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Symptoms of sleep-disordered breathing in children with nocturnal enuresis

Jessica Stone1, Padraig S J Malone, Diane Atwill

  • 1University of Southampton School of Medicine, Southampton, UK.

Journal of Pediatric Urology
|July 18, 2008
PubMed

Insights

Children with nocturnal enuresis (NE) show higher scores on sleep questionnaires, suggesting a link between NE and sleep-disordered breathing (SDB). This association appears stronger in girls and warrants further investigation for treatment strategies.

Area of Science:

  • Pediatric Sleep Medicine
  • Urology
  • Respiratory Medicine

Background:

  • Sleep-disordered breathing (SDB) is linked to nocturia in adults.
  • The potential role of SDB in childhood nocturnal enuresis (NE) is not well understood.

Purpose of the Study:

  • To investigate the association between sleep-disordered breathing (SDB) and nocturnal enuresis (NE) in children.
  • To determine if SDB contributes to the etiology of NE.

Main Methods:

  • A case-control study involving 40 children with NE (ages 5-15) and 40 controls.
  • Participants completed the Pediatric Sleep Questionnaire (PSQ) and a lower urinary tract symptoms questionnaire.
  • Statistical analysis included Pearson's Chi-squared test and Mann-Whitney/Kruskal-Wallis/t-tests.

Main Results:

  • Children with NE had significantly higher total PSQ scores (P<0.001).
  • NE patients reported worse daytime sleepiness (P<0.003) and behavioral problems (P<0.000).
  • A significant association between NE and SDB was observed in girls (P<0.001 for snoring subscale).

Conclusions:

  • Children with NE exhibit higher PSQ scores, indicating a potential link with SDB.
  • The findings suggest an association between NE and SDB, particularly in girls.
  • SDB assessment may be beneficial for children with NE, especially those unresponsive to standard treatments.
Abstract

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