ESPN 51th Annual Meeting

ESPN 2018


 
Evaluation of lower urinary tract dysfunction in obese children
HAVVA NUR ASILTURK 1 BAYRAM OZHAN 1 SELCUK YUKSEL 2

1- PAMUKKALE UNIVERSITY SCHOOL OF MEDICINE, PEDIATRIC ENDOCRINOLOGY
2- PAMUKKALE UNIVERSITY SCHOOL OF MEDICINE, PEDIATRIC NEPHROLOGY
 
Introduction:

Obesity is a common public health problem. Studies on the effect of obesity on the urinary system in children continue and are limited. In this study, it was aimed to evaluate the relationship between childhood obesity and lower urinary tract dysfunction (LUTD) with metabolic and anthropometric measures.

Material and methods:

400 obese children between 6 and 18 years of age who had a body mass index ≥95 percentile were included in the study. Dysfunctional Voiding and Incontinence Scoring System (DVISS) questionnaire was administered. The children with a score of  ≥9 were accepted as having lower urinary tract dysfunction (LUTD). Patients with and without LUTD were compared in age, gender, anthropometric measurements, puberty, acanthosis nigricans, blood pressure, fasting blood glucose, fasting insulin and blood lipids, HOMA-IR, family history of LUTD, parents age and educational status, number of siblings. 

Results:

LUTD was detected in 19% of obese children. The mean age of the group with LUTD was significantly smaller (p <0.05). It was seen that the risk of LUTD was 2.1 times higher in those with mothers voiding dysfunction and 3.1 times higher in those with a history of voiding dysfunction in children. There was no significant difference between mother and father educational status, sibling numbers. Weight SDS, BMI SDS, waist circumference, HOMA-IR values were higher in patients with LUTD. Acanthosis nigricans were detected more frequently in patients with LUTD (P <0.05). The presence of acanthosis nigricans was found to increase risk of LUTD 1.75 times.

Conclusions:

LUTD is a problem that should be assessed in obese children. Acanthosis nigricans is an important physical examination finding for LUTD in obese children.