Early Behavioral Risks of Childhood and Adolescent Daytime Urinary Incontinence and Nocturnal Enuresis

Vasconcelos, Monica M. A.; East, Patricia L.; Blanco, Estela; Lukacz, Emily S.; Caballero, Gabriela; Lozoff, Betsy; Gahagan, Sheila

doi:10.1097/dbp.0000000000000516

Cited by 16 publications

(16 citation statements)

References 30 publications

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“…One of the greatest debates related to TT is whether an earlier or later TT is associated to BBD, although few studies have investigated these associations. As data present herein, other studies found no relationship between age or method use for TT (1,2,23) with the development of LUTS. However, Barone et al reported a higher prevalence of urge--incontinence in children who started later their TT (3).…”

Section: Discussioncontrasting

confidence: 44%

Personal and familial factors associated with toilet training

Netto

Paula²,

Bastos³

et al. 2021

Int. braz j urol.

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Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3±10.4 (0 to 47) months after the end of TT. Girls accounted for 53% of the sample. The mean age at fi nishing TT was 31.6±9.3 months and similar in both genders (p=0.77). TT occurred before school entry in 45.7% of the children and medical advice for TT was sought only by 4.8% of the parents. No association was observed of age at completing TT and presence of lower urinary tract symptoms (LUTS) (p=0.57) and/or constipation (p=0.98). In the univariate analysis, prematurity (OR=2.7 [95% CI 2.3-3.1], p <0.0001) and mothers who work outside their household (OR=1.8 [95% CI 1.4-2.3], p <0.0001) were associated to delayed TT. Conclusion: Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home fi nish TT later.

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Section: Discussioncontrasting

confidence: 44%

Personal and familial factors associated with toilet training

Netto

Paula²,

Bastos³

et al. 2021

Int. braz j urol.

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“…Sleep disturbances can co-occur with other diagnoses, such as enuresis. 28,29 Indeed, half of the subjects in our cohort with enuresis also had an additional sleep disturbance. Diagnosis and management of sleep disorders, particularly among subjects with other comorbidities, may lead to improvement in multiple areas.…”

Section: Discussionmentioning

confidence: 83%

Deep phenotyping in 3q29 deletion syndrome: recommendations for clinical care

Russo

Gambello

Murphy

et al. 2021

Genetics in Medicine

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PURPOSE: To understand the consequences of the 3q29 deletion on medical, neurodevelopmental, psychiatric, brain structural, and neurological sequalae by systematic evaluation of affected individuals. To develop evidence-based recommendations using these data for effective clinical care. METHODS: Thirty-two individuals with the 3q29 deletion were evaluated using a defined phenotyping protocol and standardized data collection instruments. RESULTS: Medical manifestations were varied and reported across nearly every organ system. The most severe manifestations were congenital heart defects (25%) and the most common were gastrointestinal symptoms (81%). Physical examination revealed a high proportion of musculoskeletal findings (81%). Neurodevelopmental phenotypes represent a significant burden and include intellectual disability (34%), autism spectrum disorder (38%), executive function deficits (46%), and graphomotor weakness (78%). Psychiatric illness manifests across the lifespan with psychosis prodrome (15%), psychosis (20%), anxiety disorders (40%), and attention deficit-hyperactivity disorder (ADHD) (63%). Neuroimaging revealed structural anomalies of the posterior fossa, but on neurological exam study subjects displayed only mild or moderate motor vulnerabilities. CONCLUSION: By direct evaluation of 3q29 deletion study subjects, we document common features of the syndrome, including a high burden of neurodevelopmental and neuropsychiatric phenotypes. Evidence-based recommendations for evaluation, referral, and management are provided to help guide clinicians in the care of 3q29 deletion patients.

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“…[4][5][6] Psychosocial, behavioral, and environmental conditions can have an impact on LUTS and bladder health, particularly in young girls. [7][8][9][10] Between 20 and 40% of children and adolescents with LUTS have associated mental health conditions such as anxiety, attention deficit hyperactivity disorder, or oppositional defiant disorder. 11 In addition, urinary symptoms have been reported in 65.7% of young athletes.…”

Section: Introductionmentioning

confidence: 99%