Prevalence rates for constipation and faecal and urinary incontinence among pediatric populations population.

Abstract

Abstract

Background: Constipation and incontinence are prevalent and interrelated conditions affecting the pediatric population, impacting their physical and psychological health. Previous studies have highlighted these associations, yet comprehensive analysis of their prevalence across different pediatric age groups remains essential for better clinical management.

Objective: To assess the prevalence of constipation, faecal incontinence, and urinary incontinence in children, examining the relationships between these conditions and providing insights into age-related trends.

Methods: This cross-sectional study involved 582 children aged 0 to 17 years recruited from a pediatric hospital. Inclusion criteria encompassed all visiting children, excluding those with congenital anomalies of the digestive or urinary systems or neurological impairments. Data were collected via structured questionnaires completed by parents and from medical records. Statistical analysis was conducted using SPSS version 25, employing descriptive statistics, cross-tabulations, and Chi-square tests to explore the relationships between the conditions.

Results: The overall prevalence of constipation in the study cohort was 22.7%. Constipation rates varied significantly with age, peaking at 25.7% among children aged 2-3 years. Children with constipation showed higher rates of both faecal incontinence (18.3%) and urinary incontinence (21.84% for any type) compared to their non-constipated peers (0.3% and 7.28%, respectively). The mean age at first presentation for constipation was 5.9 years.

Conclusion: The study confirms a high prevalence of constipation associated with increased rates of faecal and urinary incontinence, emphasizing the need for early identification and integrated treatment approaches. These findings support the implementation of routine screening for urinary issues in children presenting with constipation to prevent further complications.

Keywords: Pediatric Constipation, Urinary Incontinence, Faecal Incontinence, Prevalence, Child Health, Pediatric Gastroenterology.