Defining Bladder Health in Women and Girls: Implications for Research, Clinical Practice, and Public Health Promotion
Defining Bladder Health in Women and Girls: Implications for Research, Clinical Practice, and Public Health Promotion
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DOI：
10.1089/jwh.2017.6786
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发表时间：
2018-05-24
影响因子：
3.5
通讯作者：
Brady, Sonya S.
中科院分区：
文献类型：
--
作者：
Lukacz, Emily S.;Bavendam, Tamara G.;Brady, Sonya S.
背景：对妇女和女孩的膀胱健康知之甚少，部分原因是缺乏用于临床或研究目的的定义。本文描述了由美国国立卫生研究院资助的跨学科研究小组（预防下尿路症状[PLUS]联盟）用于制定膀胱健康定义的过程。研究方法：PLUS Consortium确定了目前公认的下尿路症状（LUTS），并概述了膀胱储存和排空功能的要素。与世界卫生组织对健康的定义一致，PLUS得出的结论是，没有LUTS是不够的，并强调膀胱适应短期身体，心理和环境挑战的能力。起草了膀胱功能障碍和健康的主观经验和客观措施的定义。提出了一种额外的生物调节功能，以防止感染，肿瘤，化学或生物威胁。结果如下：PLUS建议将膀胱健康定义为：与膀胱功能相关的身体，精神和社会福祉的完整状态，而不仅仅是没有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，并允许最佳的福祉（例如，旅行、锻炼、社交、职业或其他活动）。膀胱功能的每个元素的定义报告与建议的主观和客观的措施。结论：PLUS使用了一个全面的跨学科过程来制定膀胱健康定义。这将为在研究、实践和公共卫生倡议中评价膀胱健康促进和预防LUTS的工具开发提供信息。
Background: Bladder health in women and girls is poorly understood, in part, due to absence of a definition for clinical or research purposes. This article describes the process used by a National Institutes of Health funded transdisciplinary research team (The Prevention of Lower Urinary Tract Symptoms [PLUS] Consortium) to develop a definition of bladder health. Methods: The PLUS Consortium identified currently accepted lower urinary tract symptoms (LUTS) and outlined elements of storage and emptying functions of the bladder. Consistent with the World Health Organization's definition of health, PLUS concluded that absence of LUTS was insufficient and emphasizes the bladder's ability to adapt to short-term physical, psychosocial, and environmental challenges for the final definition. Definitions for subjective experiences and objective measures of bladder dysfunction and health were drafted. An additional bioregulatory function to protect against infection, neoplasia, chemical, or biologic threats was proposed. Results: PLUS proposes that bladder health be defined as: A complete state of physical, mental, and social well-being related to bladder function and not merely the absence of LUTS. Healthy bladder function permits daily activities, adapts to short-term physical or environmental stressors, and allows optimal well-being (e.g., travel, exercise, social, occupational, or other activities). Definitions for each element of bladder function are reported with suggested subjective and objective measures. Conclusions: PLUS used a comprehensive transdisciplinary process to develop a bladder health definition. This will inform instrument development for evaluation of bladder health promotion and prevention of LUTS in research, practice, and public health initiatives.