Dietary considerations in the evaluation and management of nocturia.

Upeksha S Alwis, Thomas F Monaghan, Rebecca Haddad, Jeffrey P Weiss, Saskia Roggeman, Erik Van Laecke, Johan Vande Walle, Alan J Wein, Karel Everaert

Journal: F1000Research 2020;9():F1000 Faculty Rev-165

PMID: 32185022

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Abstract

This narrative review investigates the effect of dietary intake on nocturnal voiding severity. The primary aims of this review are to provide a framework for future research and ultimately contribute to more comprehensive, lifestyle-centered guidelines for the management of nocturia. A literature search was conducted in Web of Science, PubMed, and Google Scholar databases using the keywords "nocturia", "diuresis", "natriuresis", "food", "diet", and "nutrients". High fruit and vegetable consumption was negatively associated with nocturia. High intake of tea and dietary sodium showed a positive association with nocturia. Several foods have also been directly linked to changes in diuresis rate, glycemic control, and endogenous serum melatonin concentration, offering potential mechanisms for this observed effect. Overall quality of the evidence was low. At present, there is limited evidence to suggest that certain foods, electrolytes, and specific compounds may contribute to the pathogenesis of nocturia. A greater understanding of the impact of food and nutrients on body fluid metabolism is needed to further refine the evaluation and treatment of nocturia.

Address: Department of Human Structure and Repair, Ghent University Hospital, Ghent, Belgium.; Department of Urology, State University of New York Downstate Health Sciences University, Brooklyn, New York, USA.; Sorbonne Université, UPMC Univ Paris 06, AP-HP, GRC 01, Groupe de Recherche Clinique en Neuro-Urologie (GREEN), Service de Rééducation Neurologique, AP-HP, Paris, France.; Department of Urology, Ghent University Hospital, Ghent, Belgium.; Department of Pediatric Nephrology, Ghent University Hospital, Ghent, Belgium.; Department of Urology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

DOI: 10.12688/f1000research.21466.1

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MeSH Terms: Diet, Food, Humans, Life Style, Nocturia