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Related Experiment Video

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Association Between Behavioral Change and Nocturia Improvement: A Multicenter Analysis Using a Self-check Sheet.

Yuki Kyoda¹, Atsushi Wanifuchi², Ippei Muranaka²

¹Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan; Department of Urology, Hokkaido Prefectural Haboro Hospital, Haboro, Japan; Department of Urology, Rumoi Municipal Hospital, Rumoi, Japan.

|February 13, 2026

Summary

This summary is machine-generated.

A structured behavioral therapy program using self-check sheets effectively reduced nighttime frequency in nocturia patients. Greater adherence to lifestyle changes, especially regular mealtimes and evening exercise, led to significant symptom improvement.

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Area of Science:

Urology
Behavioral Medicine
Public Health

Background:

Nocturia significantly impacts quality of life.
Lifestyle modifications are crucial for managing nocturia.
Behavioral therapy offers a non-pharmacological approach.

Purpose of the Study:

To assess lifestyle modification via self-check sheet behavioral therapy.
To determine the association between behavioral changes and nocturia frequency.
To evaluate impact on salt intake.

Main Methods:

218 patients (≥40 years) completed a 4-week behavioral therapy program.
Eight lifestyle habits assessed; behavioral change defined as adherence on ≥14/28 days.
Outcomes: association between adopted items and nocturia frequency, specific behaviors, and salt intake.

Main Results:

Increased adoption of behavioral items correlated with greater nocturia reduction (p=0.03).
Regular mealtimes and evening exercise independently improved nocturia frequency.
Salt intake decreased significantly only in patients adopting salt reduction (9.4 to 8.6 g/day, p=0.01).

Conclusions:

Self-check sheet behavioral therapy is effective and minimally burdensome for nocturia.
Higher adherence correlates with better outcomes.
Specific behaviors like regular meals and evening exercise are key for symptom relief.