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Who is most at risk of nocturnal cramps?

Nocturnal cramps (nighttime muscle cramps, often in the legs or feet) can happen to anyone, but some people are more likely to experience them.

People at higher risk include:

  • Older adults
    Night cramps become more common with age, partly due to changes in muscles, nerves, circulation, and activity levels.
  • People who are very active or exercise intensely
    Heavy exercise, overuse of muscles, or sudden increases in activity can trigger cramps.
  • People who are dehydrated
    Not drinking enough fluids—especially with heavy sweating—may contribute to muscle cramping.
  • Pregnant people
    Leg cramps are common during pregnancy, particularly later in pregnancy.
  • People with certain medical conditions
    Conditions that may be associated with cramps include:

    • Diabetes (especially if nerve damage is present)
    • Kidney disease
    • Thyroid disorders
    • Circulation problems
    • Nerve disorders
  • People taking certain medications
    Some medicines can increase the likelihood of cramps, including certain diuretics (“water pills”) and some cholesterol-lowering medications. If cramps begin after starting a medication, discuss it with a healthcare professional rather than stopping it on your own.

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