Evidence of the Impact of Diet, Fluid Intake, Caffeine, Alcohol and Tobacco on Lower Urinary Tract Symptoms: A Systematic Review
| Autor: | Catherine S. Bradley, H. Henry Lai, Bradley A. Erickson, Karl J. Kreder, Robert M. Merion, Ziya Kirkali, Anne Pelletier-Cameron, Claire C. Yang, Emily E. Messersmith, Tamara Bavendam |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Alcohol Drinking Urology Drinking 030232 urology & nephrology Urination Urinary incontinence Article law.invention 03 medical and health sciences Fluid intake chemistry.chemical_compound 0302 clinical medicine Lower Urinary Tract Symptoms Randomized controlled trial law Lower urinary tract symptoms Caffeine Internal medicine medicine Humans 030212 general & internal medicine business.industry Smoking Urination disorder medicine.disease Diet Systematic review Overactive bladder chemistry medicine.symptom business |
| Zdroj: | Journal of Urology. 198:1010-1020 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/j.juro.2017.04.097 |
| Popis: | Diet, fluid intake and caffeine, alcohol and tobacco use may have effects on lower urinary tract symptoms. Constructive changes in these modifiable nonurological factors are suggested to improve lower urinary tract symptoms. To better understand the relationship between nonurological factors and lower urinary tract symptoms, we performed a systematic literature review to examine, grade and summarize reported associations between lower urinary tract symptoms and diet, fluid intake and caffeine, tobacco and alcohol use.We performed PubMed® searches for eligible articles providing evidence on associations between 1 or more nonurological factors and lower urinary tract symptoms. A modified Oxford scale was used to grade the evidence.We reviewed 111 articles addressing diet (28 studies), fluid intake (21) and caffeine (21), alcohol (26) and tobacco use (44). The evidence grade was generally low (6% level 1, 24% level 2, 11% level 3 and 59% level 4). Fluid intake and caffeine use were associated with urinary frequency and urgency in men and women. Modest alcohol use was associated with decreased likelihood of benign prostatic hyperplasia diagnosis and reduced lower urinary tract symptoms in men. Associations between lower urinary tract symptoms and ingestion of certain foods and tobacco were inconsistent.Evidence of associations between lower urinary tract symptoms and diet, fluid intake and caffeine, alcohol and tobacco use is sparse and mostly observational. However, there is evidence of associations between increased fluid and caffeine intake and urinary frequency/urgency, and between modest alcohol intake and decreased benign prostatic hyperplasia diagnosis and lower urinary tract symptoms. Given the importance of these nonurological factors in daily life, and their perceived impact on lower urinary tract symptoms, higher quality evidence is needed. |
| Databáze: | OpenAIRE |
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