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Association between the frequency of bedwetting and late preterm birth in children aged ≥5 years

Naoto Nishizaki1, Kaoru Obinata1, Masato Kantake2

  • 1Department of Pediatrics, Juntendo University Urayasu Hospital, Chiba, Japan.

Acta Paediatrica (Oslo, Norway : 1992)
|June 29, 2018
PubMed

Insights

Late preterm birth with low birthweight in children aged five and older is linked to more frequent bedwetting. Gestational age is a key factor in assessing severe bedwetting cases.

Area of Science:

  • Pediatrics
  • Neonatology
  • Urology

Background:

  • Bedwetting, or nocturnal enuresis, is a common concern in childhood.
  • Understanding risk factors associated with birth characteristics is crucial for early intervention.

Purpose of the Study:

  • To investigate the association between late preterm (LPT) birth and the frequency of bedwetting in children aged five years and older.
  • To compare bedwetting frequency among different birthweight and gestational age groups.

Main Methods:

  • Retrospective analysis of 614 children assessed for frequent bedwetting.
  • Data collection included bladder diaries, questionnaires, and neonatal records from electronic medical records and the Maternal and Child Health Handbook.

Main Results:

  • Children born late preterm with low birthweight (LPT/low BW) exhibited a higher frequency of bedwetting compared to those born full-term with low birthweight (term/low BW).
  • No significant difference in bedwetting frequency was observed between LPT/normal BW and LPT/low BW groups.
  • Multiple regression analysis controlling for ADHD and intellectual disability did not alter these findings.

Conclusions:

  • Late preterm birth combined with low birthweight is significantly associated with an increased frequency of bedwetting in children.
  • Gestational age should be a considered factor when evaluating children with severe or persistent bedwetting.
Abstract

Keywords:
Attention-deficit/hyperactivity disorderIntellectual disabilityLate preterm infantNocturnal enuresis

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