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Journals / Osmangazi Tıp Dergisi / 2026 / Cilt: 44 Sayı: 5

Lower Urinary Tract Symptoms in Obese Children

Obez Çocuklarda Alt Üriner Sistem Semptomları

Nuran Cetın(ESKISEHIR OSMANGAZI UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-5763-9815
Nadide Melike Sav(ESKISEHIR OSMANGAZI UNIVERSITY, SCHOOL OF MEDICINE)0000-0003-1520-6426
Gonca Kılıç Yıldırım(ESKISEHIR OSMANGAZI UNIVERSITY, SCHOOL OF MEDICINE)0000-0001-6769-667X
Pages
672–681
Publication Date
2022-09-29
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AI Summary & Key Takeaways

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

The questioning LUTS using questionnaire validated by Akbal et al in obese children can help in the early diagnosis of LUTD.

📌 3 Key Takeaways

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Objective & Hypothesis:Lower urinary tract symptoms (LUTS) is very common in childhood.
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Key Findings & Data:Children with a body mass index above the 95th percentile were classified as obese.
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Conclusion & Impact:The questioning LUTS using questionnaire validated by Akbal et al in obese children can help in the early diagnosis of LUTD.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Çocukluk · alt üriner sistem semptomları · obezite

Abstract

Lower urinary tract symptoms (LUTS) is very common in childhood. We aimed to investigate the frequency of LUTS in obese, overweight and normal children using voiding dysfunction symptom score validated for Turkish children by Akbal and et al. The children older than five-years-old who were followed in Pediatric Nutrition and Metabolism Outpatient Clinic were included. Children with a body mass index above the 95th percentile were classified as obese. The symptom score was administered face to face to each child and their mothers together. A score ≥9 was defined as lower urinary tract dysfunction (LUTD). A 164 children (62 obese, 52 overweight, 50 normal) were included. Symptom score was significantly higher in obese children than in overweight and normal weight children. (p=0.004, p=000, respectively). Overweight children had higher symptom score than in normal weight children (p=0.037). The frequency of daily urinary incontinence was higher in obese than overweight and normal weight children (p=0.041, p=0.000, respectively). The both obese and overweight children had higher frequencies of urgency and increased urinary frequency than in children with normal weight (p=0.002, p=0.021 for urgency, p=0.000, p=0.037 for increased urinary frequency, respectively). The frequencies of voiding postponement and constipation were higher in the obese children than those of overweight and normal weight (p=0.000, p=0.000 for voiding postponement, p=0.031, p=0.028 for constipation respectively). Obesity is a significant risk factor for LUTD. The questioning LUTS using questionnaire validated by Akbal et al in obese children can help in the early diagnosis of LUTD.

Özet

Alt üriner sistem semptomları (AÜSS) çocukluk çağında oldukça yaygındır. Biz Akbal ve arkadaşları tarafından Türk çocukları için valide edilmiş işeme disfonksiyonu semptom skorunu kullanarak obez, fazla ve normal kilolu çocuklarda AÜSS sıklığını araştırmayı amaçladık. Çocuk Beslenme ve Metabolizma Polikliniği'nde takip edilen beş yaş üstü çocuklar çalışmaya dahil edildi. Vücut kitle indeksi 95 persentilin üzerinde olan çocuklar obez olarak sınıflandırıldı. Semptom skoru her çocuğa ve annesine yüz yüze birlikte uygulandı. Semptom skoru ≥9 olması alt üriner sistem disfonksiyonu (AÜSD) olarak tanımlandı. Çalışmaya 164 çocuk (62 obez, 52 kilolu, 50 normal) dahil edildi. Obez çocuklarda semptom skoru, aşırı kilolu ve normal kilolu çocuklara göre anlamlı olarak daha yüksekti (sırasıyla p=0,004, p=000). Fazla kilolu çocukların semptom skoru normal kilolu çocuklara göre daha fazla idi (p=0.037). Obezlerde günlük idrar kaçırma sıklığı fazla kilolu ve normal kilolu çocuklara göre daha yaygındı (sırasıyla p=0,041, p=0,000). Hem obez hem de fazla kilolu çocuklarda normal kilolu çocuklara göre daha yüksek aciliyet sıklığı ve artmış idrar sıklığı vardı (sırasıyla, aciliyet için p=0,002, p=0,021, idrar sıklığı artışı için p=0,000, p=0,037). İşemeyi erteleme ve kabızlık sıklıkları obez çocuklarda fazla kilolu ve normal kilolu çocuklara göre daha yüksek bulundu (sırasıyla p=0.000, p=0.000 işemeyi erteleme, p=0.031, p=0.028 kabızlık). Obezite AÜSD için önemli bir risk faktörüdür. Obez çocuklarda Akbal ve arkadaşları tarafından doğrulanan anket kullanılarak AÜSS'nin sorgulanması AÜSD'nin erken teşhisine yardımcı olabilir.

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Cite This Article

Cetın, N., Sav, N. M., Yıldırım, G. K. (2022). Lower Urinary Tract Symptoms in Obese Children. Osmangazi Tıp Dergisi, Cilt: 44 Sayı: 5, 672–681. https://doi.org/10.20515/otd.1005482

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References (31)

  1. Hooman N, Hallaji F, Mostafavi SH et al. Correlation between Lower Urinary Tract Scoring System, Behavior Check List, and Bladder Sonography in Children with Lower Urinary Tract Symptoms. Korean J Urol. 2011;52:210-5.
  2. Harari MD, Moulden A. Nocturnal enuresis: what is happening? J Paediatr Child Health. 2000;36:78-81.
  3. Akbal C, Genc Y, Burgu B et al. Dysfunctional voiding and incontinence scoring system: quantitative evaluation of incontinence symptoms in pediatric population. J Urol. 2005;173:969-73.
  4. Oliver JL, Campigotto MJ, Coplen DE et al. Psychosocial comorbidities and obesity are associated with lower urinary tract symptoms in children with voiding dysfunction. J Urol. 2013;190:1511-5.
  5. Neyzi O, Bundak R, Gökçay G et al. Reference Values for Weight, Height, Head Circumference, and Body Mass Index in Turkish Children. J Clin Res Pediatr Endocrinol. 2015;7:280-93.
  6. Austin PF, Bauer S, Bower W et al. The standardization of terminology of bladder function in children and adolescents: update report from the Standardization Committee of the International Children’s Continence Society (ICCS). Neurourol Urodyn. 2016;35:471–81.
  7. Rasquin A, Di Lorenzo C, Forbes D et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. 2006;130:1527-37.
  8. Vaz GT, Vasconcelos MM, Oliveira EA et al. Prevalence of lower urinary tract symptoms in school-age children. Pediatr Nephrol. 2012;27:597-603.
  9. Farhat W, Bagli DJ, Capolicchio G et al. The dysfunctional voiding scoring system: quantitative standardization of dysfunctional voiding symptoms in children. J Urol. 2000;164:1011-5.
  10. Schneider D, Yamamoto A, Barone JG. Evaluation of consistency between physician impression and 3 validated survey instruments for measuring lower urinary tract symptoms in children. J Urol. 2011;186:261-5.
  11. Yüksel S, Yurdakul AÇ, Zencir M et al. Evaluation of lower urinary tract dysfunction in Turkish primary schoolchildren: an epidemiological study. J Pediatr Urol. 2014;10:1181-6.
  12. Erdem E, Lin A, Kogan BA et al. Association of elimination dysfunction and body mass index. J Pediatr Urol. 2006;2:364-7.
  13. Cummings JM, Rodning CB. Urinary stress incontinence among obese women: review of pathophysiology therapy. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11:41-4.
  14. Fraga LGA, Sampaio A, Boa-Sorte N et al. Obesity and lower urinary tract dysfunction in children and adolescents: Further research into new relationships. J Pediatr Urol. 2017;13:387.e1-e6.
  15. Austin PF, Bauer SB, Bower W et al. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the Standardization Committee of the International Children’s Continence Society. J Urol. 2014;191:1863-5.
  16. Franco I. Overactive bladder in children. Nat Rev Urol. 2016;13:520-32.
  17. Chang SJ, Chiang IN, Lin CD et al. Obese children at higher risk for having overactive bladder symptoms: a community-based study. Neurourol Urodyn. 2015;34:123–7.
  18. Wang SG, Yang SS, Chang SJ. Association Between Obesity and Lower Urinary Tract Symptoms Among Children and Adolescents: A Community-Based Study. Front Pediatr. 2021;9:609057.
  19. Franco I. Functional Bladder Problems in Children. Pediatr Clin N Am. 2012;59:783–817.
  20. Rudaitis Pundziene B, Jievaltas M, Uktveris R et al. Recurrent urinary tract infection in girls: do urodynamic behavioral and functional abnormalities play a role. J Nephrol. 2009;22:766–3.
  21. Lettgen B, von Gontard A, Olbing H et al. Urge incontinence and voiding postponement in children: somatic and psychosocial factors. Acta Paediatr. 2002;91:978–84.
  22. Vo M, Lau J, Rubinstein M. Eating disorders in adolescent and young adult males: presenting characteristics. J Adolesc Health. 2016;59:397-400
  23. Molyneaux E, Pasupathy D, Kenny LC et al. SCOPE consortium. Socio-economic status influences the relationship between obesity and antenatal depression: data from a prospective cohort study. J Affect Disord. 2016;202:124-7.
  24. Freedman DS, Dietz WH, Srinivasan SR et al. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics. 1999;103:1175–82.
  25. Sagi R, Reif S, Neuman G et al. Nonalcoholic fatty liver disease in overweight children and adolescents. Acta Paediatr. 2007;96:1209–13.
  26. Delgado-Aros S, Locke GR III, Camilleri M et al. Obesity is associated with increased risk of gastrointestinal symptoms: a population-based study. Am J Gastroenterol. 2004;99:1801–6.
  27. Fishman L, Lenders C, Fortunato C, Noonan C, Nurko S. Increased prevalence of constipation and fecal soiling in a population of obese children. J Pediatr. 2004;145:253–254.
  28. Koppen IJ, Velasco-Benítez CA, Benninga MA et al. Is There an Association between Functional Constipation and Excessive Bodyweight in Children? J Pediatr. 2016;171:178-82.
  29. Pieramico O, Malfertheiner P, Nelson DK et al. Interdigestive gastroduodenal motility and cycling of putative regulatory hormones in severe obesity. Scand J Gastroenterol. 1992;27:538-44.
  30. Van Der Sijp JRM, Kamm MA, Nightingale JMD et al. Circulating gastrointestinal hormone abnormalities in patients with severe idiopathic constipation. Am J Gastroenterol. 1998;93:1351-6.
  31. Taylor MJ, Vlaev I, Taylor D et al. Cardiac autonomic regulation as a predictor for childhood obesity intervention success. Int J Obes (Lond). 2017;41:824-7.