A Novel Research Definition of Bladder Health in Women and Girls: Implications for Research and Public Health Promotion

Emily S. Lukacz, Tamara G. Bavendam, Amanda Berry, Cynthia S Fok, Sheila Gahagan, Patricia S. Goode, Cecilia T. Hardacker, Jeni Hebert-Beirne, Cora E. Lewis, Jessica Lewis, Lisa Kane Low, Jerry L. Lowder, Mary H. Palmer, Ariana L. Smith, Sonya S Brady

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Bladder health in women and girls is poorly understood, in part, due to absence of a definition for clinical or research purposes. This article describes the process used by a National Institutes of Health funded transdisciplinary research team (The Prevention of Lower Urinary Tract Symptoms [PLUS] Consortium) to develop a definition of bladder health. Methods: The PLUS Consortium identified currently accepted lower urinary tract symptoms (LUTS) and outlined elements of storage and emptying functions of the bladder. Consistent with the World Health Organization's definition of health, PLUS concluded that absence of LUTS was insufficient and emphasizes the bladder's ability to adapt to short-term physical, psychosocial, and environmental challenges for the final definition. Definitions for subjective experiences and objective measures of bladder dysfunction and health were drafted. An additional bioregulatory function to protect against infection, neoplasia, chemical, or biologic threats was proposed. Results: PLUS proposes that bladder health be defined as: "A complete state of physical, mental, and social well-being related to bladder function and not merely the absence of LUTS. Healthy bladder function permits daily activities, adapts to short-term physical or environmental stressors, and allows optimal well-being (e.g., travel, exercise, social, occupational, or other activities)." Definitions for each element of bladder function are reported with suggested subjective and objective measures. Conclusions: PLUS used a comprehensive transdisciplinary process to develop a bladder health definition. This will inform instrument development for evaluation of bladder health promotion and prevention of LUTS in research and public health initiatives.

Original languageEnglish (US)
Pages (from-to)974-981
Number of pages8
JournalJournal of Women's Health
Volume27
Issue number8
DOIs
StatePublished - Aug 1 2018

Fingerprint

Women's Health
Lower Urinary Tract Symptoms
Health Promotion
Urinary Bladder
Public Health
Research
Health
National Institutes of Health (U.S.)
Exercise

Keywords

  • bladder
  • definition
  • health
  • urinary tract

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural

Cite this

A Novel Research Definition of Bladder Health in Women and Girls : Implications for Research and Public Health Promotion. / Lukacz, Emily S.; Bavendam, Tamara G.; Berry, Amanda; Fok, Cynthia S; Gahagan, Sheila; Goode, Patricia S.; Hardacker, Cecilia T.; Hebert-Beirne, Jeni; Lewis, Cora E.; Lewis, Jessica; Low, Lisa Kane; Lowder, Jerry L.; Palmer, Mary H.; Smith, Ariana L.; Brady, Sonya S.

In: Journal of Women's Health, Vol. 27, No. 8, 01.08.2018, p. 974-981.

Research output: Contribution to journalArticle

Lukacz, ES, Bavendam, TG, Berry, A, Fok, CS, Gahagan, S, Goode, PS, Hardacker, CT, Hebert-Beirne, J, Lewis, CE, Lewis, J, Low, LK, Lowder, JL, Palmer, MH, Smith, AL & Brady, SS 2018, 'A Novel Research Definition of Bladder Health in Women and Girls: Implications for Research and Public Health Promotion' Journal of Women's Health, vol. 27, no. 8, pp. 974-981. https://doi.org/10.1089/jwh.2017.6786
Lukacz, Emily S. ; Bavendam, Tamara G. ; Berry, Amanda ; Fok, Cynthia S ; Gahagan, Sheila ; Goode, Patricia S. ; Hardacker, Cecilia T. ; Hebert-Beirne, Jeni ; Lewis, Cora E. ; Lewis, Jessica ; Low, Lisa Kane ; Lowder, Jerry L. ; Palmer, Mary H. ; Smith, Ariana L. ; Brady, Sonya S. / A Novel Research Definition of Bladder Health in Women and Girls : Implications for Research and Public Health Promotion. In: Journal of Women's Health. 2018 ; Vol. 27, No. 8. pp. 974-981.
@article{7ee376258e2e4e67968a491d32eb3a95,
title = "A Novel Research Definition of Bladder Health in Women and Girls: Implications for Research and Public Health Promotion",
abstract = "Background: Bladder health in women and girls is poorly understood, in part, due to absence of a definition for clinical or research purposes. This article describes the process used by a National Institutes of Health funded transdisciplinary research team (The Prevention of Lower Urinary Tract Symptoms [PLUS] Consortium) to develop a definition of bladder health. Methods: The PLUS Consortium identified currently accepted lower urinary tract symptoms (LUTS) and outlined elements of storage and emptying functions of the bladder. Consistent with the World Health Organization's definition of health, PLUS concluded that absence of LUTS was insufficient and emphasizes the bladder's ability to adapt to short-term physical, psychosocial, and environmental challenges for the final definition. Definitions for subjective experiences and objective measures of bladder dysfunction and health were drafted. An additional bioregulatory function to protect against infection, neoplasia, chemical, or biologic threats was proposed. Results: PLUS proposes that bladder health be defined as: {"}A complete state of physical, mental, and social well-being related to bladder function and not merely the absence of LUTS. Healthy bladder function permits daily activities, adapts to short-term physical or environmental stressors, and allows optimal well-being (e.g., travel, exercise, social, occupational, or other activities).{"} Definitions for each element of bladder function are reported with suggested subjective and objective measures. Conclusions: PLUS used a comprehensive transdisciplinary process to develop a bladder health definition. This will inform instrument development for evaluation of bladder health promotion and prevention of LUTS in research and public health initiatives.",
keywords = "bladder, definition, health, urinary tract",
author = "Lukacz, {Emily S.} and Bavendam, {Tamara G.} and Amanda Berry and Fok, {Cynthia S} and Sheila Gahagan and Goode, {Patricia S.} and Hardacker, {Cecilia T.} and Jeni Hebert-Beirne and Lewis, {Cora E.} and Jessica Lewis and Low, {Lisa Kane} and Lowder, {Jerry L.} and Palmer, {Mary H.} and Smith, {Ariana L.} and Brady, {Sonya S}",
year = "2018",
month = "8",
day = "1",
doi = "10.1089/jwh.2017.6786",
language = "English (US)",
volume = "27",
pages = "974--981",
journal = "Journal of Women's Health",
issn = "1540-9996",
publisher = "Mary Ann Liebert Inc.",
number = "8",

}

TY - JOUR

T1 - A Novel Research Definition of Bladder Health in Women and Girls

T2 - Implications for Research and Public Health Promotion

AU - Lukacz, Emily S.

AU - Bavendam, Tamara G.

AU - Berry, Amanda

AU - Fok, Cynthia S

AU - Gahagan, Sheila

AU - Goode, Patricia S.

AU - Hardacker, Cecilia T.

AU - Hebert-Beirne, Jeni

AU - Lewis, Cora E.

AU - Lewis, Jessica

AU - Low, Lisa Kane

AU - Lowder, Jerry L.

AU - Palmer, Mary H.

AU - Smith, Ariana L.

AU - Brady, Sonya S

PY - 2018/8/1

Y1 - 2018/8/1

N2 - Background: Bladder health in women and girls is poorly understood, in part, due to absence of a definition for clinical or research purposes. This article describes the process used by a National Institutes of Health funded transdisciplinary research team (The Prevention of Lower Urinary Tract Symptoms [PLUS] Consortium) to develop a definition of bladder health. Methods: The PLUS Consortium identified currently accepted lower urinary tract symptoms (LUTS) and outlined elements of storage and emptying functions of the bladder. Consistent with the World Health Organization's definition of health, PLUS concluded that absence of LUTS was insufficient and emphasizes the bladder's ability to adapt to short-term physical, psychosocial, and environmental challenges for the final definition. Definitions for subjective experiences and objective measures of bladder dysfunction and health were drafted. An additional bioregulatory function to protect against infection, neoplasia, chemical, or biologic threats was proposed. Results: PLUS proposes that bladder health be defined as: "A complete state of physical, mental, and social well-being related to bladder function and not merely the absence of LUTS. Healthy bladder function permits daily activities, adapts to short-term physical or environmental stressors, and allows optimal well-being (e.g., travel, exercise, social, occupational, or other activities)." Definitions for each element of bladder function are reported with suggested subjective and objective measures. Conclusions: PLUS used a comprehensive transdisciplinary process to develop a bladder health definition. This will inform instrument development for evaluation of bladder health promotion and prevention of LUTS in research and public health initiatives.

AB - Background: Bladder health in women and girls is poorly understood, in part, due to absence of a definition for clinical or research purposes. This article describes the process used by a National Institutes of Health funded transdisciplinary research team (The Prevention of Lower Urinary Tract Symptoms [PLUS] Consortium) to develop a definition of bladder health. Methods: The PLUS Consortium identified currently accepted lower urinary tract symptoms (LUTS) and outlined elements of storage and emptying functions of the bladder. Consistent with the World Health Organization's definition of health, PLUS concluded that absence of LUTS was insufficient and emphasizes the bladder's ability to adapt to short-term physical, psychosocial, and environmental challenges for the final definition. Definitions for subjective experiences and objective measures of bladder dysfunction and health were drafted. An additional bioregulatory function to protect against infection, neoplasia, chemical, or biologic threats was proposed. Results: PLUS proposes that bladder health be defined as: "A complete state of physical, mental, and social well-being related to bladder function and not merely the absence of LUTS. Healthy bladder function permits daily activities, adapts to short-term physical or environmental stressors, and allows optimal well-being (e.g., travel, exercise, social, occupational, or other activities)." Definitions for each element of bladder function are reported with suggested subjective and objective measures. Conclusions: PLUS used a comprehensive transdisciplinary process to develop a bladder health definition. This will inform instrument development for evaluation of bladder health promotion and prevention of LUTS in research and public health initiatives.

KW - bladder

KW - definition

KW - health

KW - urinary tract

UR - http://www.scopus.com/inward/record.url?scp=85052215415&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85052215415&partnerID=8YFLogxK

U2 - 10.1089/jwh.2017.6786

DO - 10.1089/jwh.2017.6786

M3 - Article

VL - 27

SP - 974

EP - 981

JO - Journal of Women's Health

JF - Journal of Women's Health

SN - 1540-9996

IS - 8

ER -