Evidence of the Impact of Diet, Fluid Intake, Caffeine, Alcohol and Tobacco on Lower Urinary Tract Symptoms: A Systematic Review
Bradley CS, Erickson BA, Messersmith EE, Pelletier-Cameron A, Lai HH, Kreder KJ, Yang CC, Merion RM, Bavendam TG, Kirkali Z, Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN)
The Journal of urology · 79 citations
How it was studied
- Design
- Systematic review (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Government
- National Institute of Diabetes and Digestive and Kidney Diseases
- Government
- NIDDK NIH HHS
- Grants
- National Institute of Diabetes and Digestive and Kidney Diseases (U01 DK100011); National Institute of Diabetes and Digestive and Kidney Diseases (U01 DK097780); National Institute of Diabetes and Digestive and Kidney Diseases (U01 DK099932); National Institute of Diabetes and Digestive and Kidney Diseases (U01 DK099879); National Institute of Diabetes and Digestive and Kidney Diseases (U01 DK100017); National Institute of Diabetes and Digestive and Kidney Diseases (U24 DK099879); National Institute of Diabetes and Digestive and Kidney Diseases (U01 DK097779); National Institute of Diabetes and Digestive and Kidney Diseases (U01 DK097772); National Institute of Diabetes and Digestive and Kidney Diseases (U01 DK097776)
Based on 2 listed funder(s).
Publication
- Published
- 2017-05-04 · J Urol · vol. 198 · issue 5 · pp. 1010–1020
- Publisher
- Lippincott Williams & Wilkins
- Cited
- 113 citations · more than 87% of similar papers · 2.2× the field average
- References
- 54 works
- Access
- Open access (repository copy)
- Research areas
- Urinary Bladder and Prostate Research · Urinary Tract Infections Management · Pelvic floor disorders treatments
- Keywords
- Medicine, Fluid intake, Caffeine, Urinary system, Alcohol, Environmental health, Alcohol intake, Physiology, Internal medicine
- MeSH
- humans, caffeine, diet, alcohol drinking, smoking, urination, drinking, male, lower urinary tract symptoms
10 authors
From US
- Catherine S. BradleyUniversity of Iowa
- Bradley A. EricksonUniversity of Iowa
- Emily E. MessersmithArbor Research Collaborative for Health
- Anne Pelletier-CameronUniversity of Michigan
- H. Henry LaiWashington University in St. Louis
- Karl J. KrederUniversity of Iowa
Abstract
Purpose
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.
Materials and methods
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.
Results
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.
Conclusions
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.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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