Behavioral comorbidity, overweight, and obesity in children with incontinence: An analysis of 1638 cases
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 o...
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| Veröffentlicht in: | Neurourology and urodynamics 2020-09, Vol.39 (7), p.1985-1993 |
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| container_title | Neurourology and urodynamics |
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| creator | Gontard, Alexander Mattheus, Hannah Anagnostakou, Aikaterini Sambach, Heike Breuer, Michaela Kiefer, Kathrin Holländer, Teresa Hussong, Justine |
| description | 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_str_mv | 10.1002/nau.24451 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2435185809</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2435185809</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3531-53d3c917c79988b6d92c3b9bd2adb4e8c6271f5f903cfc64171c74c482171c843</originalsourceid><addsrcrecordid>eNp10E1LwzAYB_Agis7pwS8gAS8KVvPapN6m-AaiF3cuaZraSJdo0m7s2xu36UHwlIc8P_48_AE4wugCI0QunRouCGMcb4ER5gRluRBiG4yQoDQjLBd7YD_Gd4SQpKzYBXuUSJRLSUagvTatmlsfVAe1n_lQ2dr2y3Po5yYsjH1r-3OoXA19ZWJaQOugbm1XB-PgwvZt-tDe9dYZp80VnLikVbeMNkLfQJxTCbWKJh6AnUZ10Rxu3jGY3t2-3jxkTy_3jzeTp0xTTnHGaU11gYUWRSFlldcF0bQqqpqoumJG6pwI3PCmQFQ3OmdYYC2YZpJ8T5LRMThd534E_zmY2JczG7XpOuWMH2JJGOVYcomKRE_-0Hc_hHT9SmHBkeQ0qbO10sHHGExTfgQ7U2FZYlR-11-m-stV_ckebxKHambqX_nTdwKXa7CwnVn-n1Q-T6bryC-bYI1g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2431750853</pqid></control><display><type>article</type><title>Behavioral comorbidity, overweight, and obesity in children with incontinence: An analysis of 1638 cases</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Gontard, Alexander ; Mattheus, Hannah ; Anagnostakou, Aikaterini ; Sambach, Heike ; Breuer, Michaela ; Kiefer, Kathrin ; Holländer, Teresa ; Hussong, Justine</creator><creatorcontrib>Gontard, Alexander ; Mattheus, Hannah ; Anagnostakou, Aikaterini ; Sambach, Heike ; Breuer, Michaela ; Kiefer, Kathrin ; Holländer, Teresa ; Hussong, Justine</creatorcontrib><description>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.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.24451</identifier><identifier>PMID: 32806882</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Attention deficit hyperactivity disorder ; behavior ; Body weight ; CBCL ; Child ; Child Behavior Disorders - epidemiology ; Child Behavior Disorders - psychology ; Children ; Comorbidity ; daytime urinary incontinence ; Diurnal Enuresis - complications ; Enuresis ; Enuresis - epidemiology ; Enuresis - psychology ; Fecal incontinence ; Fecal Incontinence - epidemiology ; Fecal Incontinence - psychology ; Female ; Humans ; International Classification of Diseases ; Male ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - psychology ; Nocturnal ; Obesity ; Obesity - epidemiology ; Obesity - psychology ; Overweight ; Overweight - epidemiology ; Overweight - psychology ; Prospective Studies ; psychiatric diagnoses ; Risk factors ; Surveys and Questionnaires ; Urinary incontinence ; Urinary Incontinence - epidemiology ; Urinary Incontinence - psychology</subject><ispartof>Neurourology and urodynamics, 2020-09, Vol.39 (7), p.1985-1993</ispartof><rights>2020 Wiley Periodicals, Inc.</rights><rights>2020 Wiley Periodicals LLC</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3531-53d3c917c79988b6d92c3b9bd2adb4e8c6271f5f903cfc64171c74c482171c843</citedby><cites>FETCH-LOGICAL-c3531-53d3c917c79988b6d92c3b9bd2adb4e8c6271f5f903cfc64171c74c482171c843</cites><orcidid>0000-0002-3130-1485 ; 0000-0002-3579-6200</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.24451$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.24451$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32806882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gontard, Alexander</creatorcontrib><creatorcontrib>Mattheus, Hannah</creatorcontrib><creatorcontrib>Anagnostakou, Aikaterini</creatorcontrib><creatorcontrib>Sambach, Heike</creatorcontrib><creatorcontrib>Breuer, Michaela</creatorcontrib><creatorcontrib>Kiefer, Kathrin</creatorcontrib><creatorcontrib>Holländer, Teresa</creatorcontrib><creatorcontrib>Hussong, Justine</creatorcontrib><title>Behavioral comorbidity, overweight, and obesity in children with incontinence: An analysis of 1638 cases</title><title>Neurourology and urodynamics</title><addtitle>Neurourol Urodyn</addtitle><description>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.</description><subject>Attention deficit hyperactivity disorder</subject><subject>behavior</subject><subject>Body weight</subject><subject>CBCL</subject><subject>Child</subject><subject>Child Behavior Disorders - epidemiology</subject><subject>Child Behavior Disorders - psychology</subject><subject>Children</subject><subject>Comorbidity</subject><subject>daytime urinary incontinence</subject><subject>Diurnal Enuresis - complications</subject><subject>Enuresis</subject><subject>Enuresis - epidemiology</subject><subject>Enuresis - psychology</subject><subject>Fecal incontinence</subject><subject>Fecal Incontinence - epidemiology</subject><subject>Fecal Incontinence - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>International Classification of Diseases</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - psychology</subject><subject>Nocturnal</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Obesity - psychology</subject><subject>Overweight</subject><subject>Overweight - epidemiology</subject><subject>Overweight - psychology</subject><subject>Prospective Studies</subject><subject>psychiatric diagnoses</subject><subject>Risk factors</subject><subject>Surveys and Questionnaires</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - epidemiology</subject><subject>Urinary Incontinence - psychology</subject><issn>0733-2467</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10E1LwzAYB_Agis7pwS8gAS8KVvPapN6m-AaiF3cuaZraSJdo0m7s2xu36UHwlIc8P_48_AE4wugCI0QunRouCGMcb4ER5gRluRBiG4yQoDQjLBd7YD_Gd4SQpKzYBXuUSJRLSUagvTatmlsfVAe1n_lQ2dr2y3Po5yYsjH1r-3OoXA19ZWJaQOugbm1XB-PgwvZt-tDe9dYZp80VnLikVbeMNkLfQJxTCbWKJh6AnUZ10Rxu3jGY3t2-3jxkTy_3jzeTp0xTTnHGaU11gYUWRSFlldcF0bQqqpqoumJG6pwI3PCmQFQ3OmdYYC2YZpJ8T5LRMThd534E_zmY2JczG7XpOuWMH2JJGOVYcomKRE_-0Hc_hHT9SmHBkeQ0qbO10sHHGExTfgQ7U2FZYlR-11-m-stV_ckebxKHambqX_nTdwKXa7CwnVn-n1Q-T6bryC-bYI1g</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Gontard, Alexander</creator><creator>Mattheus, Hannah</creator><creator>Anagnostakou, Aikaterini</creator><creator>Sambach, Heike</creator><creator>Breuer, Michaela</creator><creator>Kiefer, Kathrin</creator><creator>Holländer, Teresa</creator><creator>Hussong, Justine</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3130-1485</orcidid><orcidid>https://orcid.org/0000-0002-3579-6200</orcidid></search><sort><creationdate>202009</creationdate><title>Behavioral comorbidity, overweight, and obesity in children with incontinence: An analysis of 1638 cases</title><author>Gontard, Alexander ; Mattheus, Hannah ; Anagnostakou, Aikaterini ; Sambach, Heike ; Breuer, Michaela ; Kiefer, Kathrin ; Holländer, Teresa ; Hussong, Justine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3531-53d3c917c79988b6d92c3b9bd2adb4e8c6271f5f903cfc64171c74c482171c843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Attention deficit hyperactivity disorder</topic><topic>behavior</topic><topic>Body weight</topic><topic>CBCL</topic><topic>Child</topic><topic>Child Behavior Disorders - epidemiology</topic><topic>Child Behavior Disorders - psychology</topic><topic>Children</topic><topic>Comorbidity</topic><topic>daytime urinary incontinence</topic><topic>Diurnal Enuresis - complications</topic><topic>Enuresis</topic><topic>Enuresis - epidemiology</topic><topic>Enuresis - psychology</topic><topic>Fecal incontinence</topic><topic>Fecal Incontinence - epidemiology</topic><topic>Fecal Incontinence - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>International Classification of Diseases</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - psychology</topic><topic>Nocturnal</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Obesity - psychology</topic><topic>Overweight</topic><topic>Overweight - epidemiology</topic><topic>Overweight - psychology</topic><topic>Prospective Studies</topic><topic>psychiatric diagnoses</topic><topic>Risk factors</topic><topic>Surveys and Questionnaires</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - epidemiology</topic><topic>Urinary Incontinence - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gontard, Alexander</creatorcontrib><creatorcontrib>Mattheus, Hannah</creatorcontrib><creatorcontrib>Anagnostakou, Aikaterini</creatorcontrib><creatorcontrib>Sambach, Heike</creatorcontrib><creatorcontrib>Breuer, Michaela</creatorcontrib><creatorcontrib>Kiefer, Kathrin</creatorcontrib><creatorcontrib>Holländer, Teresa</creatorcontrib><creatorcontrib>Hussong, Justine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gontard, Alexander</au><au>Mattheus, Hannah</au><au>Anagnostakou, Aikaterini</au><au>Sambach, Heike</au><au>Breuer, Michaela</au><au>Kiefer, Kathrin</au><au>Holländer, Teresa</au><au>Hussong, Justine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Behavioral comorbidity, overweight, and obesity in children with incontinence: An analysis of 1638 cases</atitle><jtitle>Neurourology and urodynamics</jtitle><addtitle>Neurourol Urodyn</addtitle><date>2020-09</date><risdate>2020</risdate><volume>39</volume><issue>7</issue><spage>1985</spage><epage>1993</epage><pages>1985-1993</pages><issn>0733-2467</issn><eissn>1520-6777</eissn><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.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32806882</pmid><doi>10.1002/nau.24451</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3130-1485</orcidid><orcidid>https://orcid.org/0000-0002-3579-6200</orcidid></addata></record> |
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| issn | 0733-2467 1520-6777 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Attention deficit hyperactivity disorder behavior Body weight CBCL Child Child Behavior Disorders - epidemiology Child Behavior Disorders - psychology Children Comorbidity daytime urinary incontinence Diurnal Enuresis - complications Enuresis Enuresis - epidemiology Enuresis - psychology Fecal incontinence Fecal Incontinence - epidemiology Fecal Incontinence - psychology Female Humans International Classification of Diseases Male Mental disorders Mental Disorders - epidemiology Mental Disorders - psychology Nocturnal Obesity Obesity - epidemiology Obesity - psychology Overweight Overweight - epidemiology Overweight - psychology Prospective Studies psychiatric diagnoses Risk factors Surveys and Questionnaires Urinary incontinence Urinary Incontinence - epidemiology Urinary Incontinence - psychology |
| title | Behavioral comorbidity, overweight, and obesity in children with incontinence: An analysis of 1638 cases |
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