학술논문
Early Behavioral Risks of Childhood and Adolescent Daytime Urinary Incontinence and Nocturnal Enuresis.
Document Type
Academic Journal
Author
Vasconcelos MMA; Department of Pediatrics, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; †Department of Pediatrics, University of California, San Diego, La Jolla, CA; ‡Department of Reproductive Medicine, University of California, San Diego, La Jolla, CA; §Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile; ‖Center for Human Growth, University of Michigan, Ann Arbor, MI.; East P; Blanco E; Lukacz ES; Caballero G; Lozoff B; Gahagan S
Source
Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8006933 Publication Model: Print Cited Medium: Internet ISSN: 1536-7312 (Electronic) Linking ISSN: 0196206X NLM ISO Abbreviation: J Dev Behav Pediatr Subsets: MEDLINE
Subject
Language
English
Abstract
Objective: To investigate whether infant temperament and childhood internalizing, externalizing, and inattention symptoms increase the likelihood of daytime urinary incontinence or nocturnal enuresis at 10 years and adolescence (11.9-17.8 years).
Method: Data were from a longitudinal cohort of 1119 healthy Chilean children. We assessed behavioral symptoms at infancy, 5 years, and 10 years and their relationship with subsequent daytime urinary incontinence and nocturnal enuresis.
Results: Daytime urinary incontinence and nocturnal enuresis occurred in, respectively, 3.3% and 11.4% at 10 years and 1.1% and 2.7% at adolescence. Difficult infant temperament was associated with increased odds of 10-year daytime urinary incontinence. Inattention at 5 years was associated with increased odds for nocturnal enuresis at 10 years and adolescence. Internalizing and externalizing symptoms at 5 years were associated with increased odds of 10-year daytime urinary incontinence and nocturnal enuresis. Internalizing and externalizing symptoms at 10 years were associated with adolescent nocturnal enuresis.
Conclusion: Temperament and internal/externalizing symptoms may be risk factors for school-age and adolescent urinary incontinence.
Method: Data were from a longitudinal cohort of 1119 healthy Chilean children. We assessed behavioral symptoms at infancy, 5 years, and 10 years and their relationship with subsequent daytime urinary incontinence and nocturnal enuresis.
Results: Daytime urinary incontinence and nocturnal enuresis occurred in, respectively, 3.3% and 11.4% at 10 years and 1.1% and 2.7% at adolescence. Difficult infant temperament was associated with increased odds of 10-year daytime urinary incontinence. Inattention at 5 years was associated with increased odds for nocturnal enuresis at 10 years and adolescence. Internalizing and externalizing symptoms at 5 years were associated with increased odds of 10-year daytime urinary incontinence and nocturnal enuresis. Internalizing and externalizing symptoms at 10 years were associated with adolescent nocturnal enuresis.
Conclusion: Temperament and internal/externalizing symptoms may be risk factors for school-age and adolescent urinary incontinence.