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Nocturia and Blood Pressure Elevation in Adolescents.

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Title: Nocturia and Blood Pressure Elevation in Adolescents.
Authors: Promi, Tasmia1, Tologonova, Gulzhan1, Roberts, Marie-Claire2, Tena, Meseret3, Dhuper, Sarita3, Bamgbola, Oluwatoyin3, Hanono, Monique3, Weiss, Jeffrey P.4, Everaert, Karel5, DeBacker, Tine6, Monaghan, Thomas7, Salciccioli, Louis1, Wadowski, Stephen3, Jacobson-Dickman, Elka3, Lazar, Jason M.1 Jason.lazar@downstate.edu
Source: Journal of Community Health. Jun2024, Vol. 49 Issue 3, p379-384. 6p.
Subject Terms: *Community health services, *Self-evaluation, *Adolescence, Hypertension risk factors, Urination, Mental illness, Descriptive statistics, Multivariate analysis, Odds ratio, Urination disorders, Blood pressure, Confidence intervals, Sleep disorders
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Nocturia and Blood Pressure Elevation in Adolescents.
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  Data: <searchLink fieldCode="AR" term="%22Promi%2C+Tasmia%22">Promi, Tasmia</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Tologonova%2C+Gulzhan%22">Tologonova, Gulzhan</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Roberts%2C+Marie-Claire%22">Roberts, Marie-Claire</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Tena%2C+Meseret%22">Tena, Meseret</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Dhuper%2C+Sarita%22">Dhuper, Sarita</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Bamgbola%2C+Oluwatoyin%22">Bamgbola, Oluwatoyin</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Hanono%2C+Monique%22">Hanono, Monique</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Weiss%2C+Jeffrey+P%2E%22">Weiss, Jeffrey P.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Everaert%2C+Karel%22">Everaert, Karel</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22DeBacker%2C+Tine%22">DeBacker, Tine</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22Monaghan%2C+Thomas%22">Monaghan, Thomas</searchLink><relatesTo>7</relatesTo><br /><searchLink fieldCode="AR" term="%22Salciccioli%2C+Louis%22">Salciccioli, Louis</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Wadowski%2C+Stephen%22">Wadowski, Stephen</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Jacobson-Dickman%2C+Elka%22">Jacobson-Dickman, Elka</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Lazar%2C+Jason+M%2E%22">Lazar, Jason M.</searchLink><relatesTo>1</relatesTo><i> Jason.lazar@downstate.edu</i>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Community+Health%22">Journal of Community Health</searchLink>. Jun2024, Vol. 49 Issue 3, p379-384. 6p.
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  Data: *<searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br />*<searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br />*<searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Hypertension+risk+factors%22">Hypertension risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Urination%22">Urination</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Urination+disorders%22">Urination disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Blood+pressure%22">Blood pressure</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorders%22">Sleep disorders</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10900-023-01307-4
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      – SubjectFull: Adolescence
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      – SubjectFull: Hypertension risk factors
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      – SubjectFull: Blood pressure
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Sleep disorders
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