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夜尿症评估与管理中的饮食考量

Dietary considerations in the evaluation and management of nocturia.

作者信息

Alwis Upeksha S, Monaghan Thomas F, Haddad Rebecca, Weiss Jeffrey P, Roggeman Saskia, Van Laecke Erik, Vande Walle Johan, Wein Alan J, Everaert Karel

机构信息

Department of Human Structure and Repair, Ghent University Hospital, Ghent, Belgium.

Department of Urology, State University of New York Downstate Health Sciences University, Brooklyn, New York, USA.

出版信息

F1000Res. 2020 Mar 5;9. doi: 10.12688/f1000research.21466.1. eCollection 2020.

Abstract

This narrative review investigates the effect of dietary intake on nocturnal voiding severity. The primary aims of this review are to provide a framework for future research and ultimately contribute to more comprehensive, lifestyle-centered guidelines for the management of nocturia. A literature search was conducted in Web of Science, PubMed, and Google Scholar databases using the keywords "nocturia", "diuresis", "natriuresis", "food", "diet", and "nutrients". High fruit and vegetable consumption was negatively associated with nocturia. High intake of tea and dietary sodium showed a positive association with nocturia. Several foods have also been directly linked to changes in diuresis rate, glycemic control, and endogenous serum melatonin concentration, offering potential mechanisms for this observed effect. Overall quality of the evidence was low. At present, there is limited evidence to suggest that certain foods, electrolytes, and specific compounds may contribute to the pathogenesis of nocturia. A greater understanding of the impact of food and nutrients on body fluid metabolism is needed to further refine the evaluation and treatment of nocturia.

摘要

这篇叙述性综述研究了饮食摄入对夜间排尿严重程度的影响。本综述的主要目的是为未来的研究提供一个框架,并最终为更全面的、以生活方式为中心的夜尿症管理指南做出贡献。使用关键词“夜尿症”“利尿”“利钠”“食物”“饮食”和“营养素”在科学网、PubMed和谷歌学术数据库中进行了文献检索。高水果和蔬菜摄入量与夜尿症呈负相关。高茶摄入量和饮食钠摄入量与夜尿症呈正相关。几种食物也与利尿率、血糖控制和内源性血清褪黑素浓度的变化直接相关,为这种观察到的效应提供了潜在机制。证据的总体质量较低。目前,仅有有限的证据表明某些食物、电解质和特定化合物可能导致夜尿症的发病机制。需要更深入地了解食物和营养素对体液代谢的影响,以进一步完善夜尿症的评估和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2e2/7059782/6e97d3755410/f1000research-9-23648-g0000.jpg

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