Nocturia and Blood Pressure Elevation in Adolescents.

Autor: Promi T; Division of Cardiovascular Medicine, State University of New York Downstate Health Sciences University, 450 Clarkson Avenue, MSC 1199, Brooklyn, NY, 11203- 2098, USA., Tologonova G; Division of Cardiovascular Medicine, State University of New York Downstate Health Sciences University, 450 Clarkson Avenue, MSC 1199, Brooklyn, NY, 11203- 2098, USA., Roberts MC; College of Nursing, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA., Tena M; Department of Pediatrics, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA., Dhuper S; Department of Pediatrics, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA., Bamgbola O; Department of Pediatrics, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA., Hanono M; Department of Pediatrics, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA., Weiss JP; Department of Urology, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA., Everaert K; Department of Human Structure and Repair, Ghent University Hospital, Ghent, Belgium., DeBacker T; Department of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium., Monaghan T; Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA., Salciccioli L; Division of Cardiovascular Medicine, State University of New York Downstate Health Sciences University, 450 Clarkson Avenue, MSC 1199, Brooklyn, NY, 11203- 2098, USA., Wadowski S; Department of Pediatrics, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA., Jacobson-Dickman E; Department of Pediatrics, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA., Lazar JM; Division of Cardiovascular Medicine, State University of New York Downstate Health Sciences University, 450 Clarkson Avenue, MSC 1199, Brooklyn, NY, 11203- 2098, USA. Jason.lazar@downstate.edu.
Jazyk: angličtina
Zdroj: Journal of community health [J Community Health] 2024 Jun; Vol. 49 (3), pp. 379-384. Date of Electronic Publication: 2023 Nov 30.
DOI: 10.1007/s10900-023-01307-4
Abstrakt: Nocturia has been increasingly recognized as a manifestation of various non-urological conditions including hypertension. In adults, blood pressure (BP) elevation has been identified as a robust correlate of nocturia, but such a relationship has not been studied in pediatric populations where nocturia is often attributed to hormonal, sleep, physiological or psychological disorders. Accordingly, this study aimed to determine the relationship between nocturia and BP elevation in adolescents. We prospectively studied 100 patients, aged 10-18 years, recruited from pediatric clinics at our institution. Nocturia (defined as ≥ 1 voids on voiding diary analysis) was present in 45% of the study sample (range: 1-4 voids/night). 37% of subjects self-reported awakening to urinate, and 34% of subjects had BP elevation according to age-dependent thresholds from current Pediatrics guidelines. On multivariate analyses, BP elevation was strongly associated with nocturia determined by both voiding diary (OR 26.2, 95% CI: 6.5, 106.0) and self-report. Conversely, nocturia was associated with increased odds of elevated BP by diary (26.3, 95% CI: 6.5, 106.4) and self-report (OR 8.1, 95% CI: 3.2, 20.5). In conclusion, nocturia appears to be common and is strongly associated with BP elevation in adolescents. These findings suggest that eliciting a history of nocturia holds promise as a simple method of identifying adolescents at risk for hypertension.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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