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Prevalence rates for constipation and faecal and urinary incontinence
1Children's Hospital, JCP 2555, University of Iowa, 200 Hawkins Drive, Iowa City, IA 52242, USA. vera-loening-baucke@uiowa.edu
Archives of Disease in Childhood
|July 22, 2006
Summary
Constipation affects over 22% of children in US primary care, with higher rates of fecal and urinary incontinence also observed in these children. Boys with constipation showed increased fecal incontinence compared to girls.
Area of Science:
- Pediatrics
- Gastroenterology
- Urology
Background:
- Constipation, fecal incontinence, and urinary incontinence are common pediatric issues.
- Understanding their prevalence in primary care is crucial for early intervention.
Purpose of the Study:
- To determine the prevalence of constipation, fecal incontinence, and urinary incontinence in US primary care.
- To explore the association between constipation and incontinence in children.
Main Methods:
- Retrospective chart review of 482 children aged 4-17 years in US primary care clinics.
- Data collected over a 6-month period, focusing on diagnoses of constipation, fecal, and urinary incontinence.
Main Results:
- Prevalence rates: constipation (22.6%), fecal incontinence (4.4%), urinary incontinence (10.5%).
- Constipation was functional in 18% and acute in 4.6% of cases.
- Incontinence (fecal and urinary) was significantly more common in children with constipation.
Conclusions:
- Established prevalence rates for constipation and incontinence in a US primary care setting.
- Constipation is a significant risk factor for both fecal and urinary incontinence in children.
- Boys with constipation experienced higher rates of fecal incontinence than girls.
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