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

预防下尿路症状（PLUS）联盟正在投资了解膀胱健康， 下尿路症状预防。该协会提出的健康膀胱定义是：“一个完整的状态， 与膀胱功能相关的身体、精神和社会福祉，而不仅仅是缺乏下尿路 症状（LUTS）。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，并允许最佳的福祉。我们才刚刚开始了解风险和保护因素， 增强或破坏整个范围内的健康-从拥有健康的膀胱到经历慢性下尿路症状。一 最重要的，强大的组成部分是饮酒的行为和膀胱的状态，或者我们所说的膀胱， 膀胱（B2B）平衡。在整个生命历程中，B2B是一个事实--进去的东西必须出来，通常是通过膀胱。 尽管显而易见，但很少有数据可以指导青少年和成年女性选择什么，什么时候，以及为什么选择 饮料类型，体积和摄入时间，因为它涉及到促进他们的膀胱健康。我们的主要目标是 什么样的饮料摄入模式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 美国青少年和成人中从健康膀胱到慢性LUTS的膀胱健康分布 女性，监测膀胱健康在整个生命过程中随时间的变化; 2）建立和验证最佳的B2B 通过识别饮料摄入模式并确定哪些与 膀胱健康谱的范围;和3）探索青少年和成年女性的B2B平衡的生活经历， 包括生物的、人际的、社会文化的和环境的影响--其中任何一种都可能是早期的 促进者或障碍，以优化B2B平衡的生命历程。我们将与PLUS财团密切合作， 开展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， 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， 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。它捕获饮料 真实的时间摄入量，旅行经历，以及影响青少年和成年女性如何管理B2B的其他影响因素 在他们的日常生活中。这些数据将与其他现有数据集中的调查信息和数据一起沿着进行分析。 每个组成部分都提供了独特性，可以帮助我们识别女性饮料摄入模式的变化，以及如何 与整个生命过程中的膀胱健康有关。我们假设有一个最佳模式，优化膀胱 健康，但可能有很多原因，为什么一个女人的饮料摄入量不同于最佳模式。我们将使用 青少年和成年女性焦点小组结合我去哪里，了解什么影响饮料摄入量。 最终，我们希望获得新的见解，为干预措施提供信息，以帮助每个女性了解她的B2B平衡， 优化它对膀胱健康。

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.