{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T23:11:33Z","timestamp":1769641893132,"version":"3.49.0"},"reference-count":69,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T00:00:00Z","timestamp":1768089600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["LUTS"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Nocturnal polyuria (NP) with urinary incontinence increases the risk of sleep disturbance, incontinence\u2010associated dermatitis, and urinary tract infection. Factors associated with NP in older adults receiving enteral nutrition (EN) have not been clearly identified. This study aimed to evaluate the direct and indirect associations between NP and related factors in older adults receiving EN in medical long\u2010term care hospitals (MLTCHs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional observational study enrolled men and women aged 65\u2009years or older, hospitalized at MLTCHs, and receiving EN. Participants underwent 72\u2010h urine monitoring and multiple clinical assessments, including body composition. Structural equation modeling was used to explore associations with nocturnal urinary volume (NUV), with extensive model modifications based on data patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 101 participants (43 men) with a median age of 86\u2009years were included. The NP model showed an excellent fit (CFI\u2009=\u20091.00, RMSEA\u2009=\u20090.00, SRMR\u2009=\u20090.09) and explained 29% of the variance in NUV; however, this was not statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.16). Significant direct associations with NUV were observed for fluid and salt intake, sex, serum sodium, fat\u2010free mass, and diuretic use. Estimated glomerular filtration rate, body mass index, age, and the change in extracellular water volume from night to morning also showed non\u2010significant but theoretically relevant direct associations. Indirect associations were observed for nocturnal systolic blood pressure, protein intake, and fasting blood glucose.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>NUV in older adults receiving EN in an MLTCH was complexly associated with multiple factors. This study suggests future research directions for comprehensive evaluation indices of NP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/luts.70044","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T01:06:13Z","timestamp":1768179973000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Model of Nocturnal Polyuria in Older Japanese Adults Receiving Enteral Nutrition in Medical Long\u2010Term Care Hospitals: An Exploratory Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7982-5907","authenticated-orcid":false,"given":"Madoka","family":"Takimoto","sequence":"first","affiliation":[{"name":"Department of Human Health Care Sciences, Graduate School of Medicine, Engineering and Agricultural Sciences University of Yamanashi  Chuo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0342-0325","authenticated-orcid":false,"given":"Tamami","family":"Taniguchi","sequence":"additional","affiliation":[{"name":"Department of Nursing Science, Faculty of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi  Chuo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,11]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"Clinical Guideline for Nocturia","author":"Japanese Continence Society, Japanese Urological Association","year":"2020"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23917"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.05.083"},{"key":"e_1_2_14_5_1","first-page":"115","article-title":"The Current Status of Care for Lower Urinary Tract Dysfunction in the Elderly","volume":"26","author":"Yoshida 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