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Published on: October 2, 2019
Decreased vitamin b(12) levels in children with nocturnal enuresis
Bülent Altunoluk1, Mehmet Davutoglu, Mesut Garipardic
1Department of Urology, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Yörükselim Mahallesi Hastane Caddesi 32, 46100 Kahramanmaras, Turkey.
Insights
Children with nocturnal enuresis (bedwetting) may have lower levels of vitamin B12 and folate. These findings suggest a potential link between these nutrient deficiencies and the common pediatric condition.
Area of Science:
- Pediatric Nephrology
- Nutritional Science
- Neurodevelopmental Pediatrics
Background:
- Nocturnal enuresis is a prevalent pediatric issue with an often unclear etiology.
- The role of neurogenic maturation in enuresis is a subject of ongoing investigation.
- Nutritional factors, such as vitamin levels, may influence neurological development and function.
Purpose of the Study:
- To investigate the relationship between vitamin B12 and folate levels and primary nocturnal enuresis (PNE) in children.
- To explore potential links between vitamin deficiencies and neurogenic maturation in enuretic children.
- To compare vitamin B12 and folate levels in children with PNE against a healthy control group.
Main Methods:
- A cross-sectional study involving 30 children with PNE and 31 healthy controls.
- Measurements included body weight, height, complete blood counts, and serum vitamin B12 and folate levels.
- Statistical comparison of anthropometric data and blood parameters between the enuresis and control groups.
Main Results:
- No significant differences were observed in age, height, or weight between the groups.
- Hemoglobin, hematocrit, and mean corpuscular volume (MCV) levels did not differ between children with enuresis and controls.
- Children with nocturnal enuresis exhibited significantly lower mean levels of vitamin B12 and folate compared to the control group.
Conclusions:
- The study suggests a potential association between vitamin B12 and folate deficiency and nocturnal enuresis in children.
- Further research with larger cohorts is warranted to confirm these findings.
- These results may inform future investigations into including vitamin B12 and folate testing in the routine evaluation of enuretic children.
Abstract:
Objectives. Nocturnal enuresis is a common pediatric problem, the etiology of which is unclear. In the present study, vitamin B(12) and folate levels were measured in children with nocturnal enuresis and compared with those in healthy control group children to investigate whether there was any relation with enuresis and neurogenic maturation as a first time in the literature. Methods. In this cross-sectional study, we included thirty children (16 girls, 14 boys) who had presented with primary nocturnal enuresis (PNE) complaints in the study group and 31 children (13 girls, 18 boys) in the control group. Body weight and height measurements were obtained and complete blood counts and vitamin B(12) and folate levels were measured in all children. Results. No difference was found in age, height, and weight between study and control groups. Also the mean levels of the hemoglobin, hematocrit, and mean corpuscular volume (MCV) were not different between the two groups. Significantly lower mean vitamin B(12) and folate levels were found in the enuresis group compared with the control group. Conclusions. Further studies are needed to clarify B(12) and folate deficiency in larger series so that these tests can be included in routine investigations of enuretic children.
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