An epidemiologic study of voiding and bowel habits in Korean children: A nationwide multicenter study

Jae Min Chung, Sang Don Lee, Dong Kang, Dong Deuk Kwon, Kun Suk Kim, Su Yung Kim, Han Gwun Kim, Du Geon Moon, Kwan Hyun Park, Yong Hoon Park, Ki Soo Pai, Hong Jin Suh, Jung Won Lee, Won Yeol Cho, Tae Sun Ha, Sangwon Han

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Abstract

OBJECTIVES To evaluate the prevalence of abnormal voiding and bowel habits in healthy children, and to identify possible relationships between personal and familial factors and voiding and/or bowel habits. METHODS A randomly selected cross-sectional study was conducted in 19 240 children (5-13 years old) nationwide in the Republic of Korea. Parents were asked to complete questionnaires, which included items about nocturnal enuresis, daytime dysfunctional voiding symptoms (DVSs), and abnormal bowel habits (ABHs). Rates and associated factors were investigated. RESULTS The overall rates of DVS, ABH, and of both were 46.4%, 31.3%, and 18.4%, respectively, and nocturnal enuresis was reported in 919 (5.6%). Daytime dysfunctional voiding symptoms were as follows: increased voiding frequency in 419 (2.5%), decreased voiding frequency in 720 (4.4%), urgency in 2740 (16.6%), daytime incontinence in 1854 (11.2%), urge incontinence in 2775 (16.8%), and holding maneuvers or postponed voiding in 3888 (23.5%). ABHs were as follows: constipation by frequency in 1103 (6.7%), constipation by the Bristol scale in 1941 (11.8%), fecal incontinence in 1293 (7.8%), and difficult or painful defecation in 2609 (15.8%). Delayed stool control, history of urinary tract infection, and a double-income family were positively associated with DVS or ABH or both. Furthermore, fathers with a low level of education and a low income were found to be associated with higher risk of ABH or DVS or both. CONCLUSIONS Delayed stool control, a history of urinary tract infection, a low paternal level of education, a double-income family, and a lower family income had a negative effect on voiding or bowel habits in children. UROLOGY 76: 215-219, 2010.

Original languageEnglish
Pages (from-to)215-219
Number of pages5
JournalUrology
Volume76
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1

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Multicenter Studies
Habits
Epidemiologic Studies
Nocturnal Enuresis
Constipation
Urinary Tract Infections
Urge Urinary Incontinence
Education
Fecal Incontinence
Republic of Korea
Defecation
Fathers
Cross-Sectional Studies
Parents

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Chung, Jae Min ; Lee, Sang Don ; Kang, Dong ; Kwon, Dong Deuk ; Kim, Kun Suk ; Kim, Su Yung ; Kim, Han Gwun ; Moon, Du Geon ; Park, Kwan Hyun ; Park, Yong Hoon ; Pai, Ki Soo ; Suh, Hong Jin ; Lee, Jung Won ; Cho, Won Yeol ; Ha, Tae Sun ; Han, Sangwon. / An epidemiologic study of voiding and bowel habits in Korean children : A nationwide multicenter study. In: Urology. 2010 ; Vol. 76, No. 1. pp. 215-219.
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title = "An epidemiologic study of voiding and bowel habits in Korean children: A nationwide multicenter study",
abstract = "OBJECTIVES To evaluate the prevalence of abnormal voiding and bowel habits in healthy children, and to identify possible relationships between personal and familial factors and voiding and/or bowel habits. METHODS A randomly selected cross-sectional study was conducted in 19 240 children (5-13 years old) nationwide in the Republic of Korea. Parents were asked to complete questionnaires, which included items about nocturnal enuresis, daytime dysfunctional voiding symptoms (DVSs), and abnormal bowel habits (ABHs). Rates and associated factors were investigated. RESULTS The overall rates of DVS, ABH, and of both were 46.4{\%}, 31.3{\%}, and 18.4{\%}, respectively, and nocturnal enuresis was reported in 919 (5.6{\%}). Daytime dysfunctional voiding symptoms were as follows: increased voiding frequency in 419 (2.5{\%}), decreased voiding frequency in 720 (4.4{\%}), urgency in 2740 (16.6{\%}), daytime incontinence in 1854 (11.2{\%}), urge incontinence in 2775 (16.8{\%}), and holding maneuvers or postponed voiding in 3888 (23.5{\%}). ABHs were as follows: constipation by frequency in 1103 (6.7{\%}), constipation by the Bristol scale in 1941 (11.8{\%}), fecal incontinence in 1293 (7.8{\%}), and difficult or painful defecation in 2609 (15.8{\%}). Delayed stool control, history of urinary tract infection, and a double-income family were positively associated with DVS or ABH or both. Furthermore, fathers with a low level of education and a low income were found to be associated with higher risk of ABH or DVS or both. CONCLUSIONS Delayed stool control, a history of urinary tract infection, a low paternal level of education, a double-income family, and a lower family income had a negative effect on voiding or bowel habits in children. UROLOGY 76: 215-219, 2010.",
author = "Chung, {Jae Min} and Lee, {Sang Don} and Dong Kang and Kwon, {Dong Deuk} and Kim, {Kun Suk} and Kim, {Su Yung} and Kim, {Han Gwun} and Moon, {Du Geon} and Park, {Kwan Hyun} and Park, {Yong Hoon} and Pai, {Ki Soo} and Suh, {Hong Jin} and Lee, {Jung Won} and Cho, {Won Yeol} and Ha, {Tae Sun} and Sangwon Han",
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Chung, JM, Lee, SD, Kang, D, Kwon, DD, Kim, KS, Kim, SY, Kim, HG, Moon, DG, Park, KH, Park, YH, Pai, KS, Suh, HJ, Lee, JW, Cho, WY, Ha, TS & Han, S 2010, 'An epidemiologic study of voiding and bowel habits in Korean children: A nationwide multicenter study', Urology, vol. 76, no. 1, pp. 215-219. https://doi.org/10.1016/j.urology.2009.12.022

An epidemiologic study of voiding and bowel habits in Korean children : A nationwide multicenter study. / Chung, Jae Min; Lee, Sang Don; Kang, Dong; Kwon, Dong Deuk; Kim, Kun Suk; Kim, Su Yung; Kim, Han Gwun; Moon, Du Geon; Park, Kwan Hyun; Park, Yong Hoon; Pai, Ki Soo; Suh, Hong Jin; Lee, Jung Won; Cho, Won Yeol; Ha, Tae Sun; Han, Sangwon.

In: Urology, Vol. 76, No. 1, 01.01.2010, p. 215-219.

Research output: Contribution to journalArticle

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T1 - An epidemiologic study of voiding and bowel habits in Korean children

T2 - A nationwide multicenter study

AU - Chung, Jae Min

AU - Lee, Sang Don

AU - Kang, Dong

AU - Kwon, Dong Deuk

AU - Kim, Kun Suk

AU - Kim, Su Yung

AU - Kim, Han Gwun

AU - Moon, Du Geon

AU - Park, Kwan Hyun

AU - Park, Yong Hoon

AU - Pai, Ki Soo

AU - Suh, Hong Jin

AU - Lee, Jung Won

AU - Cho, Won Yeol

AU - Ha, Tae Sun

AU - Han, Sangwon

PY - 2010/1/1

Y1 - 2010/1/1

N2 - OBJECTIVES To evaluate the prevalence of abnormal voiding and bowel habits in healthy children, and to identify possible relationships between personal and familial factors and voiding and/or bowel habits. METHODS A randomly selected cross-sectional study was conducted in 19 240 children (5-13 years old) nationwide in the Republic of Korea. Parents were asked to complete questionnaires, which included items about nocturnal enuresis, daytime dysfunctional voiding symptoms (DVSs), and abnormal bowel habits (ABHs). Rates and associated factors were investigated. RESULTS The overall rates of DVS, ABH, and of both were 46.4%, 31.3%, and 18.4%, respectively, and nocturnal enuresis was reported in 919 (5.6%). Daytime dysfunctional voiding symptoms were as follows: increased voiding frequency in 419 (2.5%), decreased voiding frequency in 720 (4.4%), urgency in 2740 (16.6%), daytime incontinence in 1854 (11.2%), urge incontinence in 2775 (16.8%), and holding maneuvers or postponed voiding in 3888 (23.5%). ABHs were as follows: constipation by frequency in 1103 (6.7%), constipation by the Bristol scale in 1941 (11.8%), fecal incontinence in 1293 (7.8%), and difficult or painful defecation in 2609 (15.8%). Delayed stool control, history of urinary tract infection, and a double-income family were positively associated with DVS or ABH or both. Furthermore, fathers with a low level of education and a low income were found to be associated with higher risk of ABH or DVS or both. CONCLUSIONS Delayed stool control, a history of urinary tract infection, a low paternal level of education, a double-income family, and a lower family income had a negative effect on voiding or bowel habits in children. UROLOGY 76: 215-219, 2010.

AB - OBJECTIVES To evaluate the prevalence of abnormal voiding and bowel habits in healthy children, and to identify possible relationships between personal and familial factors and voiding and/or bowel habits. METHODS A randomly selected cross-sectional study was conducted in 19 240 children (5-13 years old) nationwide in the Republic of Korea. Parents were asked to complete questionnaires, which included items about nocturnal enuresis, daytime dysfunctional voiding symptoms (DVSs), and abnormal bowel habits (ABHs). Rates and associated factors were investigated. RESULTS The overall rates of DVS, ABH, and of both were 46.4%, 31.3%, and 18.4%, respectively, and nocturnal enuresis was reported in 919 (5.6%). Daytime dysfunctional voiding symptoms were as follows: increased voiding frequency in 419 (2.5%), decreased voiding frequency in 720 (4.4%), urgency in 2740 (16.6%), daytime incontinence in 1854 (11.2%), urge incontinence in 2775 (16.8%), and holding maneuvers or postponed voiding in 3888 (23.5%). ABHs were as follows: constipation by frequency in 1103 (6.7%), constipation by the Bristol scale in 1941 (11.8%), fecal incontinence in 1293 (7.8%), and difficult or painful defecation in 2609 (15.8%). Delayed stool control, history of urinary tract infection, and a double-income family were positively associated with DVS or ABH or both. Furthermore, fathers with a low level of education and a low income were found to be associated with higher risk of ABH or DVS or both. CONCLUSIONS Delayed stool control, a history of urinary tract infection, a low paternal level of education, a double-income family, and a lower family income had a negative effect on voiding or bowel habits in children. UROLOGY 76: 215-219, 2010.

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