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• W2020598365 abstract "No AccessJournal of UrologyAdult Urology1 May 2008Depressive Symptoms Increase the Incidence of Nocturia: Tampere Aging Male Urologic Study (TAMUS) Jukka T. Häkkinen, Rahman Shiri, Juha Koskimäki, Teuvo L.J. Tammela, Anssi Auvinen, and Matti Hakama Jukka T. HäkkinenJukka T. Häkkinen Department of Urology, Tampere University Hospital, Tampere, Finland More articles by this author , Rahman ShiriRahman Shiri School of Public Health, Tampere, Finland More articles by this author , Juha KoskimäkiJuha Koskimäki Department of Urology, Tampere University Hospital, Tampere, Finland More articles by this author , Teuvo L.J. TammelaTeuvo L.J. Tammela Department of Urology, Tampere University Hospital, Tampere, Finland Medical School, University of Tampere, Tampere, Finland More articles by this author , Anssi AuvinenAnssi Auvinen School of Public Health, Tampere, Finland More articles by this author , and Matti HakamaMatti Hakama School of Public Health, Tampere, Finland More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2008.01.037AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We assessed the effects of depressive symptoms on the incidence of nocturia in men. Materials and Methods: The target population comprised all men who were 50, 60 or 70 years old and residing in the Tampere area in 1994. A self-administered questionnaire was mailed to 3,143 randomly selected men in 1994 and a second round was mailed to the 2,837 who were alive and eligible in 1999. The followup sample consisted of 1,580 men with information on nocturia available at baseline and followup. Results: The incidence of mild to severe nocturia was 75 cases per 1,000 person-years (95% CI 66–85) and that of moderate or severe nocturia was 9 (95% CI 7–11). Men with depressive symptoms at study entry were at 2.8 times higher risk (95% CI 1.5–5.2) for moderate or severe nocturia than those without depressive symptoms. A dose response relation was found between the severity of depressive symptoms at baseline and the incidence of moderate or severe nocturia. Each unit increment in the short form of the Mental Health Inventory score on a scale of 5 to 30 increased the incidence rate ratio of moderate or severe nocturia by 10% (95% CI 4–16). Only untreated depressive symptoms increased the incidence of moderate or severe nocturia (adjusted RR 3.3, 95% CI 1.7–6.2) but not medically treated symptoms. Nocturia at study entry had no significant effect on depressive symptoms during followup. Conclusions: Our findings show a unidirectional effect of depressive symptoms on the incidence of moderate or severe nocturia. Untreated depressive symptoms may cause nocturia. References 1 : The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn2002; 21: 179. Google Scholar 2 : Incidence of nocturia in 50 to 80-year-old Finnish men. J Urol2006; 176: 2541. Link, Google Scholar 3 : The prevalence of prostatism: a population-based survey of urinary symptoms. J Urol1993; 150: 85. Link, Google Scholar 4 : Prevalence and associated factors of nocturia among adult residents of the Matsu area of Taiwan. J Formos Med Assoc2005; 104: 444. Google Scholar 5 : Nocturia in the Dutch adult population. BJU Int2002; 90: 644. Google Scholar 6 : Mortality in the elderly in relation to nocturnal micturition. 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Furukawa T, Matsuda F and Ogawa O (2019) Longitudinal Analysis of Bidirectional Relationships between Nocturia and Depressive Symptoms: The Nagahama StudyJournal of Urology, VOL. 203, NO. 5, (984-990), Online publication date: 1-May-2020.Araujo A, Yaggi H, Yang M, McVary K, Fang S and Bliwise D (2018) Sleep Related Problems and Urological Symptoms: Testing the Hypothesis of Bidirectionality in a Longitudinal, Population Based StudyJournal of Urology, VOL. 191, NO. 1, (100-106), Online publication date: 1-Jan-2014.van Doorn B, Kok E, Blanker M, Westers P and Ruud Bosch J (2018) Determinants of Nocturia: the Krimpen StudyJournal of Urology, VOL. 191, NO. 4, (1034-1039), Online publication date: 1-Apr-2014.Breyer B, Kenfield S, Blaschko S and Erickson B (2018) The Association of Lower Urinary Tract Symptoms, Depression and Suicidal Ideation: Data from the 2005–2006 and 2007–2008 National Health and Nutrition Examination SurveyJournal of Urology, VOL. 191, NO. 5, (1333-1339), Online publication date: 1-May-2014.Hirayama A, Torimoto K, Mastusita C, Okamoto N, Morikawa M, Tanaka N, Yoshida K, Fujimoto K, Hirao Y and Kurumatani N (2018) Evaluation of Factors Influencing the Natural History of Nocturia in Elderly Subjects: Results of the Fujiwara-kyo StudyJournal of Urology, VOL. 189, NO. 3, (980-986), Online publication date: 1-Mar-2013.Breyer B, Shindel A, Erickson B, Blaschko S, Steers W and Rosen R (2018) The Association of Depression, Anxiety and Nocturia: A Systematic ReviewJournal of Urology, VOL. 190, NO. 3, (953-957), Online publication date: 1-Sep-2013.Markland A, Vaughan C, Johnson T, Goode P, Redden D and Burgio K (2018) Prevalence of Nocturia in United States Men: Results From the National Health and Nutrition Examination SurveyJournal of Urology, VOL. 185, NO. 3, (998-1002), Online publication date: 1-Mar-2011.Kok E, Schouten B, Bohnen A, Groeneveld F, Thomas S and Bosch J (2018) Risk Factors for Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Hyperplasia in a Community Based Population of Healthy Aging Men: The Krimpen StudyJournal of Urology, VOL. 181, NO. 2, (710-716), Online publication date: 1-Feb-2009. Volume 179Issue 5May 2008Page: 1897-1901 Advertisement Copyright & Permissions© 2008 by American Urological AssociationKeywordsmenbladdernocturiaagingdepressionMetricsAuthor Information Jukka T. Häkkinen Department of Urology, Tampere University Hospital, Tampere, Finland More articles by this author Rahman Shiri School of Public Health, Tampere, Finland More articles by this author Juha Koskimäki Department of Urology, Tampere University Hospital, Tampere, Finland More articles by this author Teuvo L.J. Tammela Department of Urology, Tampere University Hospital, Tampere, Finland Medical School, University of Tampere, Tampere, Finland More articles by this author Anssi Auvinen School of Public Health, Tampere, Finland More articles by this author Matti Hakama School of Public Health, Tampere, Finland More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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