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World Journal of Urology

, Volume 33, Issue 5, pp 677–683 | Cite as

Prevalence, risk factors, and symptom bother of nocturia: a population-based survey in China

  • Yuliang Wang
  • Hao Hu
  • Kexin XuEmail author
  • Xiaopeng Zhang
  • Xiaofeng Wang
  • Yanqun Na
  • Xiaoping Kang
Original Article

Abstract

Purpose

To evaluate the prevalence, risk factors, and symptom bother of nocturia in Chinese adults.

Methods

A population-based, cross-sectional survey was conducted among individuals aged ≥18 years in five geographical regions of China, via a stratified sampling approach. A structured questionnaire was used to obtain information on sociodemographic characteristics, general health, and past disease, and the International Consultation on Incontinence Questionnaire-Male/Female Lower Urinary Tract Symptoms Long Form was administered to estimate the prevalence of nocturia and rate their symptom bother. The current International Continence Society definition of nocturia (≥1 void/night) was used, and a secondary analysis was conducted with the threshold of two or more voids per night.

Results

Of the 4,723 subjects contacted, 3,023 completed the interviews (64 % response rate). After being weighted by age and genders, 57.5 % participants reported voiding once or more per night and 24.7 % twice or more per night. Advanced age, higher body mass index, smoking, hypertension, and diabetes mellitus were associated risk factors in both genders. Lower urinary tract symptoms suggestive of benign prostatic enlargement increased the occurrence of nocturia in men, and higher parity and vaginal delivery were correlated with nocturia in women. Degree of bother increased with the higher frequency of nocturia, but was not affected by genders.

Conclusions

The prevalence of nocturia is quite high in China and increases with advancing age. Nocturia bothers sufferers greatly, and many known risk factors are associated with this bothersome condition. Experiencing two or more nightly voids is more clinically relevant.

Keywords

Prevalence Risk factors Bother Nocturia Survey China 

Notes

Acknowledgments

This work was funded by Pfizer, Inc. under the Pfizer Asia–Pacific Urology Research Grant Program.

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standard

This study was approved by the ethics committees of Peking University People’s Hospital, and written informed consent was obtained in all participants. Our study conforms to the provisions of the Declaration of Helsinki revised in Tokyo 2008.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Yuliang Wang
    • 1
    • 2
  • Hao Hu
    • 1
  • Kexin Xu
    • 1
    Email author
  • Xiaopeng Zhang
    • 1
  • Xiaofeng Wang
    • 1
  • Yanqun Na
    • 1
  • Xiaoping Kang
    • 3
  1. 1.Urology DepartmentPeking University People’s HospitalBeijingPeople’s Republic of China
  2. 2.School of Biomedical Sciences, Faculty of MedicineThe Chinese University of Hong KongHong KongPeople’s Republic of China
  3. 3.Department of Clinical Epidemiology and BiostatisticsPeking UniversityBeijingPeople’s Republic of China

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