Department of Toxicology and Food Science, Faculty of Pharmacy, Medical University of Warsaw, Banacha 1 Street, 02-091 Warsaw, Poland.
Nutrients. 2024 Sep 17;16(18):3141. doi: 10.3390/nu16183141.
This review summarizes the current knowledge about factors that affect the physical characteristics of urine. It highlights proper urine sample collection and displays factors like diet, hydration status, and medications that can alter urine color, odor, clarity, specific gravity and pH. Urinalysis is a minimally invasive examination of a patient's health, especially concerning nephrological and endocrinological abnormalities, as well as dietary habits and stimulants used. Certain deviations in appearance, composition or frequency/pain during urination may indicate an ongoing disease process in the body. Based on laboratory results, further medical treatment is determined. The reason for a change in the color of the urine, for its clouding or intense odor may be a disease, as well as the consumption of food, medication, intensive physical exercise or inadequate hydration of the body. Well-standardized procedures for collecting, transporting, preparing and analyzing samples should become the basis for an effective diagnostic strategy in urinalysis. It is worth noting that pharmacists in pharmaceutical care are often the first people to whom a patient turns for health advice and for the interpretation of simple laboratory tests. Acquiring the ability to interpret the results of laboratory tests and the principles of proper sampling for laboratory tests is indispensable in the process of possible counseling and providing reliable answers to patients' questions. Although urinalysis is not recommended as a routine screening tool for the general population, it can prove to be a valuable source of patient health data in some cases as the data will be useful to physicians and pharmacists to more effectively diagnose and better care for patients.
这篇综述总结了影响尿液物理特性的因素的现有知识。它强调了正确的尿液样本采集,并展示了饮食、水分状态和药物等因素如何改变尿液的颜色、气味、透明度、比重和 pH 值。尿液分析是对患者健康的一种微创检查,特别是在涉及肾脏和内分泌异常、饮食习惯和使用的兴奋剂方面。尿液外观、成分或频率/疼痛的某些偏差可能表明体内正在发生疾病过程。根据实验室结果,进一步确定医疗治疗。尿液颜色、混浊或强烈气味变化的原因可能是疾病,也可能是食物、药物、剧烈体力活动或身体水分不足的摄入。收集、运输、准备和分析样本的标准化程序应成为尿液分析有效诊断策略的基础。值得注意的是,在药物治疗中,药剂师通常是患者寻求健康建议和简单实验室测试解释的第一人。获得解释实验室测试结果和适当采样进行实验室测试的能力在可能的咨询和为患者问题提供可靠答案的过程中是必不可少的。虽然尿液分析不建议作为一般人群的常规筛查工具,但在某些情况下,它可以成为患者健康数据的有价值来源,因为这些数据将对医生和药剂师有效诊断和更好地护理患者有所帮助。