• Mehmet Karaci.
• Department of Pediatrics, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, University of Medical Sciences, Emek mahallesi, Namık Kemal caddesi, Sancaktepe, 34785, İstanbul, Turkey. mkaraci@gmail.com.
• Ir J Med Sci. 2021 Nov 1; 190 (4): 1459-1463.

BackgroundObesity continues to be a leading public health concern in the world.AimThe aim of our study was to investigate the relationship between obesity, lower urinary tract symptoms (LUTS), and voiding dysfunction.MethodsThe study included students aged between 6 and 16 years in Zonguldak. Anthropometric measurements were performed in 404 children using appropriate methods. The body mass index (BMI) of children was calculated. Obesity was defined as a BMI at or above the 95th percentile for age- and sex-specific percentiles of Turkish children. Non-obese children with a BMI below the 85th percentile were defined as the control group. Lower urinary tract voiding dysfunction (LUTVD) was assessed with the dysfunctional voiding and incontinence scoring system (DVISS).ResultsOf the children participated in the study, 151 (37.4%) were obese and 253 (62.6%) were at a normal weight. There were no significant differences in gender and mean age between the obese and non-obese children (p = 0.81). Monosymptomatic nocturnal enuresis (MSNE) was present in 43 children (10.6%), daytime symptoms were present in 38 children (9.4%), and voiding dysfunction was present in 34 children (8.4%) in the study. These symptoms were more common in the obese group (p = 0.001, p = 0.001, and p = 0.0001, respectively). In our survey study, we found a serious relationship between both bladder emptying symptoms and storage symptoms and obesity (p = 0.0001).ConclusionObese children are at increased risk for enuresis and voiding dysfunction. Screening and treating obese children for the respective symptoms are significantly important for their quality of life.© 2021. Royal Academy of Medicine in Ireland.

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