title: Caffeine reduction education to improve urinary symptoms.
abstract: Caffeine reduction is an internationally accepted treatment strategy for patients with urinary symptoms. However, there is little trial evidence in support of a caffeine/urinary symptom effect. A prospective randomized trial was conducted among 95 consecutive adult patients with urinary symptoms presenting to two nurse continence advisers. Frequency, urgency and leakage outcomes were tested 1 month postenrolment. Trial findings indicate that caffeine intake was reduced (P<0.0001) in the experimental group and that urgency (P=0.002) and frequency (P=0.037) outcomes were significantly improved. Caffeine practices and habits were surveyed and self-reports of caffeine effects indicate that urinary symptoms figured prominently as a reported effects but less so as a driver of caffeine reduction.
authors.affiliation: Prince Henry and Prince of Wales Hospitals, Australia.
authors.forename: Charmaine M
authors.initials: CM
authors.lastname: Bryant
authors.forename: Caroline J
authors.initials: CJ
authors.lastname: Dowell
authors.forename: Greg
authors.initials: G
authors.lastname: Fairbrother
mesh_terms: D000328:Adult; D000368:Aged; D002110:Caffeine / Q000008:administration & dosage* / Q000494:pharmacology; D000697:Central Nervous System Stimulants / Q000008:administration & dosage* / Q000494:pharmacology; D004032:Diet; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014549:Urinary Incontinence / Q000517:prevention & control*
chemical_list: D000697:Central Nervous System Stimulants; D002110:Caffeine