Later toilet training is associated with urge incontinence in children



      The objective of this study was to determine if later toilet training is associated with urge incontinence in children.


      We used a case–control study design to yield level 2 evidence.


      Initiation of toilet training after 32 months of age was associated with urge incontinence (P=0.02).


      For children who display signs of toilet-training readiness, training should be initiated prior to 32 months of age to reduce the risk for urge incontinence.


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        • Mota D.
        • Barros A.
        Toilet training: methods, parental expectations, and associated dysfunctions.
        J Pediatr (Rio J). 2008; 84 ([Review]): 9-17
        • Blum N.J.
        • Taubman B.
        • Nemeth N.
        Why is toilet training occurring at older ages? A study of factors associated with later training.
        J Pediatr. 2004; 145: 107-111
        • Bakker E.
        • Wyndaele J.J.
        Changes in the toilet training of children during the last 60 years: the cause of an increase in lower urinary tract dysfunction?.
        BJU Int. 2000; 86: 248-252
        • Hellstrom A.L.
        Influence of potty training habits on dysfunctional bladder in children.
        Lancet. 2000; 356: 1787
        • Bakker E.
        • van Gool J.
        • Wyndaele J.J.
        Results of a questionnaire evaluating different aspects of personal and familial situation, and the methods of potty-training in two groups of children with a different outcome of bladder control.
        Scand J Urol Nephrol. 2001; 35: 370-376
        • Doleys D.M.
        • Dolce J.J.
        Toilet training and enuresis.
        Pediatr Clin North Am. 1982; 29: 297-313
        • Martin J.A.
        • King D.R.
        • Maccoby E.E.
        • Jacklin C.N.
        Secular trends and individual differences in toilet-training progress.
        J Pediatr Psychol. 1984; 9: 457-467
        • Spock B.
        • Bergen M.
        Parents' fear of conflict in toilet training.
        Pediatrics. 1964; 34: 112-116
        • Taubman B.
        Toilet training and toileting refusal for stool only: a prospective study.
        Pediatrics. 1997; 99: 54-58
        • Pickering L.K.
        • Bartlett A.V.
        • Woodward W.E.
        Acute infectious diarrhea among children in day care: epidemiology and control.
        Rev Infect Dis. 1986; : 539-547
        • Michel R.S.
        Toilet training.
        Pediatr Rev. 1999; 20: 240-245
        • Mota D.M.
        • Victora C.G.
        • Hallal P.C.
        Investigação de disfunção miccional em uma amostra populacional de crianças de 3 a 9 anos.
        J Pediatr (Rio J). 2005; 81: 225-232
        • Hallgren B.
        • Enuresis I.
        A study with reference to the morbidity risk and symptomatology.
        Acta Psychiatr Neurol Scand. 1956; 31: 379-403
        • Jansson U.B.
        • Hanson M.
        • Sillen U.
        • Hellstrom A.L.
        Voiding pattern and acquisition of bladder control from birth to age 6 years—a longitudinal study.
        J Urol. 2005; 174: 289-293
        • Wong S.S.
        • Wong V.C.
        Functional independence measure for children: a comparison of Chinese and Japanese children.
        Neurorehabil Neural Repair. 2007; 21: 91-96
        • Blum N.J.
        • Taubman B.
        • Nemeth N.
        Relationship between age at initiation of toilet training and duration of training: a prospective study.
        Pediatrics. 2003; 111: 810-814