Relationship between Nocturnal Polyuria and Antidiuretic Hormone in Chronic Spinal Cord Injury.
- Author:
Ji Yeon YU
1
;
Kyeong Ho SHIN
;
Jeong Tae KIM
;
Ji Hyae BAE
;
Yeong Ok PARK
;
Young Jin CHO
Author Information
1. Department of Rehabilitation Medicine, Korea Veterans Hospital.
- Publication Type:Original Article
- Keywords:
Antidiuretic hormone;
Nocturnal polyuria;
Serum osmolarity;
Urine osmolarity;
Orthostatic hypotension
- MeSH:
Blood Pressure;
Hypotension, Orthostatic;
Osmolar Concentration;
Polyuria*;
Spinal Cord Injuries*;
Spinal Cord*;
Walking;
Wheelchairs
- From:Journal of the Korean Academy of Rehabilitation Medicine
1999;23(5):961-967
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To delineate the role of antidiuretic hormone (ADH) in relation to nocturnal polyuria, and to identify the factors influencing on the diurnal antidiuretic hormone level. METHOD: The ADH was measured by radioimmuoassay at daytime (2:00 PM) and at nighttime (2:00 AM) with nocturnal polyuria group (11) and without nocturnal polyuria group (8). Urine volume, serum osmolarity, urine osmolarity, and blood pressure were also measured at the same time. RESULTS: 1) The ADH at 2:00 AM did not increase in nocturnal polyuria group, although it increased in no-symptom group. 2) There was a statistically significant correlation between wheelchair ambulation time and daytime ADH level. 3) The difference of ADH level between daytime and nighttime showed decrease in orthostatic hypotension group. CONCLUSION: There was relationship between nocturnal polyuria and diurnal variation of ADH level. The ADH concentration seems to be influenced by the postural factors and sympathetic factors.
