Investigação de disfunção miccional em uma amostra populacional de crianças de 3 a 9 anos

Mota, Denise M.; Victora, César G.; Hallal, Pedro Curi

doi:10.1590/s0021-75572005000400009

Cited by 33 publications

(38 citation statements)

References 15 publications

(24 reference statements)

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“…Finally, although there are reports of children who wear diapers for a longer time, in Brazil, diaper use is shorter than in other countries. 6,[15][16][17]28 The driving factors for such differences could not be assessed in this study and there are not other Brazilian reports on these differences.…”

Section: Discussionmentioning

confidence: 80%

“…In 2004, in a cross-sectional, population-based study of children aged 3 to 9 years, the median sphincter control corresponded to 24 months, both for daytime and nighttime control. 16 In 2010, in the same town, the median for daytime control was equal to 24 months, whereas that for nighttime control was 26 months; around 50% were off diapers at 24 months, 75% at 30 months and 95% at 36 months. These findings differ from those described by Blum et al 17 for U.S. children, for whom the mean daytime sphincter control was 36.8±6.1 months.…”

Section: Discussionmentioning

confidence: 99%

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Avaliação longitudinal do controle esfincteriano em uma coorte de crianças Brasileiras

Mota¹,

Barros

Matijasevich

et al. 2010

J. Pediatr. (Rio J.)

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Objective: To analyze sphincter control acquisition in a birth cohort.Method: 4,231 children born in 2004 in Pelotas, Brazil, were included in a longitudinal study. During home visits at the ages of 12, 24 and 48 months, the mothers answered a questionnaire about sociodemographic questions and characteristics of their children's voiding and bowel habits, with special attention to toilet training. Results:At 48 months, most children were off diapers during the day (98.5%) and by night (83%), with no difference between sexes. The average age for starting toilet training was 22 months, with earlier initiation in girls. The training was, on average, 3.2 months long, showing no difference between sexes. Children with developmental delay had late voiding and bowel control; the higher the deviation from normality, the later the child was off diapers. Medical advice was given to 15.9% of mothers. The training initiated before the age of 24 months was inversely correlated with an older age of sphincter control and longer training. Premature and low birth weight children showed no significant difference in training time and age of acquisition of sphincter control. Conclusions:At the age of 48 months, most children, including premature and low birth weight ones, acquired sphincter control regardless of external factors and sex. The beginning of training (before 24 months) did not anticipate sphincter control, but only prolonged the duration of training.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Avaliação longitudinal do controle esfincteriano em uma coorte de crianças Brasileiras

Mota¹,

Barros

Matijasevich

et al. 2010

J. Pediatr. (Rio J.)

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“…21,22 O principal problema é que não há uniformidade na utilização dos termos nesses diferentes estudos. Há um predomínio entre as meninas, como descrito por vários autores.…”

Section: Epidemiologiaunclassified

Lower urinary tract dysfunction - a common diagnosis in the pediatrics practice

Vasconcelos¹,

Lima²,

Vaz

et al. 2013

Jornal Brasileiro De Nefrologia

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. Pró -Reitoria de Pesquisa da UFMG, FAPEMIG -Fundação de Apoio à Pesquisa de Minas Gerais -e CNPq -Conselho Nacional de Pesquisa.Disfunção do trato urinário inferior indica uma função anormal do trato urinário inferior para a idade da criança, que pode levar à perda da capacidade coordenada de armazenamento e eliminação de urina. É uma entidade comum em crianças, embora subdiagnosticada na prática clínica, e que, além de representar um risco para o trato urinário superior, causa um constrangimento emocional aos pais e às crianças, devido à incontinência urinária e à frustração em lidar com o problema. A aquisição da continência urinária diurna ocorre na maioria das crianças até os 4 anos e a noturna até os 5 anos de idade. Após esta idade, a incontinência urinária torna-se um problema social. Apesar da importância clínica, muitas vezes, os pais desconhecem os sintomas dessa disfunção. Esse artigo tem como objetivo abordar os principais aspectos relacionados ao diagnóstico dessa disfunção. IntroduçãoA incontinência urinária diurna em crianças na idade escolar não é uma queixa valorizada pela maioria das famílias, não sendo, portanto, determinante para motivar uma consulta médica. 1 A Disfunção do Trato Urinário Inferior (DTUI) é investigada e comumente diagnosticada após episódios de infecção do trato urinário 2 ou quando a criança também apresenta enurese. 3 Enurese é o termo utilizado para a perda urinária durante o sono em crianças acima de 5 anos de idade. Ela pode apresentar-se como um sintoma isolado (enurese monossintomática) ou vir Lower urinary tract dysfunction indicates an abnormal function of the lower urinary tract to the child's age, which can lead to loss of coordinated capacity storage and elimination of urine. It is a common entity in children, although underdiagnosed in clinical practice, and that, besides representing a risk to the upper urinary tract, causes an emotional embarrassment to parents and children, due to urinary incontinence and frustration in dealing with the problem. The acquisition of daytime urinary continence occurs in most children until age 4 and night, until 5 years of age. After this age, urinary incontinence becomes a social problem. Despite the clinical importance often parents are unaware of the symptoms of this dysfunction. This article aims to address the key issues related to the diagnosis of this dysfunction. Disfunção do trato urinário inferior -um diagnóstico comum na prática pediátricaLower urinary tract dysfunction -a common diagnosis in the pediatrics practice resumo AbstrActPalavras-chave: diagnóstico, incontinência urinária, pediatria.Keywords: diagnosis, urinary incontinence, pediatrics.acompanhada de sintomas do trato uriná-rio inferior (tais como, urgência miccional, aumento ou diminuição da frequên-cia urinária e alterações do jato urinário) 3 sendo, então, denominada enurese não monossintomática. Nota-se que a DTUI nem sempre é evidente e, muitas vezes, só é diagnosticada após lesões irreversíveis do trato urinário superior. 2 O diagnóstico precoce e a ...

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“…Based on a cross-sectional study carried out in 2003 with children born between 1994 and 2000, the mean age at which daytime bladder and bowel control was achieved was 22.6 months, while, at 24 months, 97.6% of the children had daytime control and 89.9% nighttime control. 34 In Sweden, Hallgren observed that 92% of children had daytime urinary control at 4 years. Almost 50 years later, Jansson reported that 50% of the children had daytime control at 3.5 years -which also suggests an increase in the age at which control is achieved.…”

Section: Epidemiology Of Toilet Trainingmentioning

confidence: 99%

Treinamento esfincteriano: métodos, expectativas dos pais e morbidades associadas

Mota¹,

Barros²

2008

J. Pediatr. (Rio J.)

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Objective: To review both the scientific literature and lay literature on toilet training, covering parents' expectations, the methods available for achieving bladder and bowel control and associated morbidities. Summary of the findings:Parents have unrealistic expectations about the age at which diapers can be withdrawn, not taking child development into account. Toilet training strategies have not changed over recent decades, and in the majority of countries the age at which children are trained has been postponed. Training methods are rarely used.Starting toilet training prematurely and stressful events during this period can extend the training process. Children who have not been trained correctly present with enuresis, urinary infection, voiding dysfunction, constipation, encopresis and refusal to go to the toilet more frequently. Literature intended for lay parents is both abundant and adequate, available in book form and on the Internet, but it is not widely available to the Brazilian population. Just three international pediatrics societies have published guidelines on toilet training. Conclusions:Toilet training is occurring later in the majority of countries. The training methods that exist are the same from decades ago and are rarely used by mothers and valued little by pediatricians; incorrect training can be a causative factor for bladder and bowel disorders, which in turn cause problems for children and their families.J Pediatr (Rio J). 2008;84(1):9-17: Toilet training, enuresis, child, urinary tract infection, elimination disorders.

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Investigação de disfunção miccional em uma amostra populacional de crianças de 3 a 9 anos

Cited by 33 publications

References 15 publications

Avaliação longitudinal do controle esfincteriano em uma coorte de crianças Brasileiras

Avaliação longitudinal do controle esfincteriano em uma coorte de crianças Brasileiras

Lower urinary tract dysfunction - a common diagnosis in the pediatrics practice

Treinamento esfincteriano: métodos, expectativas dos pais e morbidades associadas

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