Assisted Infant Toilet Training and Bladder and Bowel Health: A Global Integrative Review.

IF 1.7 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Maternal and Child Health Journal Pub Date : 2025-10-01 Epub Date: 2025-09-05 DOI:10.1007/s10995-025-04160-0

Celia Hindmarsh, Deborah Davis, Marjorie Atchan

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引用次数: 0

Abstract

Background: Toilet training practices vary across cultures and time. Assisted Infant Toilet Training (AITT) is commonly used in low- and middle-income countries.

Objectives: To synthesise the literature on AITT, including timing of initiation and completion, infant elimination signalling, and associations with bladder and bowel dysfunction.

Methods: An integrative review methodology was employed. Comprehensive searches of Scopus, Medline, CINAHL, Web of Science, PsycINFO, and Google Scholar identified relevant studies. Two reviewers independently screened and appraised studies using GRADE and JBI tools.

Results: Of 2,069 studies identified, 21 met inclusion criteria. Six observational studies reported reduced rates of bladder and bowel dysfunction when AITT was practised.

Discussion: AITT is widely practised in low-income, non-English speaking countries. While observational studies suggest a potential protective effect on bladder and bowel health, the evidence is at serious risk of bias. Further prospective research in high-income contexts is warranted.

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辅助婴儿如厕训练与膀胱和肠道健康：一项全球综合综述。

背景：如厕训练的做法因文化和时间而异。辅助婴儿如厕训练（AITT）在低收入和中等收入国家普遍使用。目的：综合有关AITT的文献，包括开始和完成的时间，婴儿消除信号，以及与膀胱和肠功能障碍的关系。方法：采用综合评价方法。综合检索Scopus、Medline、CINAHL、Web of Science、PsycINFO和b谷歌Scholar，发现相关研究。两位审稿人使用GRADE和JBI工具独立筛选和评价研究。结果：在确定的2069项研究中，21项符合纳入标准。6项观察性研究报告，采用AITT治疗后膀胱和肠道功能障碍发生率降低。讨论：AITT在低收入、非英语国家广泛实施。虽然观察性研究表明对膀胱和肠道健康有潜在的保护作用，但证据存在严重的偏倚风险。在高收入背景下进行进一步的前瞻性研究是必要的。

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来源期刊

Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.20

自引率

4.30%

发文量

271

期刊介绍： Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.