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Association between primary nocturnal enuresis and habitual snoring in children
Emmanouel I Alexopoulos1, Eleni Kostadima, Ioanna Pagonari
1Department of Pediatrics, University of Thessaly School of Medicine and Larissa University Hospital, Larissa, Greece. ealexop@yahoo.com
Insights
Children who habitually snore are more likely to experience primary nocturnal enuresis (bedwetting). This study investigated the link between snoring and bedwetting in the general pediatric population, finding a significant association.
Area of Science:
- Pediatric Sleep Medicine
- Urology
Background:
- Nocturnal enuresis (bedwetting) is a common concern in children.
- Obstructive sleep-disordered breathing has been linked to enuresis, primarily in clinical populations.
- The association between habitual snoring and enuresis in the general pediatric population requires further investigation.
Purpose of the Study:
- To determine if primary nocturnal enuresis is significantly associated with habitual snoring in a general pediatric population.
- To assess this association irrespective of age and sex.
Main Methods:
- A cross-sectional study was conducted in a general pediatric population.
- Parents of children aged 5-14 years completed questionnaires on sleep-disordered breathing symptoms and nocturnal enuresis.
- Habitual snoring was defined as snoring more than three nights per week.
Main Results:
- 1821 children participated in the study.
- 7.4% of children were identified as habitual snorers.
- Habitual snorers had a significantly higher prevalence of primary nocturnal enuresis (7.4%) compared to non-habitual snorers (2%).
- The association remained significant after adjusting for age and sex (OR 3.54).
Conclusions:
- Habitual snoring is significantly associated with primary nocturnal enuresis in the general pediatric population.
- This finding highlights the importance of considering snoring in the evaluation of childhood enuresis.
Objectives:
Nocturnal enuresis has been associated with obstructive sleep-disordered breathing mostly in hospital-referred adults and children. To investigate whether primary nocturnal enuresis is significantly associated with habitual snoring in the general pediatric population irrespective of subjects' age and sex, we studied children attending six randomly selected schools in a city in central Greece.
Methods:
A questionnaire regarding the symptoms of sleep-disordered breathing and the presence of nocturnal enuresis (bedwetting for at least one night per week) was answered by the children's parents.
Results:
A total of 1821 children (age 5 to 14 years; 896 girls) were included in the study. Of these, 135 (7.4%) were snoring more frequently than three nights per week (habitual snorers). The habitual snorers had a history of primary nocturnal enuresis more often than did nonhabitual snorers (7.4% versus 2%; odds ratio 4.00, 95% confidence interval 1.93 to 8.32). The association of primary nocturnal enuresis with habitual snoring remained significant after adjustment for age and sex (odds ratio 3.54, 95% confidence interval 1.68 to 7.44).
Conclusions:
In a community sample of children, those with habitual snoring more often had primary nocturnal enuresis than did those without snoring.
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