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Respiration during sleep in children with therapy-resistant enuresis

Tryggve Nevéus1, Lena Leissner, Stig Rudblad

  • 1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Acta Paediatrica (Oslo, Norway : 1992)
|November 19, 2013
PubMed

Insights

Children with enuresis (bedwetting) may have undiagnosed breathing issues during sleep, indicated by a higher than expected apnea-hypopnea index. These findings suggest subclinical disordered respiration could explain high arousal thresholds in enuretic children.

Area of Science:

  • Pediatric Sleep Medicine
  • Respiratory Physiology
  • Urology

Background:

  • Enuresis is linked to snoring and sleep apnea.
  • Nocturnal respiration in enuretic children remains understudied.

Purpose of the Study:

  • To investigate sleep respiration in children with therapy-resistant enuresis.
  • To identify potential links between enuresis and respiratory disturbances.

Main Methods:

  • Sleep studies (polysomnography) including EEG, EOG, oxygen saturation, respiratory effort, and airflow.
  • Nasal airway patency assessed via rhinomanometry and acoustic rhinometry.
  • 34 children with therapy-resistant enuresis participated.

Main Results:

  • Elevated apnea-hypopnea index (AHI) due to frequent hypopneas.
  • Tendency for respiratory-related arousals observed.
  • Standard polysomnographic variables were within normal limits.

Conclusions:

  • Provides baseline data on nocturnal respiration in enuretic children.
  • Subclinical disordered respiration identified in this cohort.
  • May explain elevated arousal thresholds contributing to enuresis.
Abstract

Keywords:
Enuresispolysomnographysleep apnoeas

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