Guidance on water intake effectively improves urinary frequency in patients with nocturia
Tani M, Hirayama A, Torimoto K, Matsushita C, Yamada A, Fujimoto K
International journal of urology : official journal of the Japanese Urological Association · 23 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Controlled clinical trial (classified by our AI screen)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2014-01-09 · Int J Urol · vol. 21 · issue 6 · pp. 595–600
- Publisher
- Wiley
- Cited
- 34 citations · more than 84% of similar papers · 2.1× the field average
- References
- 21 works
- Access
- Open access (repository copy) · CC-BY-NC-ND
- Research areas
- Urinary Bladder and Prostate Research · Thermoregulation and physiological responses · Circadian rhythm and melatonin
- Keywords
- Nocturia, Medicine, Evening, Urine, Water intake, Morning, Adverse effect, Nocturnal, Urinary system, Urology, Internal medicine
- MeSH
- humans, water deprivation, counseling, drinking, aged, male, nocturia
6 authors
From JP
- Mitsuru Tani · correspondingNara Medical University Hospital; Nara Medical University
- Akihide HirayamaNara Medical University Hospital; Nara Medical University
- Kazumasa TorimotoNara Medical University Hospital; Nara Medical University
- Chie MatsushitaNara Medical University Hospital; Nara Medical University
- Atsushi YamadaNara Medical University Hospital; Nara Medical University
- Kiyohide FujimotoNara Medical University Hospital; Nara Medical University
Abstract
Objectives
To evaluate how guidance on water-intake impacts the degree of nocturia.
Methods
A total of 67 male patients were enrolled in the present study. Patients were asked to adjust their water and food intakes so that their 24-h urine production/bodyweight would be equal or lower than 30 mL/kg. One month after the treatment, the therapeutic gain from and adverse effects of fluid restriction were examined by comparing the pretreatment and post-treatment value of various parameters.
Results
Overall, 65 eligible patients were evaluated. In 44 patients (67%), the frequency of nocturia was improved to one or more times. The change in frequency of nocturia showed a positive correlation with the change in nocturnal urine volume. The change in nocturnal urine volume showed a positive correlation with the changes in 24-h urine production/bodyweight, 24-h drinking volume and daytime drinking volume. The changes in 24-h urine production/bodyweight and daytime drinking volume were independent factors influencing therapeutic effect. None of the participants reported any adverse event.
Conclusions
In patients with a 24-h urine production/bodyweight equal or higher than 30 mL/kg, guidance on water intake might be considered effective and safe as a lifestyle therapy. Water restriction should be carried out not only in the evening, but also during daytime.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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