Childhood Urinary Symptoms Predict Adult Overactive Bladder Symptoms

FitzGerald, Mary P.; Thom, David H.; Wassel-Fyr, Christina; Subak, Leslee L.; Brubaker, Linda; Eeden, Stephen K. Van Den; Brown, Jeanette S.

doi:10.1016/s0022-5347(05)00416-7

Cited by 145 publications

(97 citation statements)

References 21 publications

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“…[23][24][25][26][27] Classifications for urinary incontinence and nocturia are consistent with the definitions developed by the International Continence Society. 28 UTI was assessed using the question, ''How many times have you been told that you had a urinary tract infection in the past 6 months?''…”

Section: Methodsmentioning

confidence: 89%

Bladder Symptoms in the Early Menopausal Transition

Jones

Huang

Subak

et al. 2016

Journal of Women's Health

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Purpose: Bladder symptoms are common in women and result in use of healthcare resources and poor quality of life. Bladder symptoms have been linked to age and menopause, but debate exists in the literature. This article examines factors associated with bladder symptoms and compares women in late reproductive stage with those in menopausal transition. Materials and Methods: We analyzed cross-sectional data from a prospective cohort study of midlife women (mean age, 48; range, 44-54 years) in northern California. The sample consisted of 158 women in late reproductive stage or menopause transition. Assessments included anthropometrics, menstrual cycle lengths and symptoms, urine samples for follicle-stimulating hormone level, and self-reported health perception and depressive symptoms. Analyses included descriptive bivariate statistics, group comparisons, and regression models. Results: The most common bladder symptoms were nocturia (72%) at least once per night and urinary incontinence (50%) at least once per week. Incontinence was less prevalent in African American women compared to European Americans and Latinas ( p = 0.001) and more prevalent in late reproductive stage than in menopause transition ( p = 0.024). Controlling for age, women in late reproductive stage were more likely to report nocturia compared to those in menopause transition. Reproductive stage ( p = 0.016), higher body mass index ( p = 0.007), and race ( p = 0.017) contributed to the variance in weekly nighttime urinary frequency. Conclusion: Bladder symptoms were associated with reproductive stage. Women in late reproductive stage were more likely to experience nocturia and incontinence than those in menopause transition. The higher rates of nocturia and incontinence in late reproductive stage are intriguing. Future studies should include analysis of pelvic organ prolapse degree and other structural differences.

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Section: Methodsmentioning

confidence: 89%

Bladder Symptoms in the Early Menopausal Transition

Jones

Huang

Subak

et al. 2016

Journal of Women's Health

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“…Diurnal urinary incontinence and nocturnal enuresis in childhood double the risk of urge incontinence in adulthood [37]. Another retrospective study of 170 women found a high prevalence of LUTD during childhood in women with the following symptoms: increased urinary frequency, urgency, stress incontinence, and urge incontinence [38].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of lower urinary tract symptoms in school-age children

et al. 2011

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Epidemiological studies have demonstrated rates of incontinence and enuresis as high as 20% in school-age children. This cross-sectional study aimed to investigate the prevalence of lower urinary tract (LUT) symptoms in 739 children aged 6-12 years enrolled in three government schools with different socioeconomic levels in Minas Gerais, Brazil. Symptoms of LUT were evaluated using a modified version of the Dysfunction Voiding Scoring System in which the cutoff point considered as an indicator of LUT dysfunction is >6 for girls and >9 for boys. Children with a score indicative of symptoms received an educational booklet on the functioning of the LUT and were sent for clinical evaluation. LUT dysfunction symptoms were detected in 161 (21.8%) children. Symptoms were most frequent in girls (p < 0.001), children aged 6-8 (p < 0.028), and attended the school with the lowest social level (p < 0.001). Intestinal constipation was the most prevalent finding (30.7%), independent of LUT score. The most common urinary symptoms in children with an elevated score were diurnal urinary incontinence (30.7%), holding maneuvers (19.1%), and urinary urgency (13.7%). Stress factors were associated in 28.4% of children. Our findings suggest that LUT symptoms must be investigated carefully at routine pediatric visits.

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“…L'hypothèse d'un dysfonctionnement du SNA à l'état basal, vessie vide, peut donc être évoquée dans le SCHV idiopathique. De plus, il existe un continuum entre l'énurésie nocturne de l'enfant et le SCHV idiopathique dans environ un tiers des cas [16] ; un continuum physiopathologique est donc possible.…”

Section: Discussionunclassified

Étude du système nerveux autonome par la variabilité de la fréquence cardiaque dans le syndrome clinique d’hyperactivité vésicale idiopathique

et al. 2007

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Objectif : Plusieurs études suggèrent un dysfonctionnement du système nerveux autonome (SNA) dans le syndrome clinique d'hyperactivité vésicale idiopathique (SCHV). L'étude de la variabilité de la fréquence cardiaque instantanée (VFc) est une méthode de mesure, non invasive et validée, de l'activité du SNA. Nous avons donc appliqué cette méthode au cours du remplissage vésical dans une population témoin (femmes présentant une incontinence urinaire d'effort pure : IUE) et à des patientes présentant un SCHV idiopathique.Matériel et méthodes : Sept patientes IUE pure et trois patientes SCHV idiopathique ont été étudiées. L'enregistrement électrocardiographique a été réalisé sur dix minutes au repos, vessie vide, puis au cours du remplissage vésical en cystomanométrie. La VFc est étudiée par des indices fréquentiels : composés de basses fréquences, qui reflètent principalement la modulation sympathique, et de hautes fréquences, qui sont liées au système parasympathique.Résultats et conclusion : Dans le groupe témoin, nous n'avons observé aucune modification significative des paramètres de la VFc lors du remplissage. En revanche, dans le groupe SCHV, le contrôle neurovégétatif cardiaque est différent des témoins et varie lors du remplissage, passant d'une hypertonie parasympathique vessie vide à une hypertonie sympathique en fin de remplissage. En fin de remplissage, au moment même où la continence vésicale est assurée par le sympathique, nous observons une élévation significative du tonus sympathique (p = 0,001), associée à une baisse du tonus parasympathique cardiaque (p < 0,0001). Ces résultats évoquent un dysfonctionnement de la balance végétative dans le SCHV.Mots clés : Système nerveux autonome -Rythme cardiaqueVessie -Incontinence urinaire chez la femme -Syndrome clinique d'hyperactivité vésicale Study of autonomic nervous system through heart rate variability in idiopathic vesical hyperactivity syndrome Abstract: Objective: Several studies have suggested a defective automatic nervous system (ANS) in idiopathic vesical hyperactivity syndrome. The study of heart rate variability (HRV) is a non-invasive and validated method for measuring ANS activity. We therefore used this method for vesical filling in a control population (women with stress urinary incontinence : SUI) and in female patients with idiopathic vesical hyperactivity syndrome.Materials and methods: We included 7 women with pure SUI and 3 with idiopathic vesical hyperactivity syndrome. Continuous ECG recording was performed over 10 minutes with an empty bladder and during artificial bladder filling. Heart rate variations were measured by frequential indices: low frequency, which mainly reflected sympathetic modulation, and high frequency, which is related to the parasympathetic system.Results: In the control group, no significant changes in heart rate variations during filling were noted. However, in the idiopathic vesical hyperactivity group, cardiac neurovegetative control was different from the control group, and varied during filling, going from e...

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Childhood Urinary Symptoms Predict Adult Overactive Bladder Symptoms

Cited by 145 publications

References 21 publications

Bladder Symptoms in the Early Menopausal Transition

Bladder Symptoms in the Early Menopausal Transition

Prevalence of lower urinary tract symptoms in school-age children

Étude du système nerveux autonome par la variabilité de la fréquence cardiaque dans le syndrome clinique d’hyperactivité vésicale idiopathique

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