Risk Factors Associated with Nocturia in Patients with Obstructive Sleep
Apnea Syndrome
Abstract
Aim: To evaluate risk factors associated with nocturia in patients with
obstructive sleep apnea syndrome (OSAS). Materials and Methods: Patients
diagnosed with OSAS by polysomnography (PSG) and over eighteen years old
evaluated retrospectively between January and December 2019. The number
of nocturia episodes was assessed in the 3-day bladder diary. We
analyzed age, gender, body mass index (BMI), apnea-hypopnea index (AHI)
scores and severity, hypertension, diabetes mellitus, smoking, heart
diseases in all patients. Results: A total of 124 patients with the mean
age of 49.9±11.6 years (range 25–81 years) was included in the study.
Ninety-two (75.8%) patients had nocturia. The mean nocturia episode of
patients with nocturia was 2.41.3. To determine the factors that affect
the risk of nocturia, logistic regression analysis was performed. The
results revealed that patient age and BMI were found as the most
effective risk factors determining nocturia (p<0.05). The odds
of patient age were 1.06 (95% CI 1.01-1.11, p=0.010) times higher for
patients with nocturia. Every 1 unit increase in BMI increased the risk
of nocturia by 1.12. 48 patients with nocturia underwent continuous
positive airway pressure (CPAP) therapy or surgical treatment. The mean
nocturia epi¬sodes of these patients were 2.3±1.4 before treatment and
were 1.7±2.2 after treatment. There was a significant decrease in terms
of nocturia episodes (p=0.032). Although there was a significant
increase in the total daily urine volume after treatment, there was a
statistically decrease in total night-time urine volume at night
(p=0.016 and p=0.024, respectively). Conclusion Age and BMI were risk
factors associated with nocturia in patients with OSAS.