Incontinence in persons with fetal alcohol spectrum disorders: a polish cohort

Roozen, Sylvia; Dyląg, Katarzyna Anna; Przybyszewska, Katarzyna; Niemczyk, Justine; Gontard, Alexander von; Peters, Gjalt-Jorn; Kok, Gerjo; Curfs, Leopold

doi:10.1016/j.jpurol.2020.02.012

Cited by 3 publications

(6 citation statements)

References 24 publications

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“…Nocturnal enuresis was also reported in two studies, affecting 9.9%-16.2% of individuals with FASD (Roozen et al, 2017(Roozen et al, , 2020.…”

Section: Incontinence (N = 3 Studies)supporting

confidence: 53%

“…Individuals with FASD aged 6–25 years experienced higher rates of incontinence (20%–32%) compared to nonalcohol exposed individuals (<1%–14.3%; Reid et al, 2021; Roozen et al, 2017, 2020). Nocturnal enuresis was also reported in two studies, affecting 9.9%–16.2% of individuals with FASD (Roozen et al, 2017, 2020).…”

Section: Resultsmentioning

confidence: 98%

“…Gathering information regarding food intake and eating behaviors as part of a holistic assessment process could, therefore, inform recommendations and dietetic referrals to support individuals with FASD to achieve recommended daily intakes of key nutrients and optimize health and well‐being. Additionally, the association of FASD with urinary and fecal incontinence issues were found to affect quality of life (Reid et al, 2021, Roozen et al, 2017, 2020). Currently, the Guide does not consider incontinence issues.…”

Section: Discussionmentioning

confidence: 99%

“…Individuals with FASD aged 6-25 years experienced higher rates of incontinence (20%-32%) compared to nonalcohol exposed individuals (<1%-14.3%; Reid et al, 2021;Roozen et al, 2017Roozen et al, , 2020.…”

Section: Incontinence (N = 3 Studies)mentioning

confidence: 94%

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Factors to be considered as part of a holistic assessment for fetal alcohol spectrum disorder: A scoping review

Reid,

Kent,

Hewlett

et al. 2023

Alcohol: Clinical and Experimental Research

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BackgroundA scoping review was undertaken to identify factors outside of current fetal alcohol spectrum disorder (FASD) diagnostic criteria that could be considered as part of a holistic assessment process to enable targeted recommendations and supports to improve outcomes. Evidence will be used to inform the revision of the Australian Guide to the Diagnosis of FASD.MethodsSix electronic databases were searched. Studies were eligible if they included factors outside of the diagnostic criteria that clinicians might need to consider as part of a holistic (i.e., physical, social, mental health and wellbeing) assessment process. Data charting and content analysis was performed for synthesis of results.Results121 studies were included that spanned 12 key areas. This included physical health, sleep, adverse postnatal experiences, substance use/other risk‐taking behaviors, contact with the criminal justice system, mental health, First Nations cultural considerations, transition to adult roles, involvement with the out‐of‐home care system, feeding and eating, strengths/interests/external resources and incontinence.ConclusionsAreas to be considered as part of a holistic assessment and diagnostic process spanned individual, family, and system level factors. The results of the current review provide guidance for clinicians regarding the wide range of factors that may influence long‐term health, development, and wellbeing for individuals with prenatal alcohol exposure and FASD. In practice this guidance can be used to inform an individualized assessment process to facilitate tailored recommendations and supports to best meet the complex needs of those living with FASD and their families.

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“…Nocturnal enuresis was also reported in two studies, affecting 9.9%-16.2% of individuals with FASD (Roozen et al, 2017(Roozen et al, , 2020.…”

Section: Incontinence (N = 3 Studies)supporting

confidence: 53%

Section: Resultsmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Incontinence (N = 3 Studies)mentioning

confidence: 94%

See 2 more Smart Citations

Factors to be considered as part of a holistic assessment for fetal alcohol spectrum disorder: A scoping review

Reid,

Kent,

Hewlett

et al. 2023

Alcohol: Clinical and Experimental Research

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show abstract

“…However, each individual with FASD can present with a different clinical picture. Many patients experience not only the neurobehavioral issues but also disorders of urination [ 9 , 10 ], defecation [ 9 , 10 ], nutrition [ 11 , 12 ] and sleep, also known as “neglected problems”. It is now well established that sleep disorders are an important concern among children with neurodevelopmental conditions [ 13 – 15 ].…”

Section: Introductionmentioning

confidence: 99%

Sleep problems among children with Fetal Alcohol Spectrum Disorders (FASD)- an explorative study

Dyląg

Bańdo

Baran³

et al. 2021

Ital J Pediatr

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Background Fetal alcohol spectrum disorders (FASD) is a group of conditions resulting from prenatal alcohol exposure (PAE). Patients with FASD experience a variety of neuropsychological symptoms resulting from central nervous system impairment. Little is known about sleep disorders associated with PAE. The objective of this study was to investigate sleep problems related to FASD. Methods Forty patients (median age 8 years (6; 11)) diagnosed with FASD and forty typically developing children (median age 10 years (8; 13)) were recruited for the 1st phase of the study. In the 1st phase, the screening of sleep problems was performed with Child Sleep Habit Questionnaire (CSHQ) filled in by a caregiver. Those of the FASD group who scored above 41 points were qualified to the 2nd phase of the study and had an in-lab attended polysomnography (PSG) performed. The measurements consisted of electroencephalogram, electrooculograms, chin and tibial electromyogram, electrocardiogram, ventilatory monitoring, breathing effort, pulse oximetry, snoring and body position. Their results were compared to PSG laboratory reference data. Results The number of participants with sleep disturbances was markedly higher in the FASD group as compared to typically developing children (55% vs. 20%). The age-adjusted odds ratio for a positive result in CSHQ was 4.31 (95% CI: 1.54–12.11; p = 0.005) for FASD patients as compared to the control group. Significant differences between the FASD as compared to the typically developing children were observed in the following subscales: sleep onset delay, night wakings, parasomnias, sleep disordered breathing, and daytime sleepiness. Children from the FASD group who underwent PSG experienced more arousals during the sleep as compared with the PSG laboratory reference data. The respiratory indices in FASD group appear higher than previously published data from typically developing children. Conclusion The results support the clinical observation that sleep disorders appear to be an important health problem in individuals with FASD. In particular distorted sleep architecture and apneic/hypopneic events need further attention.

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Increased incidence of renal and urinary tract anomalies among individuals with fetal alcohol spectrum disorders (FASD)

Dyląg,

Dumnicka,

Kowalska

et al. 2023

Birth Defects Research

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BackgroundFetal alcohol spectrum disorders (FASD) in a spectrum of neurodevelopmental conditions resulting from prenatal alcohol exposure (PAE). Animal models have confirmed the toxic effects of PAE on the kidneys and urinary tract, yet the evidence from human studies is contradictory. The purpose of this study was to establish the incidence of renal and urinary tract anomalies (RUTA), impaired kidney function, and hypertension among patients with FASD.MethodsChildren from the FASD Diagnostic Center with FASD diagnosis (FAS, pFAS, or ARND) were offered participation in the study. The control group consisted of patients from the Gastroenterology Department of the same hospital. The patients underwent renal and urinary tract ultrasound examination. The serum creatinine level was also evaluated and the blood pressure was taken twice. Polish OLAF charts were used to determine the percentiles of blood pressure.ResultsThe incidence of kidney and urinary tract defects in the study group was significantly higher than in the control group (OR: 2.64 [1.60–4.34]). The kidney size among FASD patients was significantly lower (73 mm [60–83] vs. 83 mm [70–96]; p < .001) when compared to the control group. No differences were observed in the estimated glomerular filtration rate. In the study group, significantly lower systolic blood, diastolic blood pressure, percentile of systolic pressure, and diastolic pressure were observed.ConclusionsRUTA occurred more frequently among patients with FASD compared to the control group, and decreased kidney size was also demonstrated among patients with FASD. However, impaired kidney function and the risk of hypertension were not observed.

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Incontinence in persons with fetal alcohol spectrum disorders: a polish cohort

Cited by 3 publications

References 24 publications

Factors to be considered as part of a holistic assessment for fetal alcohol spectrum disorder: A scoping review

Factors to be considered as part of a holistic assessment for fetal alcohol spectrum disorder: A scoping review

Sleep problems among children with Fetal Alcohol Spectrum Disorders (FASD)- an explorative study

Increased incidence of renal and urinary tract anomalies among individuals with fetal alcohol spectrum disorders (FASD)

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