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.
Abstract

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