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Dysfunctional voiding in children with asthma
Ozge Uysal Soyer1, Betul Kilincoglu, Mine Fedakar Senyucel
1Department of Pediatrics Allergy, Hacettepe University, School of Medicine, Ankara 06100, Turkey. ozgeusoyer@gmail.com
Archives of Disease in Childhood
|February 5, 2013
Summary
Children with asthma, especially those under 6, have a significantly higher risk of dysfunctional voiding (DV). Asthma increases the likelihood of these urinary symptoms in young children.
Area of Science:
- Pediatrics
- Urology
- Allergy & Immunology
Background:
- Dysfunctional voiding (DV) encompasses voiding symptoms and urinary incontinence.
- Asthma is a common childhood condition with potential systemic effects.
- The relationship between asthma and DV in children requires further investigation.
Purpose of the Study:
- To determine the prevalence of suspected dysfunctional voiding (DV) in children with asthma.
- To identify risk factors associated with DV in pediatric asthma patients.
- To compare DV prevalence and symptoms between children with and without asthma.
Main Methods:
- A prospective study design was employed.
- Participants included children aged 4-10 years with asthma (n=178) and healthy controls (n=197).
- The Dysfunctional Voiding and Incontinence Scoring System (DVISS) was administered, alongside demographic and asthma-related data collection.
Main Results:
- Suspected DV was significantly more prevalent in children with asthma (27.9%) compared to healthy children (6.6%) under 6 years old (p=0.001).
- Asthma was associated with a 5.7-fold increased risk of suspected DV in younger children (OR=5.7).
- Older children with asthma showed similar DV prevalence but higher frequencies of urgency and urinary frequency.
Conclusions:
- Asthma is linked to a higher prevalence of dysfunctional voiding symptoms in younger children (under 6) who have completed toilet training.
- In older children with asthma, symptoms like urinary frequency and urgency are more prominent.
- These findings highlight the importance of screening for DV in children with asthma, particularly younger ones.
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