Access count of this item: 377

Files in This Item:
File Description SizeFormat 
j.juro.2010.05.038.pdf706.09 kBAdobe PDFView/Open
Title: Efficacy of nondrug lifestyle measures for the treatment of nocturia.
Authors: Soda, Takeshi
Masui, Kimihiko
Okuno, Hiroshi
Terai, Akito
Ogawa, Osamu  kyouindb  KAKEN_id
Yoshimura, Koji
Author's alias: 吉村, 耕治
Keywords: life style
behavior therapy
nocturia
quality of life
Issue Date: Sep-2010
Publisher: Elsevier Inc.
Journal title: The Journal of urology
Volume: 184
Issue: 3
Start page: 1000
End page: 1004
Abstract: PURPOSE: Nocturia has a major impact on quality of life and affects numerous aspects of health. Lifestyle modifications are expected to be helpful in improving nocturia. However, the efficacy of this strategy has not been established. We tested the efficacy of nondrug lifestyle measures as a first step in treating nocturia and found factors predictive of the efficacy of the intervention. MATERIALS AND METHODS: We conducted a prospective evaluation of 56 patients treated at 3 hospitals between 2005 and 2009 for symptomatic nocturia. The patients were advised to modify their lifestyle to improve nocturia. Lifestyle modifications consisted of 4 directives of 1) restriction of fluid intake, 2) refraining from excess hours in bed, 3) moderate daily exercise and 4) keeping warm in bed. The frequency volume chart, International Prostate Symptom Score, and Pittsburgh Sleep Quality Index before and 4 weeks after the intervention were used to evaluate the efficacy of the therapy. RESULTS: Mean nocturnal voids and nocturnal urine volume decreased significantly from 3.6 to 2.7 (p <0.0001) and from 923 to 768 ml (p = 0.0005), respectively. Of the 56 patients 26 (53.1%) showed an improvement of more than 1 episode. This treatment was significantly more effective in patients with a larger 24-hour urine production. CONCLUSIONS: Nondrug lifestyle measures were effective in decreasing the number of nocturia episodes and improving patient quality of life. Patients with polyuria showed a better response to the treatment.
Rights: © 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc.
この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。This is not the published version. Please cite only the published version.
URI: http://hdl.handle.net/2433/129437
DOI(Published Version): 10.1016/j.juro.2010.05.038
PubMed ID: 20643422
Appears in Collections:Journal Articles

Show full item record

Export to RefWorks


Export Format: 


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.