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The relationship between urinary incontinence and obesity in childhood

Krista Monkhouse1, Patrina Hy Caldwell2,3, Elizabeth H Barnes2,4

  • 1Department of Paediatrics, John Hunter Childrens Hospital, New South Wales, Australia.

Journal of Paediatrics and Child Health
|October 18, 2018
PubMed

Insights

Incontinence in children is not linked to weight. This study found no association between a child's weight category and the type or frequency of urinary incontinence (UI).

Area of Science:

  • Pediatric Urology
  • Clinical Pediatrics
  • Obesity Research

Background:

  • Urinary incontinence (UI) is a common condition in children presenting to specialist clinics.
  • The role of weight and obesity in pediatric UI requires further investigation.
  • Understanding associations can inform clinical management and public health strategies.

Purpose of the Study:

  • To investigate the relationship between body weight and the characteristics of urinary incontinence in children.
  • To determine if weight status influences the type or frequency of daytime urinary incontinence (DUI) and nocturnal enuresis (NE).

Main Methods:

  • Retrospective review of 862 children's medical records from a tertiary hospital incontinence clinic (2004-2014).
  • Data collected included weight, height, age, gender, UI type/frequency, and bowel habits.
  • Statistical analyses (chi-squared tests, logistic regression) examined associations between weight categories and UI outcomes.

Main Results:

  • 28% of the study cohort were overweight or obese.
  • No significant differences in the prevalence or frequency of nocturnal enuresis (NE) or daytime urinary incontinence (DUI) were observed between underweight/normal weight and overweight/obese children.
  • Specific findings: NE (34% vs. 39%), DUI (7% vs. 9%), combined NE/DUI (58% vs. 52.1%), NE frequency (83% vs. 82%), DUI frequency (52% vs. 58%).

Conclusions:

  • In a large cohort of children attending a specialist incontinence clinic, body weight was not found to be associated with the type or frequency of urinary incontinence.
  • These findings suggest that weight status is not a primary determinant of UI presentation in this clinical population.
Abstract

Keywords:
childenuresisobesitypaediatricsurinary incontinence

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