Increased Urine Production Due to Leg Fluid Displacement Reduces Hours of Undisturbed Sleep.

• 資料種別: 博士論文
• タイトル: Increased Urine Production Due to Leg Fluid Displacement Reduces Hours of Undisturbed Sleep.
• 著者・編者: Kiba, Keisuke; Hirayama, Akihide; Yoshikawa, Motokiyo; Yamamoto, Yutaka; Torimoto, Kazumasa; Shimizu, Nobutaka; Tanaka, Nobumichi; Fujimoto, Kiyohide; Uemura, Hirotsugu
• 著者標目: Kiba, Keisuke; Hirayama, Akihide; Yoshikawa, Motokiyo; Yamamoto, Yutaka; Torimoto, Kazumasa; Shimizu, Nobutaka; Tanaka, Nobumichi; Fujimoto, Kiyohide; Uemura, Hirotsugu
• 出版事項: John Wiley and Sons, Inc.
• 出版年月日等: 2018-09
• 出版年（W3CDTF）: 2018-09
• 並列タイトル等: 臥床早期の下肢水分移行はHUSを減少させる
• タイトル（掲載誌）: Lower urinary tract symptoms
• 巻号年月日等（掲載誌）: 10 3
• 掲載巻: 10
• 掲載号: 3
• 掲載ページ: 253-258
• ISSN（掲載誌）: ISSN : 1757-5664
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2019-03-15
• 報告番号: 甲第703号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: bioelectric impedance analysis; body position changing; hours of undisturbed sleep; leg edema; nocturia
• 対象利用者: 一般
• 一般注記: type:Thesis; OBJECTIVE: To investigate whether or not the leg fluid displacement observed when moving from the standing to recumbent position at bedtime reduces the hours of undisturbed sleep (HUS). METHODS: Men aged 50 years or older who were hospitalized for urological diseases were investigated. Body water evaluation was performed three times with a bioelectric impedance method: (i) 17:00, (ii) 30 min after (short-term), and (iii) waking up (long-term). A frequency volume chart was used to evaluate the status of nocturnal urine production, and the factors affecting HUS were investigated. RESULTS: A total of 50 patients (mean age: 68 years) were enrolled. Short-term changes in extracellular fluid (ECF in the legs showed a significant positive correlation with urine production per unit of time at the first nocturnal voiding (UFN/HUS) (r = 0.45, P = 0.01). In the comparison between patients who had <3 HUS vs. those who had ≥3 HUS, the <3 HUS group showed significantly greater short-term changes in leg fluid volume, night-time water intake (17:00-06:00), and UFN/HUS. Multivariate analysis to assess the risk factors for <3 HUS indicated UFN/HUS as a risk factor in the overall model, and short-term changes in leg ECF and night-time water intake as risk factors in the model that only considered factors before sleep. CONCLUSIONS: Nocturnal leg fluid displacement may increase urine production leading up to first voiding after going to bed, and consequently, induce early awakening after falling asleep.; 博士（医学）・甲第703号・平成31年3月15日; © 2017 John Wiley & Sons Australia, Ltd; This is the pre-peer reviewed version of the following article: [https://onlinelibrary.wiley.com/doi/10.1111/luts.12176], which has been published in final form at [http://dx.doi.org/10.1111/luts.12176]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.; identifier:Lower urinary tract symptoms Vol.10 No.3 p.253-258 (2018 Sep); identifier:17575664; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3551; identifier:Lower urinary tract symptoms, 10(3): 253-258
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（DOI）: 10.1111/luts.12176
• 連携機関・データベース: 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• 提供元機関・データベース: 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3551/1/01%e7%94%b2703%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3551/2/02%e7%94%b2703%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/3551/6/03%e7%94%b2703%e6%9c%ac%e6%96%87.pdf fulltext