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Evaluation of autonomic function in children and adolescents with overactive bladder

AIMS: To evaluate autonomic activity in children/adolescents with isolated overactive bladder. MATERIALS AND METHODS: Descriptive, analytical, non-interventional, cross-sectional study conducted between February 2017 and January 2018 with individuals aged between 5 and 17 years old, with overactive...

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Detalles Bibliográficos
Autores principales: Gondim, Rhaiana, Gorjão, Julia, Nacif, Ananda, Franco, Israel, Barroso, Ubirajara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Urologia 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8486459/
https://www.ncbi.nlm.nih.gov/pubmed/34472767
http://dx.doi.org/10.1590/S1677-5538.IBJU.2021.0177
Descripción
Sumario:AIMS: To evaluate autonomic activity in children/adolescents with isolated overactive bladder. MATERIALS AND METHODS: Descriptive, analytical, non-interventional, cross-sectional study conducted between February 2017 and January 2018 with individuals aged between 5 and 17 years old, with overactive bladder (OAB group) or asymptomatic (control). Neurological or anatomical abnormalities, diabetes mellitus and kidney failure constituted exclusion criteria. The DVSS and the Rome III questionnaire were applied, and heart rate variability (HRV) was assessed. The chi-square test, Student's t-test, ANOVA and the Mann Whitney U test were used in the statistical analysis. RESULTS: 41 patients with OAB and 20 controls were included. In the OAB group, there were more girls (p=0.23), more overweight/obese and constipated patients. The DVSS score was higher in the OAB group. HRV showed a higher heart rate variability at the frequency domain and LF/HF variation in the control group (p=0.02 and p=0.05 respectively). In the intergroup evaluation, LF (Hz) was predominant in the control group at the post-voiding evaluation moment (p=0.03). CONCLUSION: The control group demonstrated a physiological heart rate variation during the voiding process, with a predominance of sympathetic activity during urinary storage.