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Titel: Behavioral comorbidity, overweight, and obesity in children with incontinence: An analysis of 1638 cases
VerfasserIn: von Gontard, Alexander
Mattheus, Hannah
Anagnostakou, Aikaterini
Sambach, Heike
Breuer, Michaela
Kiefer, Kathrin
Holländer, Teresa
Hussong, Justine
Sprache: Englisch
Titel: Neurourology and Urodynamics
Bandnummer: 39
Heft: 7
Seiten: 1985-1993
Verlag/Plattform: Wiley
Erscheinungsjahr: 2020
Freie Schlagwörter: behavior
CBCL
children
comorbidity
daytime urinary incontinence
enuresis
fecal incontinence
obesity
overweight
psychiatric diagnoses
DDC-Sachgruppe: 150 Psychologie
610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: Aims Children with nocturnal enuresis (NE), daytime urinary incontinence (DUI), and fecal incontinence (FI) are at risk for behavioral problems, overweight, and obesity. The aim of this study was to analyze the specific behavioral and weight comorbidity in subtypes of incontinence. Methods A total of 1638 consecutive patients presented to a tertiary incontinence clinic from 2012 to 2018 was examined prospectively according to ICCS criteria. Behavioral symptoms were measured with the Child Behavior Checklist (CBCL). Psychiatric disorders were diagnosed according to ICD-10 criteria. Weight categories were calculated according to WHO recommendations. Results The mean age was 7.8 years, 67% of patients were male. Fifty-seven percent had NE (n = 934), 33% DUI (n = 547), and 40% FI (n = 656). Boys had significantly higher rates of NE and FI than girls. Of all children, 39.2% (n = 539) had a clinically relevant CBCL total score. A total of 28.3% (n = 463) had an ICD-10 psychiatric diagnosis, mainly ODD and ADHD, and 28.6% (n = 463) were overweight or obese. Boys were more often affected by behavioral symptoms, psychiatric disorders, and overweight/obesity. Children with NE had the highest rate of overweight/obesity. Except for primary nonmonosymptomatic NE, subtypes of incontinence did not differ regarding behavioral symptoms and weight categories. However, overweight/obesity was significantly associated with behavioral and psychiatric parameters. Conclusions Behavioral symptoms and psychiatric disorders, as well as overweight/obesity are important risk factors associated with incontinence, but the interaction between these factors is complex. In clinical settings, all children with incontinence should be screened with behavioral questionnaires. Also, weight should be measured, and overweight/obesity should be addressed.
DOI der Erstveröffentlichung: 10.1002/nau.24451
URL der Erstveröffentlichung: https://onlinelibrary.wiley.com/doi/full/10.1002/nau.24451
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-363469
hdl:20.500.11880/33010
http://dx.doi.org/10.22028/D291-36346
ISSN: 1520-6777
0733-2467
Datum des Eintrags: 2-Jun-2022
Fakultät: HW - Fakultät für Empirische Humanwissenschaften und Wirtschaftswissenschaft
M - Medizinische Fakultät
Fachrichtung: HW - Psychologie
M - Neurologie und Psychiatrie
Professur: HW - Prof. Dr. Tanja Michael
M - Prof. Dr. Alexander von Gontard
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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