| 原 文 |
題 目 |
Diet Modification for Overactive Bladder: an Evidence-Based Review |
| 作 者 |
Michael Ernst, Jacquelyn Gonka, Olga Povcher, Jason Kim. |
| 出 處 |
Current Bladder Dysfunction Reports, Volume 10, Issue 1, pp 25-30 |
| 出版日期 |
March 2015 |
| 評 論 |
在門診與膀胱過動症的病患的治療互動中，除了藥物治療之外，病患常常會詢問飲食注意事項。這篇文獻回顧以40篇論文實證來整理出飲食上與膀胱過動症相關的營養因素，也描述膀胱過動症與飲食相關疾病，如肥胖及胰島素阻抗之間的關係。作者也提出維他命D補充、減少水份的攝取、避免人工甘味劑、減低咖啡因攝取可以減輕膀胱動症的症狀。作者們進一步再提出有些在網路上與健康相關的熱門網站也建議減少食用到膀胱的剌激物，有如辛辣物、鹽份、酸性食物會改善膀胱過動症，但是網站上的有些資料較缺乏科學根據。在這篇文章裏面提到肥胖及糖尿病也會增加膀胱過動症的風險，因此減重及身體的運動也能改善膀胱過動症的症狀。
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| abstract |
Overactive bladder (OAB) is a clinical diagnosis defined by the presence of urinary urgency with or without urgency urinary incontinence (UUI) and is often associated with frequency and nocturia. First-line treatment for OAB is behavioral and dietary modifications because they have minimal side effects and high potential benefits. There is evidence that diet can have a significant effect on the symptoms of OAB. This has led to increasing interest in characterizing the effect of specific dietary changes on OAB prevalence and severity. The aim of this paper is to review the specific nutritional factors that have been found to be associated with OAB and describe the relationship between OAB and diet-related medical conditions such as obesity and insulin resistance.
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