Sleep fragmentation and increased periodic limb movements are more common in children with nocturnal enuresis
K Dhondt1, E Baert, C Van Herzeele
1Pediatrics, Department of Child Neurology & Metabolism. Pediatric Sleep Center, Ghent University Hospital, Ghent, Belgium.
Insights
Children with nocturnal enuresis (NE) experience more fragmented sleep and periodic limb movements during sleep compared to controls. These findings suggest NE
Area of Science:
- Pediatric Sleep Medicine
- Urology
- Neuroscience
Background:
- Nocturnal enuresis (NE) is common in children.
- The relationship between NE and sleep quality is not fully understood.
- Sleep fragmentation may play a role in NE pathophysiology.
Purpose of the Study:
- To investigate sleep fragmentation in children with NE.
- To compare sleep parameters between children with NE and healthy controls.
- To explore the association between periodic limb movements and NE.
Main Methods:
- Children with NE and age/gender-matched controls underwent overnight video-polysomnography.
- NE parameters were assessed by pediatricians.
- Sleep studies were analyzed for periodic limb movements, arousals, and awakenings.
Main Results:
- Children with NE showed significantly higher periodic limb movement index, arousal index, and awakening index than controls.
- Increased sleep fragmentation was observed in the NE group.
- Periodic limb movements with cortical arousals were more frequent in children with NE.
Conclusions:
- Children with NE exhibit greater sleep fragmentation and periodic limb movements.
- These findings highlight the central nervous system's involvement in NE.
- NE is likely a multifactorial condition with significant sleep-related components.
Aim:
To determine sleep fragmentation in children with nocturnal enuresis (NE).
Methods:
Paediatricians assessed NE parameters in children referred to an enuresis clinic. Control subjects, matched by age and gender and without incontinence or (un)treated NE, were recruited from the paediatric sleep clinic regardless of their sleep problem. Sleep was investigated by one overnight video-polysomnography in both groups.
Results:
The study group comprised 67 children with proven NE (50 boys and 17 girls between six and 16 years: 11.1 ± 2.8 SD). They were matched with 67 control subjects (47 boys and 20 girls aged between six and 16 years: 11.0 ± 2.9 SD). Children with NE had a higher incidence of periodic limb movements associated with cortical arousals in their sleep. They displayed significant higher periodic limb movement index, arousal index and awakening index than the control group.
Conclusion:
Children with NE displayed higher sleep fragmentation and periodic limb movements in sleep than the control children with a possible sleep disorder without NE. The findings emphasise the central involvement of the pathophysiology of NE and the multifactorial nature of the condition.
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