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

Urology
|August 15, 2006
PubMed

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.
Abstract

Related Concept Videos

Sleep Apnea01:21

Sleep Apnea

Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
Sleep-Wake Cycles01:24

Sleep-Wake Cycles

Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and  rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
Nightmares and Night Terrors01:18

Nightmares and Night Terrors

Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares often...
The Micturition Reflex01:26

The Micturition Reflex

Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Cause and Effect01:53

Cause and Effect

While variables are sometimes correlated because one does cause the other, it could also be that some other factor, a confounding variable, is actually causing the systematic movement in our variables of interest. For instance, as sales in ice cream increase, so does the overall rate of crime. Is it possible that indulging in your favorite flavor of ice cream could send you on a crime spree? Or, after committing crime do you think you might decide to treat yourself to a cone?