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Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/2752

Title: Guidance on water intake effectively improves urinary frequency in patients with nocturia.
Other Titles: 飲水指導は夜間頻尿患者の頻尿症状を有効に改善する
Authors: Tani, Mitsuru
Hirayama, Akihide
Torimoto, Kazumasa
Matsushita, Chie
Yamada, Atsushi
Fujimoto, Kiyohide
Keywords: 24-h urine production/bodyweight
lifestyle therapy
nocturia
nocturnal polyuria
water intake guidance
Issue Date: Jun-2014
Publisher: Wiley-Blackwell / Japanese Urological Association
Citation: International journal of urology Vol.21 No.6 p.595-600
Abstract: OBJECTIVES: To evaluate how guidance on water-intake impacts the degree of nocturia. METHODS: A total of 67 male patients were enrolled in the present study. Patients were asked to adjust their water and food intakes so that their 24-h urine production/bodyweight would be equal or lower than 30 mL/kg. One month after the treatment, the therapeutic gain from and adverse effects of fluid restriction were examined by comparing the pretreatment and post-treatment value of various parameters. RESULTS: Overall, 65 eligible patients were evaluated. In 44 patients (67%), the frequency of nocturia was improved to one or more times. The change in frequency of nocturia showed a positive correlation with the change in nocturnal urine volume. The change in nocturnal urine volume showed a positive correlation with the changes in 24-h urine production/bodyweight, 24-h drinking volume and daytime drinking volume. The changes in 24-h urine production/bodyweight and daytime drinking volume were independent factors influencing therapeutic effect. None of the participants reported any adverse event. CONCLUSIONS: In patients with a 24-h urine production/bodyweight equal or higher than 30 mL/kg, guidance on water intake might be considered effective and safe as a lifestyle therapy. Water restriction should be carried out not only in the evening, but also during daytime.
Description: 博士(医学)・乙第1348号・平成26年12月3日
© 2014 The Japanese Urological Association
URI: http://hdl.handle.net/10564/2752
ISSN: 09198172
Academic Degrees and number: 24601B1348
Degree-granting date: 2014-12-03
Degree name: 博士(医学)
Degree-granting institutions: 奈良県立医科大学
Appears in Collections:2014年度

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