Frequent urination in night: Look for snoring

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INVC,,

Delhi,,

 Frequent urination during night, a condition doctors call nocturia, is common among snorers (men with obstructive sleep apnea) said Padma Shri and Dr B C Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India. Nocturia was defined as needing to void two or more times each night.

In obstructive sleep apnea, soft tissues in the back of throat temporarily collapse during sleep causing brief moments in which the patient stops breathing. The disorder can cause daytime sleepiness, and can be effectively treated with a breathing device that pushes air into the throat to prevent the tissues from collapsing called CPAP.

Quoting a Japanese study published in the journal Urology by Dr. Yoji Moriyama, Dr Aggarwal said that nocturia was present in 41% of patients with sleep apnea. The risk of nocturia was directly related to the severity of sleep apnea and the association was particularly strong in patients younger than 50 years of age.

Snorers at risk of sudden death

Dr Aggarwal said that the interrupted nighttime breathing of sleep apnea increases the risk of dying. Sleep apnea is a common problem in which one has pauses in breathing or shallow breaths during sleep.

Studies have linked sleep apnea during snoring to increased risk for death. Most studies were done in sleep centers rather than in the general community. A study published in the edition of Sleep, suggests that the risk is present among all people with obstructive sleep apnea. The study researcher Nathaniel Marshall, from Woolcock Institute of Medical Research in Sydney, said that the size of the increased mortality risk is surprisingly large. The study showed a six fold increase means that having significant sleep apnea at age 40 gives you about the same mortality risk as somebody aged 57 who don’t have sleep apnea.

For the study, Marshall’s team collected data on 380 men and women, 40 to 65 years old, who participated in the Busselton Health Study. Among these people, three had severe obstructive sleep apnea, 18 had moderate sleep apnea, and 77 had mild sleep apnea. The remaining 285 people did not suffer from the condition. During 14 years of follow-up, about 33 percent of those with moderate to severe sleep apnea died, compared with 6.5 percent of those with mild sleep apnea and 7.7 percent of those without the condition. For patients with mild sleep apnea, the risk of death was not significant and could not be directly tied to the condition. People who have, or suspect that they have sleep apnea should consult their physicians about diagnosis and treatment options.

Another study by researchers from the University of Wisconsin has also shown that severe sleep apnea was associated with a three-fold increased risk of dying. In addition, for those with moderate to mild sleep apnea, the risk of death was increased 50 percent compared with people without sleep apnea.

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