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Journals / Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi / 2026 / Volume: 11 Issue: 2

Hypermobility Spectrum Disorders, Functional Constipation and Voiding Dysfunction in School-Aged Children: Are They Related to Each Other?

Okul Çağındaki Çocuklarda Hipermobilite Spektrum Bozuklukları, Fonksiyonel Kabızlık ve İşeme Disfonksiyonu: Birbirleriyle İlişkili midir?

Güneş Işık(Gaziantep Ersin Arslan Resarch and Training Hospital)0000-0002-8532-9168
Elif Sağ(Istanbul University, Faculty of Medicine, Division of Pediatric Gastroenterology, Hepatology and Nutrition,)0000-0003-3069-2872
Ferhat Demir(Istanbul Acıbadem Altunizade Hospital, Pediatric Rheumatology, TURKEY)0000-0001-9801-925X
Murat Çakır0000-0001-8789-8199
Mukaddes Kalyoncu(Karadeniz Technical University Faculty of Medicine)0000-0001-5378-939X
Pages
—
Publication Date
2024-08-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Constipation should be investigated in children suffering from VD and/or urinary tract infections for effective treatment of these diseases.

📌 3 Key Takeaways

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Objective & Hypothesis:Patients suffering from hypermobility spectrum disorders (HSDs) present with problems related to the musculoskeletal system and have generalized joint hypermobility without a diagnosed systemic rheumatological disease.
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Key Findings & Data:In this cross-sectional study, 947 school-aged children (6–15 years old) were included.
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Conclusion & Impact:Constipation should be investigated in children suffering from VD and/or urinary tract infections for effective treatment of these diseases.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Children · Functional Constipation · Hypermobility Spectrum Disorders

Abstract

Patients suffering from hypermobility spectrum disorders (HSDs) present with problems related to the musculoskeletal system and have generalized joint hypermobility without a diagnosed systemic rheumatological disease. HSDs represent an underlying risk factor for many clinical conditions, such as dysfunctional voiding disorders and functional constipation (FC). In this study, we investigated ways to detect the frequency of HSDs, voiding dysfunction (VD), and FC in school-aged children and assessed their relationship with each other. In this cross-sectional study, 947 school-aged children (6–15 years old) were included. A pediatric rheumatologist examined all children using the Beighton Hypermobility Score to diagnose hypermobility. FC was diagnosed by a pediatric gastroenterologist. The dysfunctional voiding and incontinence symptoms score questionnaire was used by a pediatric nephrologist to diagnose VD. VD was more frequently observed in the younger age group, those whose mothers had lower education levels, children from lower-income families, and those with a history of urinary tract infection (p 0.05). Further studies are needed to confirm the hypothesis that problems such as FC and VD are worse in children with hypermobility. Constipation should be investigated in children suffering from VD and/or urinary tract infections for effective treatment of these diseases.

Özet

Hipermobilite spektrum bozuklukları, tanısı konmuş sistemik romatolojik bir hastalık olmaksızın kas-iskelet sistemi bulguları ve yaygın eklem hipermobilitesi ile kendini gösterir. Hipermobilite spektrum bozuklukları, disfonksiyonel işeme bozuklukları ve fonksiyonel kabızlık gibi klinik durumlar için risk oluşturabilir. Amacımız okul çağındaki çocuklarda hipermobilite spektrum bozuklukları, işeme disfonksiyonu ve fonksiyonel kabızlık sıklığını saptamak ve birbirleriyle ilişkilerini değerlendirmektir. Bu kesitsel çalışmaya okul çağındaki 947 çocuk (6–15 yaş) dahil edildi. Bir pediatrik romatolog tüm çocukları hipermobilite tanısı koymak için Beighton Hipermobilite Skoru kullanarak muayene etmiş ve fonksiyonel kabızlık tanısı ise bir pediatrik gastroenterolog tarafından konulmuştur. İşeme disfonksiyonu tanısını koymak için bir pediatrik nefrolog tarafından Disfonksiyonel İşeme ve İnkontinans Semptomları Skorlaması kullanılmıştır. İşeme disfonksiyonu genç yaş grubunda, anne eğitim düzeyi düşük olanlarda, gelir düzeyi düşük olanlarda ve idrar yolu enfeksiyonu öyküsü olanlarda daha sık görüldü (sırasıyla p 0.05). Hipermobilitesi olan çocuklarda fonksiyonel kabızlık ve işeme disfonksiyonu gibi şikayetlerin arttığı hipotezini doğrulamak için daha fazla çalışmaya ihtiyaç vardır. İşeme disfonksiyonu ve/veya idrar yolu enfeksiyonu olan çocuklarda kabızlık sorgulanmalı ve etkin bir şekilde tedavi edilmelidir.

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Cite This Article

Işık, G., Sağ, E., Demir, F., Çakır, M., Kalyoncu, M. (2024). Hypermobility Spectrum Disorders, Functional Constipation and Voiding Dysfunction in School-Aged Children: Are They Related to Each Other?. Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi, Volume: 11 Issue: 2. https://doi.org/10.47572/muskutd.1416077

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