Sodium restriction improves nocturia in patients at a cardiology clinic.
Publication/Presentation Date
4-1-2020
Abstract
This study aims to determine whether dietary sodium restriction counseling decreases nocturnal voiding frequency in cardiology patients with concomitant nocturia. Patients who had established care at a cardiology clinic from 2015 to 2018 reporting ≥1 average nocturnal void(s) underwent a comprehensive sodium intake interview by their cardiologist, who provided them with individualized strategies for dietary sodium reduction and assessed adherence at follow-up. Average nocturnal voiding frequency and dietary adherence were documented in the medical record. A nocturia database was compiled for retrospective analysis. A total of 74 patients were included. Patients considered to be adherent with dietary sodium restriction at follow-up (n = 56) demonstrated a decrease in median nocturia frequency (2.5 [2.3-3.0] vs 1.0 [1.0-2.0] voids, P < .001). Among nonadherent patients (n = 18), median nocturia frequency did not significantly change from baseline to follow-up (2.0 [1.5-3.8] vs 2.0 [1.5-4.8] voids, P = .423). Median changes were significantly different between the adherent and nonadherent groups (P < .001). Examination of second follow-up available from 37 patients showed a continued effect. In conclusion, adherence with dietary sodium counseling appears to improve nocturia. Accordingly, dietary modification may represent an important adjunct therapy to lifestyle and pharmacologic interventions for decreasing nocturia frequency. Reduction in nocturnal voiding frequency may also reflect an additional benefit of dietary sodium restriction in accordance with best practice standards for cardiovascular disease.
Volume
22
Issue
4
First Page
633
Last Page
638
ISSN
1751-7176
Published In/Presented At
Monaghan, T. F., Michelson, K. P., Wu, Z. D., Gong, F., Agudelo, C. W., George, C. D., Alwis, U. S., Epstein, M. R., Mekki, P., Flores, V. X., Bliwise, D. L., Everaert, K., Vande Walle, J., Weiss, J. P., & Lazar, J. M. (2020). Sodium restriction improves nocturia in patients at a cardiology clinic. Journal of clinical hypertension (Greenwich, Conn.), 22(4), 633–638. https://doi.org/10.1111/jch.13829
Disciplines
Medicine and Health Sciences
PubMedID
32049435
Department(s)
Department of Surgery
Document Type
Article