Urination Frequency Ranges in Healthy Women.
Urination Frequency Ranges in Healthy Women.
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DOI：
10.1097/nnr.0000000000000595
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发表时间：
2022-09-01
期刊：
影响因子：
2.5
通讯作者：
Sutcliffe, Siobhan
中科院分区：
文献类型：
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作者：
Wyman, Jean F.;Cain, Charles H.;Epperson, C. Neill;Fitzgerald, Colleen M.;Gahagan, Sheila;Newman, Diane K.;Rudser, Kyle;Smith, Ariana L.;Vaughan, Camille P.;Sutcliffe, Siobhan
关于女性正常排尿频率范围的信息可用于指导膀胱健康促进工作。本研究使用波士顿地区社区健康 (BACH) 调查的数据来 (a) 根据“健康”的两种操作定义估计健康女性白天和夜间排尿频率的规范参考范围，以及 (b) 按年龄、种族/民族和液体摄入量比较排尿频率。使用限制较少（“健康”）和严格（“精英健康”）的纳入标准对从女性参与者收集的横断面访谈数据进行二次分析。所有分析均经过加权以考虑 BACH 抽样设计。总体计算对应于白天和夜间排尿频率分布的中间 95% 的规范参考值，并按年龄、种族/民族和液体摄入量进行分层。使用对数链接的广义线性回归来估计按年龄、种族/民族和液体摄入量划分的白天和夜间排尿频率的比率。在完成 BACH 后续访谈的 2,534 名女性中，1,505 名女性符合健康资格标准，300 名女性符合精英健康标准。总体而言，健康女性的排尿频率参考范围为每天 2-10 次和每晚 0-4 次，而精英健康女性的排尿频率参考范围为每天 2-9 次和每晚 0-2 次。 45-64 岁（但 65 岁以上）的女性白天排尿的次数多于 31-44 岁的女性，而 65 岁以上的女性则夜间排尿的次数较多。与白人女性相比，黑人女性白天排尿较少，夜间排尿较多。每日饮酒量少于 49 盎司的女性比饮酒量为 50-74 盎司的女性白天和夜间的排尿次数更少；饮用 75 盎司以上对排尿频率的影响很小。使用严格和宽松的健康定义的女性的白天和夜间排尿频率的规范参考值相似。这些结果表明“正常”排尿频率范围很广，但因年龄、种族/民族和液体摄入量而存在一些差异。未来的研究需要检查少数族裔女性的排尿频率以及液体摄入量和类型是否影响下尿路症状的发展。
Limited information on the normal range of urination frequencies in women is available to guide bladder health promotion efforts. This study used data from the Boston Area Community Health (BACH) Survey to (a) estimate normative reference ranges in daytime and nighttime urination frequencies in healthy women based on two operational definitions of “healthy”, and (b) compare urination frequencies by age, race/ethnicity, and fluid intake. Secondary analysis of cross-sectional interview data collected from female participants was performed using less restrictive (“healthy”) and strict (“elite healthy”) inclusion criteria. All analyses were weighted to account for the BACH sampling design. Normative reference values corresponding to the middle 95% of the distribution of daytime and nighttime urination frequencies were calculated overall and stratified by age, race/ethnicity, and fluid intake. Generalized linear regression with a log-link was used to estimate rate ratios of daytime and nighttime urination frequencies by age, race/ethnicity, and fluid intake. Of the 2,534 women who completed the BACH follow-up interviews, 1,505 women met healthy eligibility criteria, and 300 met elite healthy criteria. Overall, reference ranges for urination frequencies were 2–10 times/day and 0–4 times/night in healthy women and 2–9 times/day and 0–2 times/night in elite healthy women. Women ages 45–64 years, but not 65+ years, reported a greater number of daytime urination than those aged 31–44 years, while women 65+ years reported a greater number of nighttime urination. Black women reported fewer daytime urination and more nighttime urinations than White women. Women who consumed less than 49 oz daily reported fewer daytime and nighttime urinations than those who drank 50–74 oz; drinking 75+ oz had only a small effect on urination frequencies. Normative reference values for daytime and nighttime urination frequencies were similar in women using strict and relaxed definitions of health. These results indicate a wide range of “normal” urination frequencies, with some differences by age, race/ethnicity, and fluid intake. Future research is needed to examine urination frequencies in minority women and whether fluid intake amount and type influence the development of lower urinary tract symptoms.