Symptoms of sleep-disordered breathing in children with nocturnal enuresis
Symptoms of sleep-disordered breathing in children with nocturnal enuresis
Objectives: there is an association between sleep-disordered breathing (SDB) and nocturia in adults, raising the question as to whether SDB could play a role in the aetiology of nocturnal enuresis (NE) in children. The aim of this study was to determine whether there is an association between these two conditions.
Methods: the study group comprised 40 patients, aged 5-15 years, with enuresis and the control group 40 children undergoing routine day-case surgery. Subjects completed a Pediatric Sleep Questionnaire (PSQ) and a questionnaire assessing lower tract symptoms. Categorical variables were analysed using Pearson's Xi(2) test, and group differences for continuous variables using Mann-Whitney and Kruskal-Wallis tests or t-tests according to the distribution of data.
Results: the groups were well matched. Patients with NE had significantly higher total PSQ scores (P<0.001). PSQ subscales relating to daytime sleepiness (P<0.003) and daytime behaviour (P<0.000) were significantly worse in NE patients. The snoring subscale was not statistically different (P<0.051), but a comparison of females alone showed a highly significant difference (P<0.001) with higher snoring subscale scores in girls with NE.
Conclusion: children with NE had significantly higher PSQ scores. The data suggest an association between NE and SDB in girls. The significantly higher level of reports of daytime sleepiness and behavioural problems in all NE children warrants further study to determine the potential causative pathways and clinical relevance of these findings. SDB could be usefully assessed in children with NE, particularly when they do not respond to standard treatment
incidence, sleep apnea syndromes, great britain, epidemiology, male, etiology, physiopathology, nocturnal enuresis, humans, physiology, urodynamics, questionnaires, sex distribution, female, complications, age distribution, follow-up studies, adolescent, preschool, child
197-202
Stone, Jessica
2bb057ee-5eb0-4254-99c9-d0961b6ac17b
Malone, Padraig S.J.
620e25ae-6eb2-46b9-8eb6-8c99220d315f
Atwill, Diane
58091a83-8efd-4a33-888d-be452c8cf019
McGrigor, Victoria
4803295c-13ca-432d-8edf-2f4ac924a876
Hill, Catherine M.
867cd0a0-dabc-4152-b4bf-8e9fbc0edf8d
January 2008
Stone, Jessica
2bb057ee-5eb0-4254-99c9-d0961b6ac17b
Malone, Padraig S.J.
620e25ae-6eb2-46b9-8eb6-8c99220d315f
Atwill, Diane
58091a83-8efd-4a33-888d-be452c8cf019
McGrigor, Victoria
4803295c-13ca-432d-8edf-2f4ac924a876
Hill, Catherine M.
867cd0a0-dabc-4152-b4bf-8e9fbc0edf8d
Stone, Jessica, Malone, Padraig S.J., Atwill, Diane, McGrigor, Victoria and Hill, Catherine M.
(2008)
Symptoms of sleep-disordered breathing in children with nocturnal enuresis.
Journal of Pediatric Urology, 4 (3), .
(doi:10.1016/j.jpurol.2007.11.011).
Abstract
Objectives: there is an association between sleep-disordered breathing (SDB) and nocturia in adults, raising the question as to whether SDB could play a role in the aetiology of nocturnal enuresis (NE) in children. The aim of this study was to determine whether there is an association between these two conditions.
Methods: the study group comprised 40 patients, aged 5-15 years, with enuresis and the control group 40 children undergoing routine day-case surgery. Subjects completed a Pediatric Sleep Questionnaire (PSQ) and a questionnaire assessing lower tract symptoms. Categorical variables were analysed using Pearson's Xi(2) test, and group differences for continuous variables using Mann-Whitney and Kruskal-Wallis tests or t-tests according to the distribution of data.
Results: the groups were well matched. Patients with NE had significantly higher total PSQ scores (P<0.001). PSQ subscales relating to daytime sleepiness (P<0.003) and daytime behaviour (P<0.000) were significantly worse in NE patients. The snoring subscale was not statistically different (P<0.051), but a comparison of females alone showed a highly significant difference (P<0.001) with higher snoring subscale scores in girls with NE.
Conclusion: children with NE had significantly higher PSQ scores. The data suggest an association between NE and SDB in girls. The significantly higher level of reports of daytime sleepiness and behavioural problems in all NE children warrants further study to determine the potential causative pathways and clinical relevance of these findings. SDB could be usefully assessed in children with NE, particularly when they do not respond to standard treatment
This record has no associated files available for download.
More information
Published date: January 2008
Keywords:
incidence, sleep apnea syndromes, great britain, epidemiology, male, etiology, physiopathology, nocturnal enuresis, humans, physiology, urodynamics, questionnaires, sex distribution, female, complications, age distribution, follow-up studies, adolescent, preschool, child
Identifiers
Local EPrints ID: 70242
URI: http://eprints.soton.ac.uk/id/eprint/70242
ISSN: 1477-5131
PURE UUID: d50f7c3b-74fc-4bc9-bba0-84f8e12e8cee
Catalogue record
Date deposited: 05 Mar 2010
Last modified: 14 Mar 2024 02:42
Export record
Altmetrics
Contributors
Author:
Jessica Stone
Author:
Padraig S.J. Malone
Author:
Diane Atwill
Author:
Victoria McGrigor
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics
