1359 CAFFEINE AND FLUID INTAKE AMONG US MEN AND ASSOCIATION WITH URINARY INCONTINENCE

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence - Evaluation & Therapy III1 Apr 20121359 CAFFEINE AND FLUID INTAKE AMONG US MEN AND ASSOCIATION WITH URINARY INCONTINENCE Camille Vaughan, Nicole Davis, Theodore Johnson, Kathryn Burgio, Patricia Goode, David Redden, and Alayne Markland Camille VaughanCamille Vaughan Atlanta, GA More articles by this author , Nicole DavisNicole Davis Atlanta, GA More articles by this author , Theodore JohnsonTheodore Johnson Atlanta, GA More articles by this author , Kathryn BurgioKathryn Burgio Birmingham, AL More articles by this author , Patricia GoodePatricia Goode Birmingham, AL More articles by this author , David ReddenDavid Redden Birmingham, AL More articles by this author , and Alayne MarklandAlayne Markland Birmingham, AL More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1742AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Modification of caffeine intake and fluid management instructions are common lifestyle recommendations to reduce urinary incontinence (UI) episodes. Additionally, patients often report reducing fluid intake to prevent UI episodes. There is little evidence that high caffeine intake or variations in fluid intake are associated with urinary incontinence in men. METHODS Data were merged from the 2005-2006 and 2007-2008 National Health and Nutrition Examination Survey, a nationally representative survey of the US noninstitutionalized population. Men were interviewed in their homes and then underwent standardized physical examinations in a mobile examination center. The validated Incontinence Severity Index was used to categorize UI as moderate/severe vs mild or none. Caffeine, total fluid, and water intake were averaged from two separate food frequency questionnaires. Potential risk factors explored included: age; race/ethnicity; education; income; body mass index (BMI, kg/m2); self-reported health status; alcohol intake; prostate disease (men ≥ 40 years of age); self-reported comorbid conditions. Analysis included weighted prevalence estimates of UI according to caffeine, total fluid, and water intake, univariate with weighted chi square analysis, and multivariate logistic regression to calculate prevalence odds ratios (POR). RESULTS Of the 5,297 aged ≥ 20 who completed the survey, 3,960 (75%) had complete UI and dietary intake data. The prevalence of UI ranged from 5-15% depending on whether men reported moderate-severe or any UI. Twenty-five percent of men (n=995) reported caffeine intake in the 75th percentile (> 234 g daily) and 17% (n=687) reported intake of caffeine in the 90th percentile (> 392 g daily). In unadjusted analysis, caffeine intake in the 75th and 90th percentiles was associated with moderate-severe UI [POR= 1.5 (95% CI 1.1, 2.1) and POR 1.9 (1.2, 3.1), respectively]. Multivariate logistic regression including all risk factors revealed a significant association between caffeine intake (75th and 90th percentiles) and moderate-severe UI [POR 1.9 (1.1, 1.9), POR 2.2(1.2, 3.8)] while fluid intake and water intake were not associated with UI. CONCLUSIONS Caffeine intake equivalent to 2 cups of highly caffeinated coffee is associated with an increased risk of moderate-severe urinary incontinence among men. While total fluid and water intake are not associated with urinary incontinence in men, caffeine intake may be a modifiable lifestyle factor. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e551-e552 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Camille Vaughan Atlanta, GA More articles by this author Nicole Davis Atlanta, GA More articles by this author Theodore Johnson Atlanta, GA More articles by this author Kathryn Burgio Birmingham, AL More articles by this author Patricia Goode Birmingham, AL More articles by this author David Redden Birmingham, AL More articles by this author Alayne Markland Birmingham, AL More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...