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Nocturnal enuresis and poor sleep quality
Shoji Tsuji1, Reiko Takewa1, Chikushi Ohnuma1
1Department of Pediatrics, Kansai Medical University, Osaka, Japan.
Pediatrics International : Official Journal of the Japan Pediatric Society
|September 27, 2018
Summary
Children with nocturnal enuresis (NE) experience poorer sleep quality, indicated by lower sleep efficiency and more shallow sleep episodes. These sleep issues persisted even after successful NE treatment, suggesting they are likely comorbid rather than causal.
Area of Science:
- Pediatric Sleep Medicine
- Childhood Urological Disorders
Background:
- Childhood nocturnal enuresis (NE) is frequently linked to sleep disorders.
- This study investigates the relationship between sleep disorders and NE in children, exploring causality versus comorbidity.
Purpose of the Study:
- To determine the presence and nature of sleep disorders in children with NE.
- To differentiate between sleep disorders causing NE and those being comorbid conditions.
Main Methods:
- Compared sleep patterns of 14 children with monosymptomatic NE and 15 controls using contactless biomotion sensors over ≥5 days.
- Assessed sleep efficiency and shallow sleep episodes.
- Evaluated sleep quality changes post-NE treatment in five children.
Main Results:
- Children with NE exhibited significantly lower median sleep efficiency (87.3% vs. 93.4%) and more shallow sleep episodes (5.11 vs. 1.50) compared to controls.
- Sleep quality did not improve in children whose NE resolved after bedwetting alarm therapy (P=0.50 and P=0.22).
Conclusions:
- Sleep disorders are demonstrably present in children with NE.
- Evidence suggests sleep disorders are comorbid with NE, as they persist even after successful NE treatment.
- Further research is needed to definitively rule out sleep disorders as a cause of NE.
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