Family and segregation studies: 411 Chinese children with primary nocturnal enuresis

Qing Wei Wang1, Jian Guo Wen, Rui Li Zhang

  • 1Department of Pediatric Surgery, Pediatric Urodynamic Centre of the First Affiliated Hospital of Zhengzhou University, Zhengzhou City, Zhengzhou, China.

Insights

Primary nocturnal enuresis (PNE) shows significant family clustering, with various inheritance patterns observed. Children with a family history of PNE are more likely to have severe symptoms and daytime issues.

Area of Science:

  • Genetics
  • Pediatrics
  • Epidemiology

Background:

  • Primary nocturnal enuresis (PNE) is a common condition in children.
  • Understanding the genetic basis and familial patterns of PNE is crucial for effective management.

Purpose of the Study:

  • To determine the incidence of PNE among relatives of Chinese children with PNE.
  • To investigate the inheritance patterns of PNE.
  • To identify characteristics of PNE in children with a positive family history.

Main Methods:

  • An epidemiological survey was conducted using self-administered questionnaires for parents of 5-18-year-old students in Henan Province, China.
  • Detailed family histories were collected to identify familial PNE.
  • A positive family history was defined as having a close relative with PNE beyond age 5.

Main Results:

  • A positive family history of PNE was found in 22.87% of probands.
  • Autosomal dominant and recessive inheritance patterns were observed in 14.60% and 1.46% of families, respectively.
  • Children with a positive family history had a higher prevalence of severe PNE, daytime symptoms, and sought professional help.

Conclusions:

  • PNE exhibits significant familial aggregation, with diverse inheritance modes possible.
  • A positive family history is associated with more severe PNE manifestations and daytime symptoms.
Abstract

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