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doi:10.22028/D291-36346
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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