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Does the development and use of modern disposable diapers affect bladder control? A systematic review
A Breinbjerg1, S Rittig1, K Kamperis1
1The Department of Child and Adolescent Health, Aarhus University Hospital, Aarhus, Denmark.
Journal of Pediatric Urology
|June 8, 2021
Summary
Modern disposable diapers (DD) may be linked to delayed toilet training (TT) and childhood urinary incontinence. However, current research is insufficient to confirm this association, necessitating further investigation.
Area of Science:
- Pediatrics
- Urology
- Public Health
Background:
- Modern disposable diapers (DD) have become standard, replacing cloth diapers due to convenience.
- There is a concurrent trend of increasing age for initiating toilet training (TT).
Purpose of the Study:
- To investigate the potential relationship between disposable diaper usage and trends in toilet training.
- To explore the association between diapering and childhood urinary incontinence, specifically enuresis.
Main Methods:
- A systematic literature search was performed using PubMed and Embase databases.
- Initial searches yielded 578 studies; after removing duplicates and screening, eight studies were deemed eligible.
- No prospective intervention studies specifically addressing diapering's effect on enuresis were found.
Main Results:
- The reviewed studies indicated a potential tendency for diaper use to be associated with delayed continence acquisition in children.
- However, the existing literature is inadequate to draw definitive conclusions.
Conclusions:
- The current body of evidence does not allow for secure conclusions regarding the effect of disposable diapers on continence.
- Prospective randomized studies are required to definitively evaluate the impact of diapering on childhood incontinence and enuresis.
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