{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:25:19Z","timestamp":1787030719308,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To clarify the characteristics of co\u2010existent overactive and underactive bladder (COUB) in participants with nocturia from the 2023 Japan Community Health Survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects and Methods<\/jats:title>\n                    <jats:p>Participants reporting nocturia (\u22651 episode per night) were divided into four groups: COUB, overactive bladder (OAB) alone, underactive bladder (UAB) alone, and neither OAB nor UAB (non\u2010OAB\/UAB). Nocturia\u2010related variables were compared across groups. Multivariable analyses were performed to identify predictors of clinical nocturia (nocturia\u2009\u2265\u20092) and factors associated with reporting nocturia as the most impactful symptom in daily life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 2,006 men and 1,787 women with nocturia, the prevalence of COUB was 6.1% and 2.6%, respectively. The proportion of nocturia \u22652 increased significantly in ascending order across four groups in men (non\u2010OAB\/UAB, UAB alone, OAB alone, COUB) and women (non\u2010OAB\/UAB, OAB alone, UAB alone, COUB) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001 for both). Subjective nighttime voided volume (VV) compared to daytime VV and nocturnal voiding trigger also showed significant differences among the four groups in both genders (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). COUB independently predicted nocturia \u2265\u20092 in men (odds ratio OR: 2.50,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and women (OR: 2.39,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028). Although nocturia was ranked as the most impactful symptom in all groups, COUB was inversely associated with reporting nocturia as the most impactful symptom (men: OR: 0.43,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014; women: OR: 0.18,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>COUB represents a distinct and severe phenotype among symptom syndromes and is independently associated with nocturia severity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70345","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T08:57:42Z","timestamp":1782464262000},"page":"1266-1279","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Elucidating Characteristics of Co\u2010Existent Overactive and Underactive Bladder in Participants of the 2023 Japan Community Health Survey (JaCS 2023) With Nocturia"],"prefix":"10.1002","volume":"45","author":[{"given":"Yuka","family":"Nagahama","sequence":"first","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natsumi","family":"Kai","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chihiro","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironori","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shotarou","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurenai","family":"Kinno","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshitomo","family":"Sawada","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuharu","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyuki","family":"Kojima","sequence":"additional","affiliation":[{"name":"Department of Urology Fukushima Medical University School of Medicine Fukushima Fukushima Japan"},{"name":"Scientific Committee of the Japanese Continence Society Chiyoda Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0408-3678","authenticated-orcid":false,"given":"Takahiko","family":"Mitsui","sequence":"additional","affiliation":[{"name":"Scientific Committee of the Japanese Continence Society Chiyoda Tokyo Japan"},{"name":"Department of Urology Interdisciplinary Graduate School of Medicine and Engineering University of Yamanashi Chuo Yamanashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6324-0739","authenticated-orcid":false,"given":"Naoya","family":"Masumori","sequence":"additional","affiliation":[{"name":"Department of Urology Sapporo Medical University School of Medicine Sapporo Hokkaido Japan"},{"name":"President The Japanese Continence Society Chiyoda Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0169-4783","authenticated-orcid":false,"given":"Noritoshi","family":"Sekido","sequence":"additional","affiliation":[{"name":"Department of Urology Toho University Ohashi Medical Center Meguro Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.03.035"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.15454"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08427.x"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.70120"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010025\u201006299\u2010w"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.70026"},{"issue":"3","key":"e_1_2_15_8_1","first-page":"S50","article-title":"Is Coexistent Overactive\u2010Underactive Bladder (With or Without Detrusor Overactivity and Underactivity) a Real Clinical Syndrome? ICI\u2010RS 2019","volume":"39","author":"Mancini V.","year":"2020","journal-title":"Neurourology and Urodynamics"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0000195"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.90.s3.3.x"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2006.02.042"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23701"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.03.080"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24338"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.5489\/cuaj.7792"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000001035"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/21.3.195"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467\u2010024\u201050397\u20108"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2011.02956.x"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0168234"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1096\/fj.13-243295"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2014.01.019"},{"key":"e_1_2_15_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.07573.x"},{"key":"e_1_2_15_24_1","first-page":"4139","article-title":"Nocturia as a Clinical Marker of Loss of Function and Resilience or Risk Factor for Frailty in Older Adults? Results of the Berlin Aging Study II","volume":"47","author":"K\u00f6nig M.","year":"2025","journal-title":"Gero Science"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000459"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70345","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.70345","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70345","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:23:56Z","timestamp":1787027036000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.70345"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,26]]},"references-count":24,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/nau.70345"],"URL":"https:\/\/doi.org\/10.1002\/nau.70345","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,26]]},"assertion":[{"value":"2026-02-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}