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Relationship between sleep patterns, sleep problems, and childhood enuresis.

Jun Ma1, Shenghui Li2, Fan Jiang1

  • 1Department of Developmental and Behavioral Pediatrics, Shanghai Institute of Pediatric Translational Medicine, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; MOE-Shanghai Key Laboratory of Children's Environmental Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Sleep Medicine
|July 4, 2018
PubMed
Summary

Children with nocturnal enuresis (NE) experience more sleep problems, including shorter sleep duration and increased daytime sleepiness, particularly older boys with severe NE. These findings highlight the link between sleep issues and childhood NE.

Keywords:
ChildrenEnuresisSleepSleep deprivationSleep problems

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Area of Science:

  • Pediatric sleep medicine
  • Child psychology
  • Epidemiology

Background:

  • Sleep dysfunction is a suspected factor in childhood nocturnal enuresis (NE), but previous research is conflicting.
  • Understanding the relationship between sleep patterns and NE is crucial for effective intervention.

Purpose of the Study:

  • To compare sleep patterns and problems in children with and without NE.
  • To analyze differences across age and gender groups in a large-scale epidemiological study.

Main Methods:

  • A multi-center, cross-sectional study of 21,439 primary school children.
  • Utilized validated questionnaires to assess NE, sleep habits, and problems.
  • Compared sleep characteristics between NE and non-NE groups, controlling for confounders.

Main Results:

  • Children with NE, especially older boys with severe NE, had shorter sleep duration.
  • NE group exhibited higher prevalence of bedtime resistance, sleep duration disorder, night awakenings, sleep anxiety, sleep-disordered breathing, and daytime sleepiness.
  • Girls with NE were more prone to parasomnias.

Conclusions:

  • Children with NE, particularly older boys with severe NE, exhibit significant sleep compromise.
  • Findings suggest a need for further research into NE mechanisms and potential clinical implications for treating childhood sleep problems and NE.