Journal article
Evidence of the Impact of Diet, Fluid Intake, Caffeine, Alcohol and Tobacco on Lower Urinary Tract Symptoms: A Systematic Review
The Journal of Urology, Vol.198(5), pp.1010-1020
11/2017
DOI: 10.1016/j.juro.2017.04.097
PMCID: PMC5654651
PMID: 28479236
Abstract
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.
Details
- Title: Subtitle
- Evidence of the Impact of Diet, Fluid Intake, Caffeine, Alcohol and Tobacco on Lower Urinary Tract Symptoms: A Systematic Review
- Creators
- Catherine S Bradley - University of Iowa Carver College of Medicine, Iowa City, IowaBradley A Erickson - University of Iowa Carver College of Medicine, Iowa City, IowaEmily E Messersmith - Arbor Research Collaborative for Health, Ann Arbor, MichiganAnne Pelletier-Cameron - University of Michigan, Ann Arbor, MichiganH. Henry Lai - Washington University School of Medicine, St. Louis, MissouriKarl J Kreder - University of Iowa Carver College of Medicine, Iowa City, IowaClaire C Yang - University of Washington, Seattle, WashingtonRobert M Merion - Arbor Research Collaborative for Health, Ann Arbor, MichiganTamara G Bavendam - National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MarylandZiya Kirkali - National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MarylandSymptoms of Lower Urinary Tract Dysfunction Research Network (LURN)
- Resource Type
- Journal article
- Publication Details
- The Journal of Urology, Vol.198(5), pp.1010-1020
- DOI
- 10.1016/j.juro.2017.04.097
- PMID
- 28479236
- PMCID
- PMC5654651
- NLM abbreviation
- J Urol
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 11/2017
- Academic Unit
- Epidemiology; Obstetrics and Gynecology; Urology
- Record Identifier
- 9983931739802771
Metrics
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