국내 소아에서의 과민성방광 유병률 및 위험인자: 정의에 따른 비교분석
The Prevalence and Risk Factors of Overactive Bladder in Korean Children: A Comparative Analysis according to Definition
정재민, 강동일, 김한권, 박관현, 이상돈, 조원열, 김건석, 조병만, 문두건, 권동득, 이정원, 한상원, 서홍진, 김수영, 하태선, 배기수, 박용훈,
소속 상세정보
정재민 ( Chung Jae-Min )
고신대학교 의과대학 비뇨기과학교실
강동일 ( Kang Dong-Il )
인제대학교 의과대학 비뇨기과학교실
김한권 ( Kim Han-Gwun )
울산대학교 의과대학 비뇨기과학교실
박관현 ( Park Kwan-Hyun )
성균관대학교 의과대학 비뇨기과학교실
이상돈 ( Lee Sang-Don )
부산대학교 의과대학 비뇨기과학교실
조원열 ( Cho Won-Yeol )
동아대학교 의과대학 비뇨기과학교실
김건석 ( Kim Kun-Suk )
울산대학교 의과대학 비뇨기과학교실
조병만 ( Cho Byung-Mann )
부산대학교 의과대학 예방의학교실
문두건 ( Moon Du-Geon )
고려대학교 의과대학 비뇨기과학교실
권동득 ( Kwon Dong-Deuk )
전남대학교 의과대학 비뇨기과학교실
이정원 ( Lee Jung-Won )
한림대학교 의과대학 소아과학교실
한상원 ( Han Sang-Won )
연세대학교 의과대학 비뇨기과학교실
서홍진 ( Seo Hong-Jin )
가톨릭대학교 의과대학 비뇨기과학교실
김수영 ( Kim Su-Young )
부산대학교 의과대학 소아과학교실
하태선 ( Ha Tae-Sun )
Chungbuk National University
배기수 ( Pai Ki-Soo )
아주대학교 의과대학 소아청소년과학교실
박용훈 ( Park Yong-Hoon )
영남대학교 의과대학 비뇨기과학교실
KMID : 0358320080490121131
Abstract
Purpose: We wanted to estimate the prevalence and risk factors of overactive bladder(OAB) in Korean children who were 5-13 years of age, according to the definition of OAB.
Materials and Methods: A randomly selected cross-sectional study was conducted on 26 kindergartens and 27 elementary schools nationwide in Korea. There were 19,240 children; a parent was asked to complete the questionnaires, which included items about OAB and the children’s voiding and defecating habits. OAB was defined as urgency with or without urge incontinence, and usually with an increased daytime frequency and nocturia(ICCS 2006, group A) or an increased daytime frequency(＞8 times/day) and/or urge urinary incontinence with or without urgency (group B); its prevalence and associated factors were investigated.
Results: The response rate for the questionnaires was 85.84%. The overall prevalence of OAB was 16.59%(group A) and 18.79%(group B). For groups A and B, the prevalence of OAB decreased with age from 22.89% to 12.16% and from 40.44% to 9.60%, respectively(p=0.0001). The overall rate of wet and dry OAB was 26.97% and 73.03%, respectively. Compared to the normal group, the children with OAB had a higher prevalence of nocturnal enuresis(NE), constipation, fecal incontinence, a history of urinary tract infection and delayed bladder control in both groups A and B(p＜0.05). The rate of increased daytime frequency and urge incontinence were 3.69% and 2.31%(p=0.009), and 26.97% and 14.78%(p=0.0001) in group A and for the non-OAB children, respectively; their prevalence in group A decreased with age from 5.04% to 3.06% and from 45.74% to 18.50%, respectively(p=0.0001).
Conclusions: The overall prevalence of OAB in group A for Korean children 5-13 years of age was similar to that in group B. However, the range of prevalence in group B was much more variable than that in group A. NE, constipation, fecal incontinence, a history of urinary tract infection and delayed bladder control may be risk factors for OAB in children.
키워드
Children;Overactive bladder;Prevalence;Risk factors
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