儿童及青少年日间尿失禁和夜间遗尿症的早期行为风险
Early Behavioral Risks of Childhood and Adolescent Daytime Urinary Incontinence and Nocturnal Enuresis.
作者信息
Vasconcelos Monica M A, East Patricia, Blanco Estela, Lukacz Emily S, Caballero Gabriela, Lozoff Betsy, Gahagan Sheila
机构信息
*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.
出版信息
J Dev Behav Pediatr. 2017 Nov/Dec;38(9):736-742. doi: 10.1097/DBP.0000000000000516.
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.
目的
探讨婴儿气质以及儿童期内化、外化和注意力不集中症状是否会增加10岁及青春期（11.9 - 17.8岁）日间尿失禁或夜间遗尿的可能性。
方法
数据来自1119名智利健康儿童的纵向队列研究。我们评估了婴儿期、5岁和10岁时的行为症状及其与随后日间尿失禁和夜间遗尿的关系。
结果
10岁时日间尿失禁和夜间遗尿的发生率分别为3.3%和11.4%，青春期分别为1.1%和2.7%。难养型婴儿气质与10岁时日间尿失禁几率增加有关。5岁时注意力不集中与10岁及青春期夜间遗尿几率增加有关。5岁时的内化和外化症状与10岁时日间尿失禁和夜间遗尿几率增加有关。10岁时的内化和外化症状与青春期夜间遗尿有关。
结论
气质以及内化/外化症状可能是学龄期和青春期尿失禁的危险因素。
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