Micturition habits and incontinence in 7-year-old Swedish school entrants

Hellström, Anna‐Lena; Hanson, E.; Hansson, Sverker; Hjälmås, K; Jodal, Ulf

doi:10.1007/bf02009667

Cited by 310 publications

(183 citation statements)

References 12 publications

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“…Age (years) Urinary incontinence, holding maneuvers and dysuria were more common among girls and enuresis among boys, as has been described in international studies of schoolchildren from 4 to 7 years in Sweden and Australia. 2,12 A high prevalence was observed of urinary symptoms related to bladder hyperactivity (incontinence, holding maneuvers, urinary urgency) which reduced with age, except for holding maneuvers which are honed as the years pass. 6 Holding maneuvers cause urine reflux via the urethra into the bladder, predisposing towards repeated UTIs and, in children suffering from vesicoureteral reflux, increase bladder pressure, resulting in the vesicoureteral reflux persisting.…”

Section: Discussionmentioning

confidence: 99%

“…Prevalence rates of enuresis and diurnal urinary incontinence are generally investigated in samples of schoolchildren and adolescents, [1][2][3][4][5] with population-based studies being scarce. In the medical literature there are variations in the frequencies of urinary symptoms and their dysfunctions, probably due to differences in symptom definition and data collection methods (type of questionnaire, location of data collection, study population).…”

Section: Introductionmentioning

confidence: 99%

“…2 The objective of this study was to investigate micturition habits and dysfunctions in a population sample of children from 3 to 9 years old living in an urban area in the South of Brazil.…”

Section: Introductionmentioning

confidence: 99%

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

Mota¹,

Victora²,

Hallal³

2005

J. Pediatr. (Rio J.)

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Objective: To describe voiding patterns and related dysfunctions in a population-based sample of children aged 3 to 9 years. Methods:A cross-sectional population-based survey including 580 children. A probabilistic sample of households in the urban area of Pelotas in southern Brazil was selected following a multiple-stage protocol. Voiding and fecal patterns were investigated using the dysfunction score created by Farhat et al. and modified by the addition of high urinary frequency (more than eight times a day). Boys with scores above eight and girls above five were clinically investigated, as well as a sub-sample of the remaining children.Results: Nocturia (60.4%), urinary urgency (49.7%) and holding maneuvers (42.1%) were the most frequently reported symptoms. The prevalence of enuresis was 20.1% in boys and 15.1% in girls. The prevalence of urinary dysfunction was 22.8%. Most symptoms were more frequently reported by girls and younger children. Among girls, low socioeconomic level was related to an increased prevalence of enuresis and straining to urinate, while among boys urgency was more common among the poor. Only 10.5% of the parents of the children with voiding dysfunction consulted a doctor because of their problems. Conclusions:The voiding symptoms studied presented high prevalence rates, and therefore should be investigated in clinical practice, with direct questions about each symptom, aiming to diagnose voiding dysfunction.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Mota¹,

Victora²,

Hallal³

2005

J. Pediatr. (Rio J.)

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“…Literature has consistently found female gender to be a risk factor for daytime UI in children. 5,22,23 Our finding suggests that the gender association with daytime UI extends from childhood to adolescence. There are inconsistencies in the paediatric literature with respect to gender differences in voiding symptoms.…”

Section: Discussionmentioning

confidence: 55%

Population-based survey of the prevalence of lower urinary tract symptoms in adolescents with and without psychotropic substance abuse

Tam¹,

Ng²,

Wong³

et al. 2016

Hong Kong Med J

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Objective: To investigate the prevalence of lower urinary tract symptoms in adolescents and the effects of psychotropic substance use. Methods:This was a population-based crosssectional survey using a validated questionnaire in students from 45 secondary schools in Hong Kong randomly selected over the period of January 2012 to January 2014. A total of 11 938 secondary school students (response rate, 74.6%) completed and returned a questionnaire that was eligible for analysis. Individual lower urinary tract symptoms and history of psychotropic substance abuse were documented.Results: In this study, 11 617 non-substance abusers were regarded as control subjects and 321 (2.7%) were psychotropic substance users. Among the control subjects, 2106 (18.5%) had experienced at least one lower urinary tract symptom with urinary frequency being the most prevalent symptom (10.2%). Females had more daytime urinary incontinence (P<0.001) and males had more voiding symptoms (P=0.01). Prevalence of lower urinary tract symptoms increased with age from 13.9% to 25.8% towards young adulthood and age of ≥18 years (P<0.001). Among the substance users, ketamine was most commonly abused. Substance users had significantly more lower urinary tract symptoms than control subjects (P<0.001). In multivariate analysis, increasing age and psychotropic substance population have incurred significant costs to the health care system. In children, the association of LUTS with urinary tract infection, persistent vesicoureteric reflux, renal scarring, and constipation have drawn substantial attention over the years. 3,4 Among various LUTSs, urinary incontinence (UI) has been most extensively investigated in children with the reported prevalence varying from 1.8% to ORIGINAL ARTICLE abuse increased the odds for lower urinary tract symptoms. Non-ketamine substance users and ketamine users were respectively 2.8-fold (95% confidence interval, 2.0-3.9) and 6.2-fold (4.1-9.1) more likely than control subjects to develop lower urinary tract symptoms. Females (odds ratio=9.9; 95% confidence interval, 5.4-18.2) were more likely to develop lower urinary tract symptoms than males (4.2; 2.5-7.1) when ketamine was abused. Conclusions:Lower urinary tract symptoms are prevalent in the general adolescent population. It is important to obtain an accurate history regarding psychotropic substance use when treating teenagers with lower urinary tract symptoms.

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“…26 Assessing the child with relation to maturation of the urinary and intestinal tracts, we know that it is not possible to accelerate the development and myelination of nerve fibers, which are necessary to acquire this control, and that the child needs cognitive development to be able to understand the mechanisms involved in acquisition of urinary habits, and also how to adapt to the local culture and socialize. 29 Another important factor that should be mentioned is related to voiding dysfunction. It is known that voiding dysfunction has been increasing gradually and that this is related to inappropriate micturition and evacuation patterns.…”

Section: Discussionmentioning

confidence: 99%

Aquisição do controle esfincteriano em uma coorte de nascimentos: situação aos 2 anos de idade

Mota¹,

Barros²

2008

J. Pediatr. (Rio J.)

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Objectives: Acquisition of bladder and bowel control is influenced by physiological, psychological and sociocultural factors. The objective of this study was to evaluate the prevalence of children out of diapers by 24 months of age and the factors associated with this finding.Methods: A total of 3,281 children born in Pelotas, RS, Brazil in 2004 were enrolled on a longitudinal study. At 24 months their mothers were visited at home and replied to a questionnaire containing questions about sociodemographic data and the characteristics of their children's urinary and intestinal evacuation habits, with special attention to toilet training. Multivariate analyses were carried out using Poisson regression.Results: From the total, 24.3% were out of diapers during the day, with the female sex predominating (27.8 vs.21.1%, p < 0.001) and 8.6% were out of diapers at night, also with the female sex predominating (10.6 vs. 6.8%, p < 0.001). The abilities needed to start toilet training were present in 85.5% of the children. Guidance was received from a pediatrician in 10% of cases, and more frequently among richer mothers than among poorer mothers (22.9 vs. 4.8%).Mothers who spent more years in education (13.2%) and were from higher social classes (14%) took their children out of diapers later; a greater number of children living at home (relative risk = 1.32) and being able to communicate the need to go to the toilet (relative risk = 11.74) both increased the probability of being out of diapers; previous unsuccessful attempts delayed removal of diapers (relative risk = 0.59). Conclusions:Although the abilities needed for acquisition of bladder and bowel control were already present at 24 months, indicating that toilet training could be started, the majority of children had not yet started this training.Better-informed mothers delayed training the most.J Pediatr (Rio J). 2008;84(5):455-462: Toilet training, children, bladder control, bowel control, voiding dysfunction.

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Micturition habits and incontinence in 7-year-old Swedish school entrants

Cited by 310 publications

References 12 publications

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

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

Population-based survey of the prevalence of lower urinary tract symptoms in adolescents with and without psychotropic substance abuse

Aquisição do controle esfincteriano em uma coorte de nascimentos: situação aos 2 anos de idade

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