ARE LOWER URINARY TRACT SYMPTOMS IN CHILDREN ASSOCIATED WITH URINARY SYMPTOMS IN THEIR MOTHERS?
Ubirajara Barroso, Jr., M.D.1, Ariane S. Sousa, M.D.1, Luis gustavo A. Fraga, Medical Student2, Bruno A. Salomão, Medical Student3, Julia B. Oliveira, Medical Student3, Camila L. Seixas, Medical Student3, Maria Luiza Veiga, Physiotherapist2, José Murillo B. Netto, M.D.3.
1Federal University of Bahia, Bahiana School of Medicine, Salvador, Brazil, 2Bahiana School of Medicine, Salvador, Brazil, 3Federal University of Juiz de Fora, Juiz de Fora, Brazil.
BACKGROUND- The aim of this study is to test the hypothesis that the children of mothers with LUTS are more likely to have urinary symptoms.
METHODS- Data collection was performed in public spaces with children and adolescents of 5-17 years of age who were accompanied by their mothers. Any children with neurological or anatomical urinary problems were excluded from the study population. Specific questionnaires were used to evaluate the presence of LUTS in the children (DVSS), their mothers (ICIQ-OAB), to evaluate presence of constipation in children (ROME III) and to collect demographic data.
RESULTS- A total of 827 mother-child pairs were included, 414(50.06%) being male. The mean age of the children was 9.1 ± 2.9 years. The mean age of the mothers was 35.9 ± 6.5 years. Urinary symptoms (occurring at least once or twice a week) were present in 315 (38.1%) of the children. Of the mothers, 378 (45.7%) had at least one LUT symptom. According to the DVSS, the overall prevalence of LUT dysfunction was 9.1%. The DVSS score in the children was associated with the ICIQ-OAB score in the mothers (p<0.001). Mothers with urinary symptoms were 2.5 times more likely to have a child with LUT dysfunction (95%CI:1.52-4.17;p<0.001), while mothers with overactive bladder were 2.8 times more likely to have a child with an overactive bladder (95%CI:1.63-4.86;p<0.001). The multivariate analysis showed that LUTS in the mother and enuresis and constipation in the child, as well as the child being female, were independent predictive factors of the presence of LUT dysfunction in the child.
CONCLUSION- Mothers with typical symptoms of overactive bladder are more likely to have a child with LUT dysfunction. To our knowledge this has not been demonstrated in the literature. Independent predictive factors for the presence of LUT dysfunction in children are: being female, nocturnal enuresis, constipation and having a mother with LUTS.
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