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Lower Urinary Tract Symptoms in Older Children With and Without Diabetes Mellitus

Maryellen S Kelly1, Jonathan C Routh1, Leah G Davis1

  • 11 Duke University Medical Center, Durham, NC, USA.

Clinical Pediatrics
|August 28, 2018
PubMed

Insights

Lower urinary tract symptoms (LUTS) are common in children, especially those with diabetes mellitus (DM). Hispanic/Latino ethnicity and DM increase LUTS risk in pediatric patients.

Area of Science:

  • Pediatrics
  • Endocrinology
  • Urology

Background:

  • Lower urinary tract symptoms (LUTS) are an underrecognized complication of diabetes mellitus (DM) in adults.
  • Limited research exists on LUTS in pediatric populations, particularly concerning DM's impact.

Purpose of the Study:

  • To estimate the prevalence of LUTS in children aged 11-17 with and without DM.
  • To identify patient factors associated with LUTS in this age group.

Main Methods:

  • A cohort of 120 children (11-17 years) completed a validated LUTS measure.
  • Data collected included age, ethnicity, gender, BMI, and LUTS bother.
  • Logistic regression analysis was used to identify associated factors.

Main Results:

  • The overall prevalence of LUTS was 20.87%.
  • LUTS were twice as prevalent in children with DM (33.3%) compared to those without DM (16.7%).
  • Hispanic/Latino ethnicity showed a significant positive association with LUTS (OR=8.45, P=.011).

Conclusions:

  • LUTS represent a prevalent yet underrecognized condition in older children.
  • Children with DM and those of Hispanic/Latino ethnicity are at higher risk for LUTS.

Keywords:
childrendiabeteslower urinary tract symptomspediatric

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