睡眠时间,睡眠问题和尿失禁的发育轨迹:一个前性队列研究
Carol Joinson1, Mariusz T Grzeda2, Jon Heron3
1Centre for Academic Child Health, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK. Carol.Joinson@bristol.ac.uk.
European child & adolescent psychiatry
|June 3, 2024
概括
足够的学前睡眠时间与学龄儿童尿失禁 (UI) 风险较低有关. 儿童早期的睡眠问题可能表明未来的膀控制问题,影响白天和持续的湿.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 儿童泌尿器科 儿童泌尿器科
- 发育儿科 发育儿科
背景情况:
- 尿失禁 (UI) 是一个常见的儿童问题,具有潜在的长期影响.
- 学前睡眠模式越来越被认为对儿童发育至关重要.
- 了解早睡和晚期禁欲之间的联系对于预防策略至关重要.
研究的目的:
- 调查学前睡眠时间和睡眠问题与小学年龄尿失禁之间的关联.
- 为了确定特定的睡眠特征,可以预测儿童的UI轨迹.
- 为了为患有膀控制问题的儿童提供早期干预策略的信息.
主要方法:
- 利用了来自阿文长度研究父母和儿童 (ALSPAC) 队列的数据的多项逻辑回归分析.
- 检查了 3.5 岁的睡眠时间和睡眠问题,与 4-9 岁的UI轨迹相关.
- 调整为多个混因素,包括性别,社会经济地位,孕产妇支持,发育迟缓,压力生活事件,气质和情绪/行为问题.
主要成果:
- 更长的学前睡眠时间 (>8.5小时) 与学校年龄下UI的可能性降低有关.
- 在学前班的每一个额外的睡眠时间都与白天湿的几率减少33%有关.
- 特定的睡眠问题,如沉睡困难,睡眠期间呼吸问题和夜间醒来,与白天和持续 (白天和夜晚) 湿的可能性增加有关.
- 夜间醒来和早起与单独尿床的几率降低有关.
结论:
- 幼儿园睡眠时间是预防学龄尿失禁的重要保护因素.
- 童年早期的睡眠问题与白天和持续湿的可能性增加有关,但不仅仅是尿床.
- 儿童早期睡眠时间短暂和睡眠障碍可能是未来膀控制困难的早期指标.
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