Correlates of Nocturia and Relationships of Nocturia With Sleep Quality and Glycemic Control in Women With Type 2 Diabetes
Purposes To explore correlates of nocturia, compare sleep quality and glycemic control for women with and without nocturia, and examine relationships of nocturia with sleep quality and glycemic control in women with diabetes. Design This study was a cross‐sectional, correlational study with data col...
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creator | Chang, Chun‐Jen Pei, Dee Wu, Chien‐Chih Palmer, Mary H. Su, Ching‐Chieh Kuo, Shu‐Fen Liao, Yuan‐Mei |
description | Purposes
To explore correlates of nocturia, compare sleep quality and glycemic control for women with and without nocturia, and examine relationships of nocturia with sleep quality and glycemic control in women with diabetes.
Design
This study was a cross‐sectional, correlational study with data collected from 275 women with type 2 diabetes.
Methods
Data were collected using a structured questionnaire. Multivariate logistic regression analyses were used to identify correlates. Chi‐squared tests were used to identify candidate variables for the first logistic regression model. A one‐way analysis of variance was used to compare sleep quality and glycemic control for women with and those without nocturia. Pearson correlations were used to examine the relationships of nocturia with sleep quality and glycemic control.
Findings
Of the 275 participants, 124 (45.1%) had experienced nocturia (at least two voids per night). Waist circumference, parity, time since diagnosis of diabetes, sleep quality, and increased daytime urinary frequency were correlated with nocturia after adjusting for age. Compared to women without nocturia, women who had nocturia reported poorer sleep quality. A significant correlation was found between the number of nocturnal episodes and sleep quality.
Conclusions
Nocturia and poor sleep are common among women with diabetes. The multifactorial nature of nocturia supports the delivered management and treatments being targeted to underlying etiologies in order to optimize women's symptom management. Interventions aimed at modifiable correlates may include maintaining a normal body weight and regular physical exercise for maintaining a normal waist circumference, and decreasing caffeine consumption, implementing feasible modifications in sleeping environments and maintaining sleep hygiene to improve sleep quality.
Clinical Relevance
Healthcare professionals should screen for nocturia and poor sleep and offer appropriate nonpharmacological lifestyle management, behavioral interventions, or pharmacotherapy for women with diabetes. |
doi_str_mv | 10.1111/jnu.12302 |
format | Article |
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To explore correlates of nocturia, compare sleep quality and glycemic control for women with and without nocturia, and examine relationships of nocturia with sleep quality and glycemic control in women with diabetes.
Design
This study was a cross‐sectional, correlational study with data collected from 275 women with type 2 diabetes.
Methods
Data were collected using a structured questionnaire. Multivariate logistic regression analyses were used to identify correlates. Chi‐squared tests were used to identify candidate variables for the first logistic regression model. A one‐way analysis of variance was used to compare sleep quality and glycemic control for women with and those without nocturia. Pearson correlations were used to examine the relationships of nocturia with sleep quality and glycemic control.
Findings
Of the 275 participants, 124 (45.1%) had experienced nocturia (at least two voids per night). Waist circumference, parity, time since diagnosis of diabetes, sleep quality, and increased daytime urinary frequency were correlated with nocturia after adjusting for age. Compared to women without nocturia, women who had nocturia reported poorer sleep quality. A significant correlation was found between the number of nocturnal episodes and sleep quality.
Conclusions
Nocturia and poor sleep are common among women with diabetes. The multifactorial nature of nocturia supports the delivered management and treatments being targeted to underlying etiologies in order to optimize women's symptom management. Interventions aimed at modifiable correlates may include maintaining a normal body weight and regular physical exercise for maintaining a normal waist circumference, and decreasing caffeine consumption, implementing feasible modifications in sleeping environments and maintaining sleep hygiene to improve sleep quality.
Clinical Relevance
Healthcare professionals should screen for nocturia and poor sleep and offer appropriate nonpharmacological lifestyle management, behavioral interventions, or pharmacotherapy for women with diabetes.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12302</identifier><identifier>PMID: 28544465</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adiposity ; Adult ; Aged ; Blood Glucose - metabolism ; Body weight ; Caffeine ; Consumption ; Cross-Sectional Studies ; Diabetes ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - physiopathology ; Exercise ; Female ; Glycemic control ; Health risk assessment ; Humans ; Insomnia ; Lifestyles ; Medical diagnosis ; Middle Aged ; Nocturia ; Nocturia - epidemiology ; Nursing ; Risk Factors ; Sleep ; Sleep - physiology ; Sleep deprivation ; sleep quality ; Surveys and Questionnaires ; Symptom management ; Type 2 diabetes mellitus ; Urinary tract diseases ; Weight control ; Women ; Womens health ; Young Adult</subject><ispartof>Journal of nursing scholarship, 2017-07, Vol.49 (4), p.400-410</ispartof><rights>2017 Sigma Theta Tau International</rights><rights>2017 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. Jul 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-3bba3d87b72dab677d44fea0023d5b30de46861b54e4bf2183e0bec9ec4db0063</citedby><cites>FETCH-LOGICAL-c3532-3bba3d87b72dab677d44fea0023d5b30de46861b54e4bf2183e0bec9ec4db0063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjnu.12302$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjnu.12302$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,12825,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28544465$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chang, Chun‐Jen</creatorcontrib><creatorcontrib>Pei, Dee</creatorcontrib><creatorcontrib>Wu, Chien‐Chih</creatorcontrib><creatorcontrib>Palmer, Mary H.</creatorcontrib><creatorcontrib>Su, Ching‐Chieh</creatorcontrib><creatorcontrib>Kuo, Shu‐Fen</creatorcontrib><creatorcontrib>Liao, Yuan‐Mei</creatorcontrib><title>Correlates of Nocturia and Relationships of Nocturia With Sleep Quality and Glycemic Control in Women With Type 2 Diabetes</title><title>Journal of nursing scholarship</title><addtitle>J Nurs Scholarsh</addtitle><description>Purposes
To explore correlates of nocturia, compare sleep quality and glycemic control for women with and without nocturia, and examine relationships of nocturia with sleep quality and glycemic control in women with diabetes.
Design
This study was a cross‐sectional, correlational study with data collected from 275 women with type 2 diabetes.
Methods
Data were collected using a structured questionnaire. Multivariate logistic regression analyses were used to identify correlates. Chi‐squared tests were used to identify candidate variables for the first logistic regression model. A one‐way analysis of variance was used to compare sleep quality and glycemic control for women with and those without nocturia. Pearson correlations were used to examine the relationships of nocturia with sleep quality and glycemic control.
Findings
Of the 275 participants, 124 (45.1%) had experienced nocturia (at least two voids per night). Waist circumference, parity, time since diagnosis of diabetes, sleep quality, and increased daytime urinary frequency were correlated with nocturia after adjusting for age. Compared to women without nocturia, women who had nocturia reported poorer sleep quality. A significant correlation was found between the number of nocturnal episodes and sleep quality.
Conclusions
Nocturia and poor sleep are common among women with diabetes. The multifactorial nature of nocturia supports the delivered management and treatments being targeted to underlying etiologies in order to optimize women's symptom management. Interventions aimed at modifiable correlates may include maintaining a normal body weight and regular physical exercise for maintaining a normal waist circumference, and decreasing caffeine consumption, implementing feasible modifications in sleeping environments and maintaining sleep hygiene to improve sleep quality.
Clinical Relevance
Healthcare professionals should screen for nocturia and poor sleep and offer appropriate nonpharmacological lifestyle management, behavioral interventions, or pharmacotherapy for women with diabetes.</description><subject>Adiposity</subject><subject>Adult</subject><subject>Aged</subject><subject>Blood Glucose - metabolism</subject><subject>Body weight</subject><subject>Caffeine</subject><subject>Consumption</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - physiopathology</subject><subject>Exercise</subject><subject>Female</subject><subject>Glycemic control</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Lifestyles</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Nocturia</subject><subject>Nocturia - epidemiology</subject><subject>Nursing</subject><subject>Risk Factors</subject><subject>Sleep</subject><subject>Sleep - physiology</subject><subject>Sleep deprivation</subject><subject>sleep quality</subject><subject>Surveys and Questionnaires</subject><subject>Symptom management</subject><subject>Type 2 diabetes mellitus</subject><subject>Urinary tract diseases</subject><subject>Weight control</subject><subject>Women</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1527-6546</issn><issn>1547-5069</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU1P3DAQhi1UxNKlh_6BylIvcAj4K072WG2BFiEQFLTHyE4mwisnTu1EKPz6ejcLUpGYi0fjZ94Z-0XoKyWnNMbZuh1OKeOE7aFDmoosSYlcfNrkLEtkKuQMfQ5hTQiRNOMHaMbyVAgh00P0snTeg1U9BOxqfOPKfvBGYdVW-H5TN64NT6b7_3Zl-if8xwJ0-G5Q1vTjtuHSjiU0psRL1_beWWxavHINtFPDw9gBZvinURrivCO0Xysb4MvunKPHi_OH5a_k-vby9_LHdVLylLOEa614lWc6Y5XSMssqIWpQhDBepZqTCoTMJdWpAKFrRnMOREO5gFJUOr6Yz9HxpNt593eA0BeNCSVYq1pwQyjognAqmYw_OEff36FrN_g2bhcpuhAkZzmJ1MlEld6F4KEuOm8a5ceCkmJjSBENKbaGRPbbTnHQDVRv5KsDETibgGdjYfxYqbi6eZwk_wEN8ZTA</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Chang, Chun‐Jen</creator><creator>Pei, Dee</creator><creator>Wu, Chien‐Chih</creator><creator>Palmer, Mary H.</creator><creator>Su, Ching‐Chieh</creator><creator>Kuo, Shu‐Fen</creator><creator>Liao, Yuan‐Mei</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>4U-</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201707</creationdate><title>Correlates of Nocturia and Relationships of Nocturia With Sleep Quality and Glycemic Control in Women With Type 2 Diabetes</title><author>Chang, Chun‐Jen ; Pei, Dee ; Wu, Chien‐Chih ; Palmer, Mary H. ; Su, Ching‐Chieh ; Kuo, Shu‐Fen ; Liao, Yuan‐Mei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-3bba3d87b72dab677d44fea0023d5b30de46861b54e4bf2183e0bec9ec4db0063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adiposity</topic><topic>Adult</topic><topic>Aged</topic><topic>Blood Glucose - metabolism</topic><topic>Body weight</topic><topic>Caffeine</topic><topic>Consumption</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - physiopathology</topic><topic>Exercise</topic><topic>Female</topic><topic>Glycemic control</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Lifestyles</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Nocturia</topic><topic>Nocturia - epidemiology</topic><topic>Nursing</topic><topic>Risk Factors</topic><topic>Sleep</topic><topic>Sleep - physiology</topic><topic>Sleep deprivation</topic><topic>sleep quality</topic><topic>Surveys and Questionnaires</topic><topic>Symptom management</topic><topic>Type 2 diabetes mellitus</topic><topic>Urinary tract diseases</topic><topic>Weight control</topic><topic>Women</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chang, Chun‐Jen</creatorcontrib><creatorcontrib>Pei, Dee</creatorcontrib><creatorcontrib>Wu, Chien‐Chih</creatorcontrib><creatorcontrib>Palmer, Mary H.</creatorcontrib><creatorcontrib>Su, Ching‐Chieh</creatorcontrib><creatorcontrib>Kuo, Shu‐Fen</creatorcontrib><creatorcontrib>Liao, Yuan‐Mei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest research library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing scholarship</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chang, Chun‐Jen</au><au>Pei, Dee</au><au>Wu, Chien‐Chih</au><au>Palmer, Mary H.</au><au>Su, Ching‐Chieh</au><au>Kuo, Shu‐Fen</au><au>Liao, Yuan‐Mei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlates of Nocturia and Relationships of Nocturia With Sleep Quality and Glycemic Control in Women With Type 2 Diabetes</atitle><jtitle>Journal of nursing scholarship</jtitle><addtitle>J Nurs Scholarsh</addtitle><date>2017-07</date><risdate>2017</risdate><volume>49</volume><issue>4</issue><spage>400</spage><epage>410</epage><pages>400-410</pages><issn>1527-6546</issn><eissn>1547-5069</eissn><abstract>Purposes
To explore correlates of nocturia, compare sleep quality and glycemic control for women with and without nocturia, and examine relationships of nocturia with sleep quality and glycemic control in women with diabetes.
Design
This study was a cross‐sectional, correlational study with data collected from 275 women with type 2 diabetes.
Methods
Data were collected using a structured questionnaire. Multivariate logistic regression analyses were used to identify correlates. Chi‐squared tests were used to identify candidate variables for the first logistic regression model. A one‐way analysis of variance was used to compare sleep quality and glycemic control for women with and those without nocturia. Pearson correlations were used to examine the relationships of nocturia with sleep quality and glycemic control.
Findings
Of the 275 participants, 124 (45.1%) had experienced nocturia (at least two voids per night). Waist circumference, parity, time since diagnosis of diabetes, sleep quality, and increased daytime urinary frequency were correlated with nocturia after adjusting for age. Compared to women without nocturia, women who had nocturia reported poorer sleep quality. A significant correlation was found between the number of nocturnal episodes and sleep quality.
Conclusions
Nocturia and poor sleep are common among women with diabetes. The multifactorial nature of nocturia supports the delivered management and treatments being targeted to underlying etiologies in order to optimize women's symptom management. Interventions aimed at modifiable correlates may include maintaining a normal body weight and regular physical exercise for maintaining a normal waist circumference, and decreasing caffeine consumption, implementing feasible modifications in sleeping environments and maintaining sleep hygiene to improve sleep quality.
Clinical Relevance
Healthcare professionals should screen for nocturia and poor sleep and offer appropriate nonpharmacological lifestyle management, behavioral interventions, or pharmacotherapy for women with diabetes.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>28544465</pmid><doi>10.1111/jnu.12302</doi><tpages>11</tpages></addata></record> |
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subjects | Adiposity Adult Aged Blood Glucose - metabolism Body weight Caffeine Consumption Cross-Sectional Studies Diabetes Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - physiopathology Exercise Female Glycemic control Health risk assessment Humans Insomnia Lifestyles Medical diagnosis Middle Aged Nocturia Nocturia - epidemiology Nursing Risk Factors Sleep Sleep - physiology Sleep deprivation sleep quality Surveys and Questionnaires Symptom management Type 2 diabetes mellitus Urinary tract diseases Weight control Women Womens health Young Adult |
title | Correlates of Nocturia and Relationships of Nocturia With Sleep Quality and Glycemic Control in Women With Type 2 Diabetes |
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