Evidence map›Paper›PMID 38334759›Full record

SynthesisInternational urogynecology journal2024

Effect of Dietary Choline Consumption on the Development of Urinary Urgency Incontinence in a Longitudinal Cohort of Women.

David Sheyn, Hasina Momotaz, Adonis Hijaz, Oana Zeleznik, Vatche Minassian, Kathryn L Penney

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

David SheynDepartment of Urology, University Hospitals System, Cleveland, OH, 44104, USA. david.d.sheyn@gmail.com.ORCID 0000-0003-1030-3067
Hasina MomotazCase Western Reserve University, Cleveland, OH, USA.
Adonis HijazDepartment of Urology, University Hospitals System, Cleveland, OH, 44104, USA.
Oana ZeleznikBrigham and Women's Hospital, Boston, MA, USA.
Vatche MinassianBrigham and Women's Hospital, Boston, MA, USA.
Kathryn L PenneyBrigham and Women's Hospital, Boston, MA, USA.
Brigham and Women's Hospital · USCase Western Reserve University · USUniversity Health System · USUniversity Hospitals of Cleveland · US

Funding

Life Course Cancer Epidemiology Cohort in WomenU01CA176726 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 2018 to 2025
$22.4M
NIH HHS U01 CA 176726
6 · The paper itself

Abstract

introduction and hypothesisThe objective of this study was to determine whether differences in the cumulative dietary intake of choline, is associated with the risk of developing urge urinary incontinence (UUI).

methodsThis was an analysis within the Nurses' Health Study (NHS) I and II. The main exposure was the cumulative daily intake for each choline-containing compound obtained from a detailed daily food frequency questionnaire. The primary outcome was UUI, defined as urine loss with a sudden feeling of bladder fullness or when a toilet is inaccessible, occurring >1/month. Cox proportional hazards regression models were used to calculate multivariate-adjusted relative risks and 95% confidence intervals (CIs) for the association between total choline and choline derivatives and risk of UUI. Fixed effects meta-analyses of results from NHSI and NHSII were performed for postmenopausal women only to obtain a pooled estimate of the impact of choline consumption on UUI.

resultsThere were 33,273 participants in NHSI and 38,732 in NHSII who met all the criteria for inclusion in the analysis. The incidence of UUI was 9.41% (n=3,139) in NHSI and 4.25% (n=1,646) in NHSII. After adjusting for confounders choline was not found to be associated with UUI in postmenopausal women. However, in premenopausal women, relative to the lowest quartile, the highest quartile of consumption of total choline (aRR = 0.79, 95% CI: 0.64-0.99), free choline (aRR = 0.74, 95% CI: 0.58-0.94), and phosphocholine (aRR = 0.77, 95% CI: 0.61-0.96) were associated with a reduced risk of UUI.

conclusionsIncreased dietary choline consumption was associated with a reduced risk of UUI among premenopausal women.

Indexed as

Urinary Bladder, OveractiveUrinary Incontinence, StressCholineFemaleHumansUrinary BladderUrinary Incontinence, UrgeCholineCholineNurses’ Health StudyUrinary urgency incontinence

Identifiers

PMID38334759
OpenAlexW4391685905

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.