Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
J Womens Health (Larchmt). 2011 Dec;20(12):1917-21. doi: 10.1089/jwh.2010.2642. Epub 2011 Oct 4.
To determine if women with urinary incontinence are able to recognize patterns of fluid intake associated with lower urinary tract symptoms.
We performed a cross-sectional study of 256 consecutive women with urinary incontinence at an initial visit to a urogynecology practice. Data from the Questionnaire-Based Voiding Diary, a validated instrument that measures volume of fluid intake, fluid intake behavior, and lower urinary tract symptoms, were abstracted. Carbonated, caffeinated, and total fluid intake volumes were analyzed. Behaviors of excess consumption of caffeinated, carbonated, and total fluid intake as well as restriction of fluid intake were measured. Fluid intake volumes were divided into quartiles and correlated to fluid intake behavior and lower urinary tract symptoms.
Fluid intake behaviors of drinking excess carbonated and caffeinated beverages were significantly associated with the volume of carbonated (p<0.001) and caffeinated fluid intake (p<0.001). The behavior of drinking excess fluid was significantly associated with the total volume of fluid intake (p=0.019). A significant relationship between quartiles of total fluid intake and increasing number of daily voids (p<0.001) and quartiles of caffeinated fluid intake and increasing severity of urgency urinary incontinence (p=0.038) was noted. A direct statistical association between fluid intake behavior and lower urinary tract symptoms was not noted.
Women with urinary incontinence recognize their pattern of fluid intake and fluid intake behavior. The type and volume of fluid intake are significantly associated with symptoms of urinary frequency and urgency urinary incontinence.
确定患有尿失禁的女性是否能够识别与下尿路症状相关的液体摄入模式。
我们对 256 例初次就诊于泌尿科的尿失禁女性进行了一项横断面研究。从基于问卷的排尿日记中提取数据，该工具是一种经过验证的仪器，可测量液体摄入量、液体摄入行为和下尿路症状。分析碳酸饮料、含咖啡因饮料和总液体摄入量。测量过量摄入含咖啡因、碳酸和总液体以及限制液体摄入的行为。将液体摄入量分为四等份，并将其与液体摄入行为和下尿路症状相关联。
饮用过量碳酸和含咖啡因饮料的液体摄入行为与碳酸（p<0.001）和含咖啡因液体摄入（p<0.001）的量显著相关。过量饮水行为与总液体摄入量（p=0.019）显著相关。总液体摄入量的四分位数与每日排尿次数的增加（p<0.001）和含咖啡因液体摄入量的四分位数与急迫性尿失禁严重程度的增加（p=0.038）之间存在显著关系。未观察到液体摄入行为与下尿路症状之间存在直接的统计学关联。
患有尿失禁的女性能够识别自己的液体摄入模式和液体摄入行为。液体摄入的类型和量与尿频率和急迫性尿失禁症状显著相关。
