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Published on: October 2, 2019
Night diapers use and sleep in children with enuresis
Jonathan Kushnir1, Vered Cohen-Zrubavel, Baruch Kushnir
1The Dr. Kushnir Enuresis and Encopresis Clinics, Israel; The Child Psychiatry Unit, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Insights
Night diapers improve sleep quality for school-aged children with enuresis (bedwetting). Children with enuresis using night diapers had sleep similar to healthy peers, unlike those not using them.
Area of Science:
- Pediatric Sleep Medicine
- Urology
- Child Psychology
Background:
- Nocturnal enuresis, or bedwetting, affects school-aged children and can impact sleep quality.
- The role of management strategies like night diapers in mitigating sleep disturbances is not fully understood.
Purpose of the Study:
- To investigate the association between the use of night diapers and the sleep quality of school-aged children diagnosed with enuresis.
Main Methods:
- Sleep patterns were assessed in 72 school-aged children (6-9 years) with enuresis and 63 healthy controls.
- Data were collected over 4-5 nights using actigraphy and daily logs.
Main Results:
- Children with enuresis not using night diapers exhibited poorer sleep quality (increased activity, shorter continuous sleep) compared to controls.
- No significant differences in sleep measures were observed between enuretic children using night diapers and healthy controls.
- Overall, children with enuresis reported lower sleep quality than controls, irrespective of diaper use.
Conclusions:
- Sleep patterns in school-aged children with enuresis are impaired when night diapers are not used.
- Night diaper use appears to normalize sleep quality in children with enuresis, bringing it to levels comparable to healthy children.
- Recommending night diapers for untreated enuresis may improve sleep and overall well-being in affected children.
Objective:
We aimed to assess the association between night diapers use and sleep quality of school-aged children with enuresis.
Methods:
The sleep patterns of 72 school-aged children (ages 6-9 y) with enuresis referred to a clinic specializing in bladder disorders and 63 healthy control children were assessed. Sleep measures were derived from four to five monitoring nights of actigraphy and daily logs.
Results:
In comparison to controls, children with enuresis who did not wear night diapers had poorer sleep quality as reflected by both actigraphic measures (more activity during sleep and shorter periods of continuous sleep) and one reported measure (lower sleep quality). However, no differences were found on any of the sleep measures between children with enuresis wearing night diapers and controls. The reported sleep quality of all children with enuresis with and without night diapers was lower than controls.
Conclusions:
Our results suggest that sleep patterns of school-aged children with enuresis who do not wear night diapers are impaired, and the sleep quality of children using night diapers is similar to those of healthy children. Thus, clinicians and healthcare providers should consider recommending sleeping with night diapers for untreated children with enuresis, based on its positive impact on sleep.
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