The Impact of Movement, Physical Activity and Position on Urine
Production: A Pilot Study
Abstract
Background: Many different internal factors have been proven to
influence urine production such as age, weight, and quality of sleep.
External factors such as consumption of caffeine and fluid consumption
have been shown to have an impact on urine production. Aim: To
investigate the impact of movement, physical activity, and position on
urine production. Methods: This prospective observational study was
executed at Ghent University Hospital, Belgium. Study participation was
open for anyone visiting the hospital. Participants collected 1 basic
and 2 extended 24-hour urine collections and filled in questionnaires
concerning their general health and physical activity. Urinary levels of
osmolality, sodium, and creatinine were determined. Data on movement,
physical activity and position was described. Results: An increase in
body movement leads to a significant increase in diuresis during
daytime, night-time, and 24 hours (p=0,002, p= <0,001, and
p=<0,001, respectively). An increase in body movement leads to
a significant decrease in osmolality during night-time and 24 hours
(p=0,009, and p=0,004, respectively). However, no significant influence
of movement on osmolality was found during daytime (p=0,12). An increase
in body movement leads to a significant decrease in creatinine during
daytime, night-time, and 24 hours (p=0,001, <0,001, and
p=<0,001, respectively). An increase in body movement leads to
a significant increase in sodium during daytime (p=0,046) but this was
statistically significant during night-time and 24 hours (p=0,32, and
p=0,84 respectively). Conclusion: Our study demonstrates a statistically
significant association of movement, physical activity, and position
with urine production. It would therefore be interesting to explore this
association further with the use of new technology to have more accurate
data. Here lays a potential role for conservative measurements and
lifestyle adaptations in the management of patients with bothersome LUTS
and more precisely nocturia.