Association of weak hip abduction strength with nocturia in older women: The Nagahama study.
Aged
Female
Hip
Humans
Japan
Middle Aged
Muscle Strength
/ physiology
Muscle Weakness
/ physiopathology
Muscle, Skeletal
/ physiopathology
Nocturia
/ physiopathology
Postural Balance
/ physiology
Quality of Life
/ psychology
Sarcopenia
/ physiopathology
Sleep
/ physiology
Surveys and Questionnaires
Time and Motion Studies
hip abductor strength
hip flexion strength
knee extension strength
nocturia
sarcopenia
Journal
Geriatrics & gerontology international
ISSN: 1447-0594
Titre abrégé: Geriatr Gerontol Int
Pays: Japan
ID NLM: 101135738
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
13
05
2019
revised:
22
07
2019
accepted:
31
07
2019
pubmed:
3
9
2019
medline:
13
3
2020
entrez:
3
9
2019
Statut:
ppublish
Résumé
Nocturia is a common phenomenon in older individuals, and is associated with poor quality of life. Nocturia is a multifactorial disorder, wherein the frailty of skeletal muscles, particularly muscle weakness in the lower trunk and hip regions, might be a risk factor in women. We analyzed a dataset of the general Japanese population to clarify the hypothesis. Study participants included 1207 older women (mean age 67.4 ± 5.2 years). The frequency of nocturnal urination was assessed using a sleep diary for 1 week, and associations with lower muscle strength, skeletal muscle index, sarcopenia and physical performance (one-leg standing time and Timed Up and Go test) were investigated. The frequency of nocturnal urination more than one voiding per night was 28.1%; this frequency was inversely associated with hip abduction strength quartiles (Q1: 37.0, Q2: 30.5, Q3: 25.1 and Q4: 19.9%, P < 0.001). When a sleep diary-based nocturnal urination frequency >1.5 times/night (corresponding to a ≥2 times/night frequency obtained by questionnaire) was considered as nocturia, logistic regression analysis adjusted for major covariates identified hip abduction strength as an independent inverse determinant of nocturia (odds ratio 0.75, 95% CI 0.52-0.90, P = 0.002). In contrast, no significant association was observed with knee extension (P = 0.322) and hip flexion (P = 0.603) strengths. Physical performance, skeletal muscle index and sarcopenia did not show significant associations with nocturia. Weak hip abduction strength might be a factor associated with nocturnal urination frequency in older women. Geriatr Gerontol Int 2019; 19: 1010-1016.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1010-1016Subventions
Organisme : Daiwa Securities Health Foundation
Organisme : Japan Agency for Medical Research and Development
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : 25293141
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : 26670313
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : 26293198
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : 17H04182
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : 17H04126
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : 18K18450
Organisme : Ministry of Education, Culture, Sports, Science and Technology
ID : 17H04123
Organisme : Ministry of Health, Labor and Welfare of Japan
Organisme : Takeda Medical Research Foundation
Organisme : Mitsubishi Foundation
Organisme : Sumitomo Foundation
Informations de copyright
© 2019 Japan Geriatrics Society.
Références
Dani H, Esdaille A, Weiss JP. Nocturia: aetiology and treatment in adults. Nat Rev Urol 2016; 13: 573-583. https://doi.org/10.1038/nrurol.2016.134.
Furukawa S, Sakai T, Niiya T et al. Obesity and the prevalence of nocturia in Japanese elderly patients with type 2 diabetes mellitus: the Dogo study. Geriatr Gerontol Int 2017; 17: 2460-2465. https://doi.org/10.1111/ggi.13103.
Bosch JL, Weiss JP. The prevalence and causes of nocturia. J Urol 2013; 189: S86-S92. https://doi.org/10.1016/j.juro.2012.11.033.
Kupelian V, Wei JT, O'Leary MP, Norgaard JP, Rosen RC, McKinlay JB. Nocturia and quality of life: results from the Boston area community health survey. Eur Urol 2012; 61: 78-84. https://doi.org/10.1016/j.eururo.2011.05.065.
Breyer BN, Shindel AW, Erickson BA, Blaschko SD, Steers WD, Rosen RC. The association of depression, anxiety and nocturia: a systematic review. J Urol 2013; 190: 953-957. https://doi.org/10.1016/j.juro.2013.03.126.
Nakagawa H, Niu K, Hozawa A et al. Impact of nocturia on bone fracture and mortality in older individuals: a Japanese longitudinal cohort study. J Urol 2010; 184: 1413-1418. https://doi.org/10.1016/j.juro.2010.05.093.
Parsons JK, Mougey J, Lambert L et al. Lower urinary tract symptoms increase the risk of falls in older men. BJU Int 2009; 104: 63-68. https://doi.org/10.1111/j.1464-410X.2008.08317.x.
Hofmeester I, Kollen BJ, Steffens MG et al. The association between nocturia and nocturnal polyuria in clinical and epidemiological studies: a systematic review and meta-analyses. J Urol 2014; 191: 1028-1033. https://doi.org/10.1016/j.juro.2013.10.100.
Gunnarsson M, Teleman P, Mattiasson A, Lidfeldt J, Nerbrand C, Samsioe G. Effects of pelvic floor exercises in middle aged women with a history of naïve urinary incontinence: a population based study. Eur Urol 2002; 41: 556-561.
Greer JA, Smith AL, Arya LA. Pelvic floor muscle training for urgency urinary incontinence in women: a systematic review. Int Urogynecol J 2012; 23: 687-697. https://doi.org/10.1007/s00192-011-1651-5.
de Boer TA, Salvatore S, Cardozo L et al. Pelvic organ prolapse and overactive bladder. NeurourolUrodyn 2010; 29: 30-39. https://doi.org/10.1002/nau.20858.
Bø K, Stien R. Needle EMG registration of striated urethral wall and pelvic floor muscle activity patterns during cough, Valsalva, abdominal, hip adductor, and gluteal muscle contractions in nulliparous healthy females. NeurourolUrodyn 1994; 13: 35-341.
Arab AM, Chehrehrazi M. The response of the abdominal muscles to pelvic floor muscle contraction in women with and without stress urinary incontinence using ultrasound imaging. NeurourolUrodyn 2011; 30: 117-120. https://doi.org/10.1002/nau.20959.
Peschers UM, Gingelmaier A, Jundt K, Leib B, Dimpfl T. Evaluation of pelvic floor muscle strength using four different techniques. Int Urogynecol J Pelvic Floor Dysfunct 2001; 12: 27-30.
Sapsford RR, Hodges PW, Richardson CA, Cooper DH, Markwell SJ, Jull GA. Co-activation of the abdominal and pelvic floor muscles during voluntary exercises. Neurourol Urodyn 2001; 20: 31-42.
Madill SJ, McLean L. Quantification of abdominal and pelvic floor muscle synergies in response to voluntary pelvic floor muscle contractions. J Electromyogr Kinesiol 2008; 18: 955-964.
Ptaszkowski K, Paprocka-Borowicz M, Słupska L et al. Assessment of bioelectrical activity of synergistic muscles during pelvic floor muscles activation in postmenopausal women with and without stress urinary incontinence: a preliminary observational study. Clin Interv Aging 2015; 10: 1521-1528. https://doi.org/10.2147/CIA.S89852.
Ghoniem GM, Van Leeuwen JS, Elser DM et al. A randomized controlled trial of duloxetine alone, pelvic floor muscle training alone, combined treatment and no active treatment in women with stress urinary incontinence. J Urol 2005; 173: 1647-1653.
Tabara Y, Ikezoe T, Yamanaka M et al. Advanced Glycation end product accumulation is associated with low skeletal muscle mass, weak muscle strength, and reduced bone density: the Nagahama study. J Gerontol A Biol Sci Med Sci. in press. https://doi.org/10.1093/gerona/gly233.
Matsumoto T, Tabara Y, Murase K et al. Nocturia and increase in nocturnal blood pressure: the Nagahama study. J Hypertens 2018; 36: 2185-2192. https://doi.org/10.1097/HJH.0000000000001802.
Inoue W, Ikezoe T, Tsuboyama T et al. Are there different factors affecting walking speed and gait cycle variability between men and women in community-dwelling older adults? Aging Clin Exp Res 2017; 29: 215-221. https://doi.org/10.1007/s40520-016-0568-8.
Chen LK, Liu LK, Woo J et al. Sarcopenia in Asia: consensus report of the Asian working Group for Sarcopenia. J Am Med Dir Assoc 2014; 15: 95-101. https://doi.org/10.1016/j.jamda.2013.11.025.
Satake S, Shimada H, Yamada M et al. Prevalence of frailty among community-dwellers and outpatients in Japan as defined by the Japanese version of the cardiovascular health study criteria. Geriatr Gerontol Int 2017; 17: 2629-2634. https://doi.org/10.1111/ggi.13129.
Seino S, Shinkai S, Iijima K et al. Reference values and age differences in body composition of community-dwelling older Japanese men and women: a pooled analysis of four cohort studies. PLoS One 2015; 10: e0131975. https://doi.org/10.1371/journal.pone.0131975.
Johnson TM II, Burgio KL, Redden DT, Wright KC, Goode PS. Effects of behavioral and drug therapy on nocturia in older incontinent women. J Am Geriatr Soc 2005; 53: 846-850.
Dumoulin C, Glazener C, Jenkinson D. Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence. Neurourol Urodyn 2011; 30: 746-753. https://doi.org/10.1002/nau.21104.
Amorim AC, Cacciari LP, Passaro AC et al. Effect of combined actions of hip adduction/abduction on the force generation and maintenance of pelvic floor muscles in healthy women. PLoS One 2017; 12: e0177575. https://doi.org/10.1371/journal.pone.0177575.
Shai I, Jiang R, Manson JE et al. Ethnicity, obesity, and risk of type 2 diabetes in women: a 20-year follow-up study. Diabetes Care 2006; 29: 1585-1590.