TY - JOUR
T1 - Does the development and use of modern disposable diapers affect bladder control?
T2 - A systematic review
AU - Breinbjerg, Anders
AU - Rittig, Søren
AU - Kamperis, Konstantinos
N1 - Copyright © 2021 The Author(s). Published by Elsevier Ltd.. All rights reserved.
PY - 2021/8
Y1 - 2021/8
N2 - INTRODUCTION AND OBJECTIVE: During the last decades, the development of the modern disposable diaper (DD) has changed the way we diaper our children, as they are safe, easy to use, comfortable and easy to dispose, compared to cloth diapers used earlier. Concurrently, the age of initiating toilet training (TT) is rising. We aimed to investigate the connection between DD usage and the tendencies seen in TT and childhood urinary incontinence, with specific interest on studies evaluating the effect of diapering on enuresis.STUDY DESIGN: A literature search was conducted in PubMed and Embase. A systematic literature search was conducted, revealing 309 studies in Embase and 269 studies in Pubmed. After removing duplicates, 400 studies were eligible for screening. All abstracts were screened, and 12 relevant abstracts where identified, but only eight studies were eligible. No prospective intervention studies specifically evaluating the effect of diaper on enuresis were identified. Literature on TT and diapers in general was identified using the respective search terms on both databases.RESULTS: The eight studies identified showed a tendency towards diaper use being related to a delay on obtaining continence in children, but no secure conclusions can be made, as the literature is inadequate.DISCUSSION AND CONCLUSION: Based on the available literature no secure conclusions can be drawn although an association is suggested. In order to evaluate the effect of diapers on incontinence, prospective randomized studies are needed.
AB - INTRODUCTION AND OBJECTIVE: During the last decades, the development of the modern disposable diaper (DD) has changed the way we diaper our children, as they are safe, easy to use, comfortable and easy to dispose, compared to cloth diapers used earlier. Concurrently, the age of initiating toilet training (TT) is rising. We aimed to investigate the connection between DD usage and the tendencies seen in TT and childhood urinary incontinence, with specific interest on studies evaluating the effect of diapering on enuresis.STUDY DESIGN: A literature search was conducted in PubMed and Embase. A systematic literature search was conducted, revealing 309 studies in Embase and 269 studies in Pubmed. After removing duplicates, 400 studies were eligible for screening. All abstracts were screened, and 12 relevant abstracts where identified, but only eight studies were eligible. No prospective intervention studies specifically evaluating the effect of diaper on enuresis were identified. Literature on TT and diapers in general was identified using the respective search terms on both databases.RESULTS: The eight studies identified showed a tendency towards diaper use being related to a delay on obtaining continence in children, but no secure conclusions can be made, as the literature is inadequate.DISCUSSION AND CONCLUSION: Based on the available literature no secure conclusions can be drawn although an association is suggested. In order to evaluate the effect of diapers on incontinence, prospective randomized studies are needed.
KW - Absorbent pads
KW - Daytime urinary incontinence
KW - Diapers
KW - Enuresis
KW - Infant
KW - Toilet training
U2 - 10.1016/j.jpurol.2021.05.007
DO - 10.1016/j.jpurol.2021.05.007
M3 - Review
C2 - 34099398
SN - 1477-5131
VL - 17
SP - 463
EP - 471
JO - Journal of Pediatric Urology
JF - Journal of Pediatric Urology
IS - 4
ER -