Lower Urinary Tract Symptoms in Obese Children

CETIN, NURAN; Sav, Nadide Melike; kılıç yıldırım, gonca

doi:10.20515/otd.1005482

Lower Urinary Tract Symptoms in Obese Children

Nuran ÇETİN, (Eskişehir Osmangazi Üniversitesi, Tıp Fakültesi, Çocuk Nefrolojisi Anabilim Dalı, Eskişehir, Türkiye)

Nadide Melike SAV, (Düzce Üniversitesi, Tıp Fakültesi, Çocuk Nefrolojisi Anabilim Dalı, Düzce, Türkiye)

Gonca KILIÇ YILDIRIM (Eskişehir Osmangazi Üniversitesi, Tıp Fakültesi, Çocuk Beslenme ve Metabolizma Anabilim Dalı, Eskişehir, Türkiye)

Osmangazi Tıp Dergisi

3 2

Yıl: 2022 Cilt: 44 Sayı: 5 Sayfa Aralığı: 672 - 681 Metin Dili: İngilizce DOI: 10.20515/otd.1005482 İndeks Tarihi: 03-10-2022

Lower Urinary Tract Symptoms in Obese Children

Öz:

Lower urinary tract symptoms (LUTS) is very common in childhood. We aimed to investigate the frequency of LUTS in obese, overweight and normal children using voiding dysfunction symptom score validated for Turkish children by Akbal and et al. The children older than five-years-old who were followed in Pediatric Nutrition and Metabolism Outpatient Clinic were included. Children with a body mass index above the 95th percentile were classified as obese. The symptom score was administered face to face to each child and their mothers together. A score ≥9 was defined as lower urinary tract dysfunction (LUTD). A 164 children (62 obese, 52 overweight, 50 normal) were included. Symptom score was significantly higher in obese children than in overweight and normal weight children. (p=0.004, p=000, respectively). Overweight children had higher symptom score than in normal weight children (p=0.037). The frequency of daily urinary incontinence was higher in obese than overweight and normal weight children (p=0.041, p=0.000, respectively). The both obese and overweight children had higher frequencies of urgency and increased urinary frequency than in children with normal weight (p=0.002, p=0.021 for urgency, p=0.000, p=0.037 for increased urinary frequency, respectively). The frequencies of voiding postponement and constipation were higher in the obese children than those of overweight and normal weight (p=0.000, p=0.000 for voiding postponement, p=0.031, p=0.028 for constipation respectively). Obesity is a significant risk factor for LUTD. The questioning LUTS using questionnaire validated by Akbal et al in obese children can help in the early diagnosis of LUTD.

Anahtar Kelime: Children lower urinary tract symptoms obesity voiding dysfunction symptom score

Obez Çocuklarda Alt Üriner Sistem Semptomları

Öz:

Alt üriner sistem semptomları (AÜSS) çocukluk çağında oldukça yaygındır. Biz Akbal ve arkadaşları tarafından Türk çocukları için valide edilmiş işeme disfonksiyonu semptom skorunu kullanarak obez, fazla ve normal kilolu çocuklarda AÜSS sıklığını araştırmayı amaçladık. Çocuk Beslenme ve Metabolizma Polikliniği'nde takip edilen beş yaş üstü çocuklar çalışmaya dahil edildi. Vücut kitle indeksi 95 persentilin üzerinde olan çocuklar obez olarak sınıflandırıldı. Semptom skoru her çocuğa ve annesine yüz yüze birlikte uygulandı. Semptom skoru ≥9 olması alt üriner sistem disfonksiyonu (AÜSD) olarak tanımlandı. Çalışmaya 164 çocuk (62 obez, 52 kilolu, 50 normal) dahil edildi. Obez çocuklarda semptom skoru, aşırı kilolu ve normal kilolu çocuklara göre anlamlı olarak daha yüksekti (sırasıyla p=0,004, p=000). Fazla kilolu çocukların semptom skoru normal kilolu çocuklara göre daha fazla idi (p=0.037). Obezlerde günlük idrar kaçırma sıklığı fazla kilolu ve normal kilolu çocuklara göre daha yaygındı (sırasıyla p=0,041, p=0,000). Hem obez hem de fazla kilolu çocuklarda normal kilolu çocuklara göre daha yüksek aciliyet sıklığı ve artmış idrar sıklığı vardı (sırasıyla, aciliyet için p=0,002, p=0,021, idrar sıklığı artışı için p=0,000, p=0,037). İşemeyi erteleme ve kabızlık sıklıkları obez çocuklarda fazla kilolu ve normal kilolu çocuklara göre daha yüksek bulundu (sırasıyla p=0.000, p=0.000 işemeyi erteleme, p=0.031, p=0.028 kabızlık). Obezite AÜSD için önemli bir risk faktörüdür. Obez çocuklarda Akbal ve arkadaşları tarafından doğrulanan anket kullanılarak AÜSS'nin sorgulanması AÜSD'nin erken teşhisine yardımcı olabilir.

Anahtar Kelime: Çocukluk alt üriner sistem semptomları obezite işeme disfonksiyonu semptom skoru.

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	CETIN N, Sav N, kılıç yıldırım g (2022). Lower Urinary Tract Symptoms in Obese Children. , 672 - 681. 10.20515/otd.1005482
Chicago	CETIN NURAN,Sav Nadide Melike,kılıç yıldırım gonca Lower Urinary Tract Symptoms in Obese Children. (2022): 672 - 681. 10.20515/otd.1005482
MLA	CETIN NURAN,Sav Nadide Melike,kılıç yıldırım gonca Lower Urinary Tract Symptoms in Obese Children. , 2022, ss.672 - 681. 10.20515/otd.1005482
AMA	CETIN N,Sav N,kılıç yıldırım g Lower Urinary Tract Symptoms in Obese Children. . 2022; 672 - 681. 10.20515/otd.1005482
Vancouver	CETIN N,Sav N,kılıç yıldırım g Lower Urinary Tract Symptoms in Obese Children. . 2022; 672 - 681. 10.20515/otd.1005482
IEEE	CETIN N,Sav N,kılıç yıldırım g "Lower Urinary Tract Symptoms in Obese Children." , ss.672 - 681, 2022. 10.20515/otd.1005482
ISNAD	CETIN, NURAN vd. "Lower Urinary Tract Symptoms in Obese Children". (2022), 672-681. https://doi.org/10.20515/otd.1005482

APA	CETIN N, Sav N, kılıç yıldırım g (2022). Lower Urinary Tract Symptoms in Obese Children. Osmangazi Tıp Dergisi, 44(5), 672 - 681. 10.20515/otd.1005482
Chicago	CETIN NURAN,Sav Nadide Melike,kılıç yıldırım gonca Lower Urinary Tract Symptoms in Obese Children. Osmangazi Tıp Dergisi 44, no.5 (2022): 672 - 681. 10.20515/otd.1005482
MLA	CETIN NURAN,Sav Nadide Melike,kılıç yıldırım gonca Lower Urinary Tract Symptoms in Obese Children. Osmangazi Tıp Dergisi, vol.44, no.5, 2022, ss.672 - 681. 10.20515/otd.1005482
AMA	CETIN N,Sav N,kılıç yıldırım g Lower Urinary Tract Symptoms in Obese Children. Osmangazi Tıp Dergisi. 2022; 44(5): 672 - 681. 10.20515/otd.1005482
Vancouver	CETIN N,Sav N,kılıç yıldırım g Lower Urinary Tract Symptoms in Obese Children. Osmangazi Tıp Dergisi. 2022; 44(5): 672 - 681. 10.20515/otd.1005482
IEEE	CETIN N,Sav N,kılıç yıldırım g "Lower Urinary Tract Symptoms in Obese Children." Osmangazi Tıp Dergisi, 44, ss.672 - 681, 2022. 10.20515/otd.1005482
ISNAD	CETIN, NURAN vd. "Lower Urinary Tract Symptoms in Obese Children". Osmangazi Tıp Dergisi 44/5 (2022), 672-681. https://doi.org/10.20515/otd.1005482