STUDY OBJECTIVE: To examine associations between diary-based reports of the time to first void and a commonly used measure of sleep across the entire night, the Pittsburgh Sleep Quality Index (PSQI).
DESIGN AND SETTING: Data from the Baseline phase of a large, multi-site, US-based, randomized clinical trial of a nocturia medication were analyzed. We examined age-adjusted associations between time to first void as reported in a 3-day diary and PSQI Global and individual subscale scores.
PATIENTS: 757 patients with nocturia completing Baseline measurements.
INTERVENTIONS: None.
MEASUREMENTS AND RESULTS: Using quartile analysis, higher scores indicating poorer sleep on all PSQI scales were associated (p's ≤ 0.05) with short time to first void durations. Among individuals in the lowest quartile of time to first void (< 1.17 hours), the odds ratio (OR) of a PSQI Global score >5 was nearly 3 times (2.96; 95% CI 1.75-5.01) that of those in the highest quartile (>2.50 h). Shorter time to first void was associated with lower sleep quality, shorter sleep duration, poorer sleep efficiency, and greater daytime dysfunction.
CONCLUSIONS: Time to first void may serve as a valuable adjunctive, self-report measure for characterizing poor sleep among populations with nocturia.
Written by:
Bliwise DL, Holm-Larsen T, Goble S, Nørgaard JP. Are you the author?
Program in Sleep Medicine, Emory University School of Medicine, Atlanta, GA.
Reference: J Clin Sleep Med. 2014 Oct 17. pii: jc-00287-14.
PubMed Abstract
PMID: 25325578