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Functional: Nocturia
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== Background == * '''<span style="color:#ff0000">Definition of nocturia: voiding that is preceded and followed by sleep</span>''' ** '''<span style="color:#ff0000">≥2 voids per night appears to be clinically significant</span>''' **'''<span style="color:#ff0000">Definition does not take into account the patient’s degree of bother</span>''' * Prevalence increases with age in both men and women * '''Associated with:''' *# '''Decreased survival''' *# '''Decreased quality of life''' *# '''Decreased''' '''sleep efficiency and sleep latency''' *#* Sleep efficiency: actual time asleep (minutes) divided by total time of intended sleep (minutes); normal > 85% *#* Sleep latency: time it takes to go from being completely awake to being completely asleep *#* '''Sleep loss can negatively affect health by decreasing immune function, increasing the risk for cardiovascular disease, obesity and type 2 diabetes''' *# '''Increased prevalence of depressive symptoms''' *# '''Increased risk for metabolic syndrome''' *# '''Increased risk of falls''' *# '''Increased impairment in work and non-work activities''' * Factors that inhibit ADH and cause diuresis (inhibit water reabsorption) include prostaglandin E2, ANP, hypercalcemia, hypokalemia, lithium, and tetracyclines.
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