Evaluation of the Frequency of Obesity and Demographic Characteristics of Children with Primary Monosymptomatic Nocturnal Enuresis

Aim: Enuresis is a common problem in childhood. Our aim in our study was to evaluate the relationship between monosypmtomatic nocturnal enuresis and obesity

Evaluation of the Frequency of Obesity and Demographic Characteristics of Children with Primary Monosymptomatic Nocturnal Enuresis

Methods: Seventy healthy children and 70 nocturnal enuresis patients were compared in terms of age, gender, body weight, height, body mass index (BMI), BMI standard deviation score, obesity, maternal age and education level, father’s age and education level, number of children in the family, consanguinity between parents, and the economic status of the family. The patients with enuresis nocturna were divided into two groups: group 1: normal weight children, and group 2: overweight and obese children. Similar comparisons were made between these two subgroups. Relationship between the urinary incontinence frequency and general and family characteristics of patients with nocturnal enuresis were investigated. Results: There were no statistically significant differences between nocturnal enuresis patients and controls in terms of general, familial characteristics and obesity (p>0.05). Normal weight children were found to have lower median age and parents’ median age, worse economic situation and more frequent urinary incontinence compared to overweight and obese children. In addition, a relationship was detected between the frequency of enuresis and economic status (p=0.004). Conclusion: Our results showed that the frequency of obesity was not increased in patients with nocturnal enuresis compared to normal population. Larger sample studies are needed to assess the relationship of obesity with nocturnal enuresis

Evaluation of the Frequency of Obesity and Demographic Characteristics of Children with Primary Monosymptomatic Nocturnal Enuresis

Methods: Seventy healthy children and 70 nocturnal enuresis patients were compared in terms of age, gender, body weight, height, body mass index (BMI), BMI standard deviation score, obesity, maternal age and education level, father’s age and education level, number of children in the family, consanguinity between parents, and the economic status of the family. The patients with enuresis nocturna were divided into two groups: group 1: normal weight children, and group 2: overweight and obese children. Similar comparisons were made between these two subgroups. Relationship between the urinary incontinence frequency and general and family characteristics of patients with nocturnal enuresis were investigated. Results: There were no statistically significant differences between nocturnal enuresis patients and controls in terms of general, familial characteristics and obesity (p>0.05). Normal weight children were found to have lower median age and parents’ median age, worse economic situation and more frequent urinary incontinence compared to overweight and obese children. In addition, a relationship was detected between the frequency of enuresis and economic status (p=0.004). Conclusion: Our results showed that the frequency of obesity was not increased in patients with nocturnal enuresis compared to normal population. Larger sample studies are needed to assess the relationship of obesity with nocturnal enuresis

Irritable Bowel Syndrome Prevalence and Sociodemographic, Clinical and Lifestyle Features of Patients Admitted to Family Medicine Policlinic

Amaç: İrritabl Barsak Sendromu (İBS) genel populasyonun %20’sinden fazlasını etkileyen genellikle 40yaşından sonra görülen kronik bir hastalıktır. Bu çalışma Aile Hekimliği polikliniğine başvuranhastalarda İBS sıklığı ve bu hastalarda sosyodemografik, klinik ve yaşam tarzı özelliklerini ve yemealışkanlıklarını değerlendirmek amacıyla yapılmıştır.Materyal ve Metot: Çalışmaya Aile Hekimliği Polikliniği’ne herhangi bir nedenle başvuran bireylerarasından rastgele seçilen, anketi cevaplamayı kabul eden 115 kişi dâhil edildi. Ankette sosyodemografiközellikler, beslenme ve barsak alışkanlıkları, kronik hastalıklar, eşlik edebilecek semptomlar ve RomaIII kriterleri sorgulandı. Verilerin analizinde SPSS 16.00 programında Ki?kare ve frekans kullanılarak,p<0.05 anlamlı kabul edildi.Bulgular: Çalışmaya alınan 115 kişinin yaş ortalaması 38,23±15,33 (min=14, maks=82) olup 74’ü (%64,34)kadın, 41’i (%35,66) erkekti. Roma III kriterlerine göre 115 kişinin 28’inde (%24,34) İBS olduğu saptandı.İBS pozitif hastaların en sık şikâyeti (%71,42; n=20) kabızlık, en sık başvuru nedenleri sosyal yaşamıetkileme (%21,42; n=6) ve stresti (%17,85; n=5). İBS şikâyetleri nedeniyle en sık aile hekimliği ve dâhiliyepolikliniklerine başvuruluyordu. En sık yapılan tetkikler ise “Ayakta Direkt Batın Grafisi (ADBG)” ve“gastrointestinal sistem endoskopisi” idi. Roma III kriterleri ile İBS tanısı alan hastalara en sık başağrısının eşlik ettiği ve bunun da sıklıkla gerilim tipi baş ağrısı ile uyumlu olduğu gözlendi. Roma IIIkriteri pozitif olanların kabızlık semptomu ile ilişkisi anlamlı bulunmuştur (p<0,001). Roma III kriteripozitif olanların ishal semptomu ile ilişkisi yine anlamlı bulundu (p=0,020). Roma III kriterleri arasındaen az rastlanılan semptom mukuslu gaitaydı (%14,28; n=4). İBS hastalarının sadece %7,14’sinin (n=2)tedavi için ilaç kullandığı belirlendi.Sonuç: İBS toplumumuzda yaklaşık her dört kişiden birini etkileyen ve günlük yaşam kalitesini bozanbir rahatsızlıktır. Tüm hekimlerin, özellikle de birinci basamak hekimlerinin, İBS’nin tanı kriterlerinidikkatli sorgulaması, doğru tedavi için hastalarını yönlendirmeleri ve takip etmeleri büyük önemtaşımaktadırAbstract Objectives: Irritable bowel syndrome (IBS) is a chronic disease that affect more than 20% of general population and mostly seen after 40 years old. In this study, it was aimed to investigate IBS prevalence in people applied to Family Medicine Policlinics, and their socio?demographic, clinical and lifestyle features. Materials and Methods: This study was performed to 115 patients who accepted to answer the questionnaire and selected randomly among people who applied to Medicine Policlinic for any reason. The questionnaire consisted of socio?demographic data, dietary and bowel habits,chronic diseases,concomitant symptoms and Rome III criteria. The data was analyzed by SPSS 16.00 program, Results: Mean age of 115 participants was 38.23±15.33 (min: 14, max: 82) and 74 of them were women (64.34%), 41 were men (35.66%). IBS was determined in 28 of (24.34%) participants, according to Rome III criteria. Most common problem of IBS positive patients’ was constipation (71.42%; n=20), most common reason to come hospital was the IBS’s effect on social life (%21.42; n=6) and stress (17.85%; n=5). They mostly applied to Family Medicine and Internal Medicine policlinics. Also the most common tests were abdominal x?ray and gastrointestinal endoscopy. In IBS patients, who diagnosed via Rome III criteria, frequently had tension?type headache.Relation of constipation symptoms to those with positive Rome III criteria was significant (p<0.001). Relation of diarrhea symptoms to those with positive Rome III criteria was significant again (p=0.020). Mucoid feces was the least common (14.28%; n=4) symptom among Rome III criteria positive patients. It has been determined that just 7.14% (n=2) of IBS patients take medicine for the treatment. Conclusion: IBS is a disease that affects nearly one of four people in our population and worsen the life quality. It is very important to pay attention to query the diagnostic criteria of IBS, to motive the patients for the right treatment and to follow up them for all the physicians, especially who work in primary care