Is it Safe to Reduce Water Intake in the Overactive Bladder Population? A Systematic Review

Wood, Lauren N.; Markowitz, Melissa; Parameshwar, Pooja S.; Hannemann, Alex; Ogawa, Shellee L.; Anger, Jennifer T.; Eilber, Karyn S.

doi:10.1016/j.juro.2018.02.3089

Cited by 10 publications

(6 citation statements)

References 23 publications

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“…The benefits of increased water intake are sometimes exaggerated in the lay press and even by some health care providers. The literature is quite clear that other than for patients with urinary stone disease, there are no health benefits of overhydration and that patients with overactive bladder syndrome (OAB) have symptoms worsen when excess fluid is consumed 8 . In this study, these patients have likely noted worsening of their symptoms and have reduced their fluid intake accordingly to have more urinary symptom control.…”

Section: Discussionmentioning

confidence: 84%

Total fluid intake, caffeine, and other bladder irritant avoidance among adults having urinary urgency with and without urgency incontinence: The Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN)

Cameron

Helmuth

Smith

et al. 2022

Neurourology and Urodynamics

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Introduction Caffeine has long been vilified as a cause for urinary urgency incontinence (UUI) along with other potential bladder irritants such as carbonation, alcohol, and acidic juices. The objective of this study was to assess the fluid intake behavior of people with urgency, UUI, and those with lower urinary tract symptoms (LUTS) without UUI or urgency to assess if they avoided certain potential bladder irritants or had different fluid intake. We hypothesized that patients with UUI would avoid caffeine as a self‐management method more so than these other two groups. Methods Treatment‐seeking men and women with LUTS in the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Observational Cohort study completed a baseline 3‐day voiding and intake diary. “Complete” diaries had 3 days of data and no missing intake or voided volumes. Beverages with any caffeine, alcohol, carbonation, or acidic juice were identified and the total volume was recorded as well as the type of beverage containing caffeine to calculate the daily caffeine dose. Results Four hundred and ninety‐one participants (277 men and 214 women) with a median age of 63 had complete diaries. Urinary urgency was more prevalent in women than men (79% vs. 55%, p < 0.0001) as was UUI (84% vs. 47%, p < 0.0001). Total fluid intake over 3 days was lower among the urgency group versus the nonurgency group (median [interquartile range] 5.2 [4.0–6.8] L vs. 5.7 [4.3–7.0] L, p = 0.028) and the UUI group compared to the urgency without incontinence group were less likely to consume alcohol (26% vs. 37%, p = 0.04). After adjusting for sex, BMI, age, and total intake volume, UUI participants had 54% lower odds of consuming any caffeine (odds ratio = 0.46, 95% confidence interval = 0.22–0.96, p = 0.04) than those without incontinence, but among those that did consume caffeine, no difference in the volume of caffeinated beverages or milligrams of caffeine consumed was detected between those with UUI and those with urgency without incontinence. No difference in carbonation or acidic juice intake was detected between groups. Conclusions Individuals with urgency consume a lower volume of fluid than those without urgency. UUI participants more often abstain from caffeine, but among those that consume caffeine, the dose is similar to those without UUI. One explanation for these results is that only a subset of individuals with urgency or UUI are caffeine sensitive.

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Section: Discussionmentioning

confidence: 84%

Total fluid intake, caffeine, and other bladder irritant avoidance among adults having urinary urgency with and without urgency incontinence: The Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN)

Cameron

Helmuth

Smith

et al. 2022

Neurourology and Urodynamics

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“…Children with urinary incontinence refuse to drink fluids for fear of becoming wet. Inadequate fluid intake to prevent urinary incontinence can lead to UTI (25).…”

Section: Discussionmentioning

confidence: 99%

Association Between Overweight and Obesity and Overactive Bladder in Children: A Cross-sectional Study

et al. 2021

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Background: Overactive bladder (OAB) is a common cause of voiding dysfunction in children and is classified as lower urinary tract dysfunction (LUTD). In recent studies, obesity and overweight are assumed as risk factors for voiding dysfunction and urinary incontinence in children. Objectives: This study was conducted to evaluate the correlation between overweight and obesity with OAB in children. Methods: This cross-sectional study measured BMI in 56 children aged between 3 and 16 years with OAB (case group) and 56 healthy matched children (control group). Overweight and obesity were compared between the two groups. The study also accessed lower urinary tract symptoms and their association with BMI in the OAB children. The data were analyzed using the SPSS software version 18.0 for windows (SPSS Inc., Chicago, IL). Results: The mean age of the OAB patients was 7.71 ± 2.65 years, and 38 (67.8%) of them were female. Frequency and holding maneuvers were the most prevalent complaints. A history of urinary tract infection was detected in 46 (82.1%) of the OAB patients. There were no significant differences in overweight and obesity between the two groups (P = 0.23). Conclusions: No correlation was observed between overweight and obesity with OAB. The reason may be different socioeconomic conditions or malnutrition in these children. Thus, it is recommended to perform a study with a larger sample size in our community to assess malnutrition in the general children population.

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“…OAB-q consists of 8 items symptoms bother scale and 25 HRQL items that forms 4 subscales (that includes coping, concern, sleep, social interaction) and total HRQL score. (25) Although the prevalence of OAB increases with age, it is not a normal part of healthy aging. OAB is reported to affect 17% of adult women and 16% of adult men.…”

Section: Deposition Of Collagen and Elasticmentioning

confidence: 99%

Prevalence of Overactive Bladder Syndrome Among Adult Females Having Stress Urinary Incontinence and Urge Urinary Incontinence Using Overactive Bladder Syndrome Questionnaire

Khadke¹,

Dhupkar²

2023

Int J Health Sci Res

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Objectives: To identify the proportion of OABs using OABs-q in adult females classified as SUI or UUI based on the results of the questionnaire for female urinary incontinence diagnosis (QUID). Material and Methods: 243 females of age group 18-55 years were screened for incontinence, of which 102 were included in the study. Questionnaire for Urinary Incontinence Diagnosis and Overactive Bladder questionnaires were administered and the type of incontinence of the women was identified. Proportion of OAB was identified in SUI, UUI and MUI. Results: 102 out of 240 had incontinence, of which 41 women had SUI, 30 had UUI and 31 had MUI. Proportion of OAB was 17%, 60% and 87% respectively in SUI, UUI and MUI. Conclusion: Overactive bladder syndrome has a higher proportion amongst women showing mixed urinary incontinence. Key words: Stress urinary incontinence, Urge urinary incontinence, Mixed urinary incontinence, Overactive Bladder syndrome, QUID, OAB-q.

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Is it Safe to Reduce Water Intake in the Overactive Bladder Population? A Systematic Review

Abstract: The available reviewed literature suggests no benefit to drinking 8 glasses of water per day in patients without nephrolithiasis. Also, excess fluid intake can exacerbate symptoms of overactive bladder.

Cited by 10 publications

References 23 publications

Total fluid intake, caffeine, and other bladder irritant avoidance among adults having urinary urgency with and without urgency incontinence: The Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN)

Total fluid intake, caffeine, and other bladder irritant avoidance among adults having urinary urgency with and without urgency incontinence: The Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN)

Association Between Overweight and Obesity and Overactive Bladder in Children: A Cross-sectional Study

Prevalence of Overactive Bladder Syndrome Among Adult Females Having Stress Urinary Incontinence and Urge Urinary Incontinence Using Overactive Bladder Syndrome Questionnaire

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