Constipation-associated and Nonretentive Fecal Incontinence in Children and Adolescents: An Epidemiological Survey in Sri Lanka
Constipation-associated and Nonretentive Fecal Incontinence in Children and Adolescents: An Epidemiological Survey in Sri Lanka
复制标题
DOI：
10.1097/mpg.0b013e3181d33b7d
复制
发表时间：
2010-10-01
影响因子：
2.9
通讯作者：
Benninga, Marc A.
中科院分区：
文献类型：
--
作者：
Rajindrajith, Shaman;Devanarayana, Niranga Manjuri;Benninga, Marc A.
目的：大便失禁（FI）对患儿的生活质量有很大影响。来自发展中国家的与FI有关的流行病学数据很少。鉴别功能性非保留性和保留性（便秘相关）FI的研究尚无。患者和方法：这是一项全岛范围的横断面研究。使用有效的自我管理问卷，从斯里兰卡3个地理和社会经济不同省份随机选择的5所学校的儿童（10-16岁）中收集信息。FI被定义为在与社会环境不相称的地方排便，每月至少一次，至少持续2个月。便秘诊断采用罗马III标准。结果：共发放问卷2770份，纳入分析2686份（97.0%）。其中FI 55例（2.0%），平均年龄11.96岁，SD 1.59岁，男孩43例（78.2%）。45例（81.8%）有便秘相关的FI， 10例（18.2%）有非保留性FI。FI患病率最高的是10岁儿童（5.4%）。年龄与FI患病率呈显著负相关（r = -0.893, P = 0.007）。FI在男孩（男孩3.2%，女孩0.9%）、最近经历过学校和家庭相关压力生活事件的学生以及社会阶层较低的学生中显著较高（P < 0.05）。结论：FI在斯里兰卡10至16岁的儿童和青少年中并不罕见，且以男性为主。可以清楚地认识到一些诱发因素，如暴露于压力生活事件和在学校被欺负，这些因素与文献中描述的FI相似。
Objectives: Fecal incontinence (FI) has a great effect on quality of life of children with the condition. Epidemiological data related to FI from developing countries are sparse. Studies differentiating functional nonretentive and retentive (constipation-associated) FI are not available.Patients and Methods: This was an island-wide, cross-sectional study. Information was collected from children (ages 10-16 years) from 5 randomly selected schools in 3 geographically and socioeconomically different provinces in Sri Lanka, using a validated, self-administered questionnaire. FI was defined as defecation into places inappropriate to the social context, at least once per month, for a minimum period of 2 months. Constipation was diagnosed using Rome III criteria.Results: A total of 2770 questionnaires were distributed and 2686 (97.0%) were included in the analysis. Of them, 55 (2.0%) had FI (mean age 11.96 years, SD 1.59 years, 43 [78.2%] boys). Forty-five (81.8%) had constipation-associated FI and 10 (18.2%) had nonretentive FI. The highest prevalence of FI was seen in children aged 10 years (5.4%). A significant negative correlation was observed between age and the prevalence of FI (r = -0.893, P = 0.007). FI was significantly higher in boys (boys 3.2%, girls 0.9%), those exposed to recent school-and family-related stressful life events, and those from lower social classes (P < 0.05).Conclusions: FI is not uncommon among children and adolescents of 10 to 16 years of age in Sri Lanka with a male predilection. Some predisposing factors, such as exposure to stressful life events and being bullied at school, which are similar to those described in the literature for FI, could be clearly recognized.