The Association of Age of Toilet Training and Dysfunctional Voiding
4.6 هزار بار بازدید -
10 سال پیش
-
Dr. Steve Hodges, Associate Professor
Dr. Steve Hodges, Associate Professor of Pediatric Urology, discusses research regarding the association of age of toilet training and dysfunctional voiding.
Pediatric Urology at Wake Forest Baptist: http://www.wakehealth.edu/Urology/Ped...
TRANSCRIPT: Hi, I'm Dr. Steve Hodges, Associate Professor of Pediatric Urology at Wake Forest University School of Medicine. I'd like to talk a little about my research about toileting problems in children.
There's been a lot of news lately about the lack- or lament- about the lack of research into potty training and how it affects toileting issues- which is timely because we just actually completed a study that investigated just that fact.
What we had noticed in our clinic is that children that trained very early had a higher incidence of toileting problems as well as children that trained very late. We wanted to investigate what the causes were.
What we did was we investigated 112 children ages three to 10 and looked at what ages they trained and whether or not they had toileting problems. We compared two groups, a group of kids that came into my clinic with toileting problems as well as kids that present in the emergency room or pediatrician’s office without toileting issues that they presented for other issues.
What we found was interesting- children that trained before the age of two had an over three times the risk increase of toileting problems and accidents than kids that trained between two and three. Kids that trained later also had a higher incidence of accidents. We investigated closer and we found a link that was associating the actions in the early and late group was constipation. The kids that trained very young tended to hold both their urine and their stool and became constipated which led to accidents. Of the seven children that trained after three, all seven were completely constipated and when that was treated, their accidents resolved.
So what can we take home from this study? Actually, there's four very important points. Number one, this was the first study to investigate toilet training age, toileting problems in children, and constipation- which we think was novel.
Secondly, there is no magic number for toilet training. The age is not the important thing. The important thing is actually the constipation. So while children that trained early tend to hold more- so we encourage training later, you can train a child at any age when they're ready as long as you aggressively treat constipation and make sure they're not full.
Now the catch is that people often miss constipation. Pediatricians and other doctors may not even diagnose or treat it because they go by the International Children's Continence Society guidelines which define constipation as rare or hard bowel movements. In children, constipation what we found in the study, meant they don't empty their bowels completely or on time. The stool accumulates and causes potty problems.
It's very important that if a child is going to have potty problems, that someone investigate and look for that specific type of constipation. It's also very important that we don't force potty training. Let children train at their own pace. And treat constipation immediately when it arises.
Pediatric Urology at Wake Forest Baptist: http://www.wakehealth.edu/Urology/Ped...
TRANSCRIPT: Hi, I'm Dr. Steve Hodges, Associate Professor of Pediatric Urology at Wake Forest University School of Medicine. I'd like to talk a little about my research about toileting problems in children.
There's been a lot of news lately about the lack- or lament- about the lack of research into potty training and how it affects toileting issues- which is timely because we just actually completed a study that investigated just that fact.
What we had noticed in our clinic is that children that trained very early had a higher incidence of toileting problems as well as children that trained very late. We wanted to investigate what the causes were.
What we did was we investigated 112 children ages three to 10 and looked at what ages they trained and whether or not they had toileting problems. We compared two groups, a group of kids that came into my clinic with toileting problems as well as kids that present in the emergency room or pediatrician’s office without toileting issues that they presented for other issues.
What we found was interesting- children that trained before the age of two had an over three times the risk increase of toileting problems and accidents than kids that trained between two and three. Kids that trained later also had a higher incidence of accidents. We investigated closer and we found a link that was associating the actions in the early and late group was constipation. The kids that trained very young tended to hold both their urine and their stool and became constipated which led to accidents. Of the seven children that trained after three, all seven were completely constipated and when that was treated, their accidents resolved.
So what can we take home from this study? Actually, there's four very important points. Number one, this was the first study to investigate toilet training age, toileting problems in children, and constipation- which we think was novel.
Secondly, there is no magic number for toilet training. The age is not the important thing. The important thing is actually the constipation. So while children that trained early tend to hold more- so we encourage training later, you can train a child at any age when they're ready as long as you aggressively treat constipation and make sure they're not full.
Now the catch is that people often miss constipation. Pediatricians and other doctors may not even diagnose or treat it because they go by the International Children's Continence Society guidelines which define constipation as rare or hard bowel movements. In children, constipation what we found in the study, meant they don't empty their bowels completely or on time. The stool accumulates and causes potty problems.
It's very important that if a child is going to have potty problems, that someone investigate and look for that specific type of constipation. It's also very important that we don't force potty training. Let children train at their own pace. And treat constipation immediately when it arises.
10 سال پیش
در تاریخ 1393/06/31 منتشر شده
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