The Truly Healthy Bladder 2: Understanding Normal As A Pathway To Prevention Of Lower Urinary Tract Symptoms In Women

真正健康的膀胱 2：了解正常是预防女性下尿路症状的途径

• 批准号: 10413278
• 负责人: JANIS M MILLER
• 金额: $ 10万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-20 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10413278
• 关键词: Address; Adolescent; Adult; Affect; Attitude; Behavior Therapy; Belief; Beverages; Biological; Biometry; Bladder; Body Fluids; Chronic; Communication Research; Communities; Complex; Cues; Data; Data Collection; Data Set; Environment; Environmental Risk Factor; Epidemiologist; Epidemiology; Equilibrium; Evidence based intervention; Exercise; Family Nursing; Focus Groups; Food; Foundations; Future; Goals; Habits; Health; Health behavior; Intake; Intervention; Knowledge; Lead; Learning; Life Cycle Stages; Longitudinal Studies; Measures; Medicine; Methods; Michigan; Monitor; Nurse Midwives; Nurse Practitioners; Nurses; Nutritional; Observational Study; Occupational; Pathway interactions; Pattern; Pelvis; Personal Satisfaction; Physicians; Physiological; Prevention; Prevention strategy; Preventive Medicine; Primary Health Care; Psyche structure; Public Health; Publishing; Qualitative Methods; Readiness; Recommendation; Research; Resources; Risk; Risk Factors; Scientist; Social Well-Being; Surveys; Symptoms; Telephone; Testing; Time; Travel; Triad Acrylic Resin; Universities; Urine; Variant; Woman; Work; clinical practice; community engagement; drinking; environmental stressor; experience; handheld mobile device; health communication; health definition; innovation; insight; longitudinal analysis; longitudinal dataset; lower urinary tract symptoms; medical specialties; mobile application; physical state; population based; prevent; protective factors; social; social culture; tool; urinary

The Prevention of Lower Urinary tract Symptoms (PLUS) Consortium is investing in understanding bladder health and lower-urinary track symptom prevention. The Consortium’s proposed healthy bladder definition is: “A complete state of physical, mental, and social well-being related to bladder function and not merely the absence of lower urinary tract symptoms (LUTS). Healthy bladder function permits daily activities, adapts to short-term physical or environmental stressors, and allows optimal well-being.” We are only beginning to understand the risk and protective factors that can potentiate or destroy well-being across the spectrum—from having a healthy bladder to experiencing chronic LUTS. One overarching, powerful component is the act of drinking and the state of the bladder, or what we call the Beverages to Bladder (B2B) balance. Across the life course, B2B is a fact—what goes in must come out, usually through the bladder. Despite the obvious, little data exists to guide adolescent and adult women in the what, when, and why of choosing beverage type, volume, and timing of intake as it pertains to promoting their bladder health. Our broad goal is to know what beverage intake pattern(s) relate best to a truly healthy bladder. To reach this goal, we aim to: 1) Determine the distribution of bladder health across the spectrum from healthy bladder to chronic LUTS in U.S. adolescent and adult women, monitoring changes in bladder health over time across the life course; 2) Establish and validate the optimal B2B balance across the life course by identifying beverage intake patterns and determining which are associated with the range of the bladder health spectrum; and 3) Explore adolescent and adult women’s lived experiences of B2B balance, including the biological, interpersonal, sociocultural, and environmental influences—any of which might be early facilitators or barriers to optimizing B2B balance over the life course. We will work closely within the PLUS consortium to launch a large population based observational survey study to measure bladder health, including knowledge, attitudes, and beliefs; as well as risk and protective factors. We will also have available a new data collection tool for use in this longitudinal study called Where I Go, a phone application developed at The University of Michigan. It captures beverage intake in real time, toileting experiences, and other influences affecting how adolescent and adult women manage B2B in their day-to-day lives. This data will be analyzed along with survey information and data in other pre-existing datasets. Each component offers uniqueness that can help us identify women’s variations in beverage intake patterns, and how patterns relate to bladder health across the life course. We hypothesize there is a best pattern for optimizing bladder health, but there may be many reasons why a woman’s beverage intake differs from a best pattern. We will use adolescents and adult women focus groups combined with Where I Go to learn what influences beverage intake. Ultimately, we hope to gain new insights to inform interventions to help each woman understand her B2B balance and optimize it for bladder health.

预防下尿路症状(PLUS)联盟正在投资于了解膀胱健康和 预防下尿路症状。该联盟提出的健康膀胱定义是：“完整的 身体、精神和社会健康与膀胱功能有关，而不仅仅是下尿路缺失 症状(LUT)。健康的膀胱功能允许日常活动，适应短期的身体或环境 压力源，并允许最佳幸福感。我们才刚刚开始了解可能存在的风险和保护因素 从拥有健康的膀胱到经历慢性LUTS，都会增强或破坏幸福感。一 最重要、最有力的组成部分是饮酒行为和膀胱的状态，或者我们所说的饮料 膀胱(B2B)平衡。纵观整个生命过程，B2B是一个事实--进去的东西必须出来，通常是通过膀胱。 尽管很明显，但几乎没有数据来指导青春期和成年女性选择什么、何时和为什么选择 饮料的类型、用量和摄入时间，因为这与促进他们的膀胱健康有关。我们的总体目标是知道 什么样的饮料摄入模式(S)与真正健康的膀胱最相关。为了实现这一目标，我们的目标是：1)确定 美国青少年和成人从健康膀胱到慢性LUTS的膀胱健康分布 女性，监测整个生命过程中膀胱健康的变化；2)建立和验证最优的B2B 通过确定饮料的摄入模式并确定哪些饮料与 膀胱健康谱的范围；以及3)探索青春期和成年女性B2B平衡的生活经历， 包括生物、人际、社会文化和环境的影响--任何一种都可能是早期的 生命周期中优化B2B平衡的促进者或障碍。我们将在PLUS财团内部密切合作，以 启动一项基于大规模人群的观察性调查研究，以衡量膀胱健康，包括知识、态度、 和信仰；以及风险和保护因素。我们还将提供一个新的数据收集工具，用于 一项名为Where I Go的纵向研究是密歇根大学开发的一款手机应用程序。它捕捉饮料 实时摄入量、如厕体验以及其他影响青少年和成年女性如何管理B2B的影响 在他们的日常生活中。这些数据将与调查信息和其他预先存在的数据集中的数据一起进行分析。 每个组成部分都提供了独特性，可以帮助我们确定女性在饮料摄入模式上的差异，以及如何 模式与整个生命过程中的膀胱健康有关。我们假设有一种优化膀胱的最佳模式 健康，但女性的饮料摄入量不同于最佳模式的原因可能有很多。我们将使用 青少年和成年女性焦点小组与我去哪里相结合，以了解什么会影响饮料摄入量。 最终，我们希望获得新的见解，为干预措施提供信息，帮助每位女性了解她的B2B平衡和 为了膀胱健康而优化它。