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An epidemiologic study of voiding and bowel habits in Korean children: a nationwide multicenter study

Jae Min Chung1, Sang Don Lee, Dong Ii Kang

  • 1Department of Urology, Kosin University College of Medicine, Busan, Korea.

Urology
|February 19, 2010
PubMed

Insights

Many children experience abnormal voiding and bowel habits (DVSs/ABHs). Factors like delayed stool control, UTIs, and lower socioeconomic status increase risk, impacting pediatric continence.

Area of Science:

  • Pediatric Urology
  • Gastroenterology
  • Public Health

Background:

  • Abnormal voiding and bowel habits are common in children.
  • Understanding prevalence and associated factors is crucial for early intervention.

Purpose of the Study:

  • To determine the prevalence of abnormal voiding and bowel habits in healthy children aged 5-13.
  • To identify personal and familial risk factors associated with these conditions.

Main Methods:

  • A nationwide cross-sectional study of 19,240 children in the Republic of Korea.
  • Parents completed questionnaires on nocturnal enuresis, daytime dysfunctional voiding symptoms (DVSs), and abnormal bowel habits (ABHs).

Main Results:

  • Overall rates: DVS (46.4%), ABH (31.3%), both (18.4%). Nocturnal enuresis affected 5.6%.
  • Common DVSs included holding maneuvers (23.5%) and urgency (16.6%).
  • Common ABHs included difficult/painful defecation (15.8%) and constipation (11.8%).
  • Delayed stool control, history of urinary tract infection (UTI), and double-income families were associated with increased DVS/ABH.
  • Lower paternal education and income correlated with higher risks of DVS/ABH.

Conclusions:

  • Delayed stool control, UTIs, lower paternal education, double-income families, and lower family income negatively impact children's voiding and bowel habits.
  • These findings highlight the need for targeted support and interventions for at-risk children and families.
Abstract

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