An Epidemiologic Study of Voiding and Bowel Habits in Korean Children: A Nationwide Multicenter Study

Title
An Epidemiologic Study of Voiding and Bowel Habits in Korean Children: A Nationwide Multicenter Study
Author(s)
박용훈정재민[정재민]이상돈[이상돈]강동일[강동일]권동덕[권동덕]김건석[김건석]김수영[김수영]김한권[김한권]문두건[문두건]박관현[박관현]배기수[배기수]서홍진[서홍진]이정원[이정원]조원열[조원열]하태선[하태선]한상원[한상원]
Keywords
URINARY-TRACT-INFECTIONS; PELVIC-FLOOR THERAPY; OVERACTIVE BLADDER; CHILDHOOD; INCONTINENCE; CONSTIPATION; PREVALENCE; SYMPTOMS; ENURESIS; DYSFUNCTION
Issue Date
201007
Publisher
ELSEVIER SCIENCE INC
Citation
UROLOGY, v.76, no.1, pp.215 - 219
Abstract
OBJECTIVES To evaluate the prevalence of abnormal voiding and bowel habits in healthy children, and to identify possible relationships between personal and familial factors and voiding and/or bowel habits. METHODS A randomly selected cross-sectional study was conducted in 19 240 children (5-13 years old) nationwide in the Republic of Korea. Parents were asked to complete questionnaires, which included items about nocturnal enuresis, daytime dysfunctional voiding symptoms (DVSs), and abnormal bowel habits (ABHs). Rates and associated factors were investigated. RESULTS The overall rates of DVS, ABH, and of both were 46.4%, 31.3%, and 18.4%, respectively, and nocturnal enuresis was reported in 919 (5.6%). Daytime dysfunctional voiding symptoms were as follows: increased voiding frequency in 419 (2.5%), decreased voiding frequency in 720 (4.4%), urgency in 2740 (16.6%), daytime incontinence in 1854 (11.2%), urge incontinence in 2775 (16.8%), and holding maneuvers or postponed voiding in 3888 (23.5%). ABHs were as follows: constipation by frequency in 1103 (6.7%), constipation by the Bristol scale in 1941 (11.8%), fecal incontinence in 1293 (7.8%), and difficult or painful defecation in 2609 (15.8%). Delayed stool control, history of urinary tract infection, and a double-income family were positively associated with DVS or ABH or both. Furthermore, fathers with a low level of education and a low income were found to be associated with higher risk of ABH or DVS or both. CONCLUSIONS Delayed stool control, a history of urinary tract infection, a low paternal level of education, a double-income family, and a lower family income had a negative effect on voiding or bowel habits in children. UROLOGY 76: 215-219, 2010. (C) 2010 Elsevier Inc.
URI
http://hdl.handle.net/YU.REPOSITORY/22177http://dx.doi.org/10.1016/j.urology.2009.12.022
ISSN
0090-4295
Appears in Collections:
의과대학 > 소아청소년과학교실 > Articles
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