UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000039744
Receipt number R000045329
Scientific Title A longitudinal study for bidirectional relationships between sleep disorder and frequency of nocturia: Results from the Iwaki Health Promotion Project
Date of disclosure of the study information 2020/03/10
Last modified on 2022/12/06 12:30:38

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Basic information

Public title

A longitudinal study for bidirectional relationships between sleep disorder and frequency of nocturia: Results from the Iwaki Health Promotion Project

Acronym

A longitudinal study for bidirectional relationships between sleep disorder and frequency of nocturia: Results from the Iwaki Health Promotion Project

Scientific Title

A longitudinal study for bidirectional relationships between sleep disorder and frequency of nocturia: Results from the Iwaki Health Promotion Project

Scientific Title:Acronym

A longitudinal study for bidirectional relationships between sleep disorder and frequency of nocturia: Results from the Iwaki Health Promotion Project

Region

Japan


Condition

Condition

sleep disorder and frequency of nocturia

Classification by specialty

Urology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigated the natural course of sleep disorder and frequency of nocturia and causal relationship between them using longitudinal data in community-dwelling adults.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Primary outcomes were the new-onset of sleep disorder (PSQI >5) or frequency of nocturia >1 and the changes of nocturia and PSQI for 5 years.

Key secondary outcomes

Secondary outcomes included the bidirectional relationships between sleep disorder and nocturia between the baseline and 5-year follow-up. A cross-lagged panel analysis was performed to analyze the bidirectional association between sleep disorder and nocturia.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

Inclusion criteria for the primary and secondary outcomes were participants 1) with aged 50 or older, 2) who do not have sleep disorder (PSQI<=5), and 3) frequency of nocturia 0 or 1 time per night (nocturia<=1). Inclusion criteria for the exploratory outcomes was 1) participants who had baseline nocturia >1 or baseline PSQI >5 regardless of age.

Key exclusion criteria

Exclusion criteria were insufficient report of questionnaire for comorbidity, PSQI, and IPSS.

Target sample size

600


Research contact person

Name of lead principal investigator

1st name Shingo
Middle name Hatakeyama
Last name Hatakeyama

Organization

Dept. of Urology, Hirosaki University Graduate School of Medicin

Division name

Urology

Zip code

036-8562

Address

5 Zaifu-chou, Hirosaki

TEL

0172395091

Email

shingoh@hirosaki-u.ac.jp


Public contact

Name of contact person

1st name Shingo
Middle name
Last name Hatakeyama

Organization

Dept. of Urology, Hirosaki University Graduate School of Medicine

Division name

Urology

Zip code

036-8562

Address

Hirosaki

TEL

0172395091

Homepage URL


Email

shingoh@hirosaki-u.ac.jp


Sponsor or person

Institute

Dept. of Urology, Hirosaki University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Dept. of Urology, Hirosaki University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hirosaki University Graduate School of Medicine

Address

5 Zaifu-chou, Hirosaki

Tel

+81172395091

Email

rinri@hirosaki-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

弘前大学附属病院


Other administrative information

Date of disclosure of the study information

2020 Year 03 Month 10 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/32496639/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/32496639/

Number of participants that the trial has enrolled

723

Results

The effect of OAB symptoms and sleep disturbance on indoor fall events was significant. The causal relationship between OAB and falls needs further study.

Results date posted

2022 Year 12 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

To evaluate the effect of overactive bladder (OAB) and frailty on indoor fall events in community-dwelling adults aged 50 or older.

Participant flow

We conducted a cross-sectional study involving 723 adults between 2016 and 2017 in Hirosaki, Japan. OAB symptoms and sleep disturbance were assessed using the Overactive Bladder Symptom Score (OABSS) and the Pittsburgh Sleep Quality Index (PSQI). Indoor fall events (falls or near-falls) within 1 year were evaluated. Frailty was evaluated by the frailty discriminant score.

Adverse events

none

Outcome measures

We investigated the association of OAB symptoms with sleep disturbance, frailty, and indoor fall events. Multivariate logistic regression analysis was performed to investigate the effect of OAB symptoms on fall events controlling for confounding factors such as age, gender, comorbidity, frailty, and sleep disturbance.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 05 Month 01 Day

Date of IRB

2018 Year 08 Month 24 Day

Anticipated trial start date

2009 Year 05 Month 01 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Information on the disease history of cardiovascular disease (CVD) and type 2 diabetes mellitus (DM) was obtained via questionnaire. Diabetic patients were defined as those with a history of type 2 DM or those who met the relevant diagnostic criteria and required glycemic control. CVD was defined as a positive history of cardiac surgery, myocardial infarction, angina, stroke, or taking any cardiotonic agents. Sleep disorder and frequency of nocturia were measured using the Japanese version of the Pittsburgh Sleep Quality Index (PSQI) and the International Prostate Symptom Score (IPSS). The PSQI is a widely-used tool to measure the quality and pattern of sleep in older adults. The total scores provide an assessment of overall sleep quality (range from 0 to 21) and sleep disorder was defined as a PSQI >5.


Management information

Registered date

2020 Year 03 Month 09 Day

Last modified on

2022 Year 12 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045329


Research Plan
Registered date File name

Research case data specifications
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Research case data
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