpose of the Study:
- To review the concurrent nature of nocturia and sleep disturbance in older adults.
- To discuss multicomponent treatment strategies for nocturia.
- To highlight the role of behavioral treatments and sleep evaluations.
Main Methods:
- Literature review of studies on nocturia and sleep in older adults.
- Analysis of treatment outcomes for lifestyle modifications, behavioral therapies, and pharmacologic interventions.
- Emphasis on the importance of formal sleep evaluation for persistent cases.
Main Results:
- Behavioral treatments for nocturia demonstrate comparable efficacy to common drug therapies.
- Lifestyle modifications and pelvic floor muscle exercises are initial treatment considerations.
- Sleep disorders can be a predisposing factor for nocturia.
Conclusions:
- Integrated treatment approaches combining behavioral and lifestyle interventions are recommended for nocturia in older adults.
- Formal sleep evaluation is crucial when initial treatments fail to resolve nocturia.
- Addressing underlying sleep disorders may be key to managing nocturia effectively.
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