Nocturnal enuresis and sleep disordered breathing in primary school children: Potential implications

Wada, Hiroo; Kimura, M.; Tajima, T; Shirahama, Ryutaro; Suzuki, Yohei; Suzuki, Yuka; Hayashi, Tsuguru; Maruyama, Koutatsu; Endo, Motoki; Sakamoto, Naoko; Ikeda, Ai; Gozal, David; Tanigawa, Takeshi

doi:10.1002/ppul.24156

Cited by 14 publications

(22 citation statements)

References 38 publications

(84 reference statements)

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“…Although the clinical relevance of detecting snoring, especially less‐frequent snoring, remains to be established, the present study has shown that snoring 1–6 nights a week is associated with increased airway symptoms, and the systemic symptoms of hypertension, diabetes and heart disease. This finding suggests that less‐frequent snoring might be related to physical and mental disorders, as was observed in the associations between snoring 1–2 nights per week and a higher prevalence of impaired cognitive function or enuresis in children …”

Section: Discussionmentioning

confidence: 53%

“…This finding suggests that less-frequent snoring might be related to physical and mental disorders, as was observed in the associations between snoring 1-2 nights per week and a higher prevalence of impaired cognitive function or enuresis in children. 31,32 This study had several limitations. First, Japan Gerontological Evaluation Study 2013 was based on a postal self-reported questionnaire and not on face-to-face interviews or diagnoses by clinical specialists.…”

Section: Discussionmentioning

confidence: 97%

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Prevalence and clinical impact of snoring in older community‐dwelling adults

Wada

Furuya

Maruyama

et al. 2019

Geriatrics Gerontology Int

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Aim The prevalence and clinical impact of snoring in the independent older adult population is unknown. To address this, we carried out this cross‐sectional epidemiological study of community‐dwelling independent older adults. Methods The study data were collected by the Japan Gerontological Evaluation Study 2013, a postal survey distributed to a large cohort of independent community‐dwelling older adults (aged ≥65 years) in 2013, across 30 municipalities of 14 prefectures. We used data for 24 837 participants (13 135 women, mean age 73.5 years, and 11 702 men, mean age 73.3 years). The association of snoring with airway symptoms and history of hypertension, diabetes and heart disease were investigated using Poisson regression models. Results The prevalence ratio (95% confidence intervals) for wheezing according to snoring frequency in men was 1.87 (1.45–2.43) among those who snored on 1–6 nights a week, and 2.95 (2.15–4.05) among those who snored every night. Similar relationships were observed for women. Expectoration, another airway symptom, was also associated with snoring frequency. Furthermore, snoring frequency was associated with a higher prevalence of hypertension, diabetes and heart disease. Both diabetes and heart disease were associated with snoring frequency in women independent of body mass index, but the association was only observed in men with a normal or lower body mass index. Conclusions Snoring is a highly prevalent and pathogenic symptom in adults aged ≥65 years. Geriatr Gerontol Int 2019; 19: 1165–1171.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 97%

Prevalence and clinical impact of snoring in older community‐dwelling adults

Wada

Furuya

Maruyama

et al. 2019

Geriatrics Gerontology Int

Self Cite

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“…Though the relationship between nocturnal enuresis and OSA is well documented in literature, Wada et al examined the less‐understood relationship between the symptoms of SDB, such as snoring, and nocturnal enuresis. This study utilized a standard questionnaire in 20 000 children (age, 5‐12 years) in Japan to examine the associations between nocturnal enuresis and the frequency of unrefreshing sleep and snoring.…”

Section: Introductionmentioning

confidence: 99%

“…In pediatrics, the first‐line treatment for uncomplicated OSA is AT . Several guidelines recommend obtaining a PSG before obtaining an AT . The American Academy of Otolaryngology—Head and Neck Surgery (AAO‐HNS), recommends obtaining a PSG in those patients considered high risk for surgical morbidity or those where there is disconnect between patient symptoms and the physical examination .…”

Section: Introductionmentioning

confidence: 99%

Pediatric pulmonology year in review 2018: Sleep medicine

Quinlan

Tapia

2019

Pediatric Pulmonology

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Pediatric Pulmonology publishes original research, case reports, and review articles on topics related to a wide range of children's respiratory disorders. In this article (Part 4 of a five‐part series), we summarize the past year's publications in sleep medicine, in the context of selected literature in this area from other journals. Articles are highlighted on topics including infant sleep, diagnosis, and treatment of obstructive sleep apnea, and sleep disorders in chronic disease.

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“…Primary snoring during sleep is currently thought to exist at the mild, non-pathological, end of a continuum of airway obstruction with medically-recognized obstructive sleep apnea (OSA) at the extreme end. Primary snoring has long been statistically linked to significantly increased risk of hypertension [6], heart disease and stroke [7], premature births [8], and in children, to developmental delay, attention deficit disorder, and socialization and learning disabilities [9]. Recently reported research has also identified two blood pressure-related phenomena linked to snoring; (1) lack of normal blood pressure 'dipping,' [11] and (2) the occurrence of a blood pressure surge following snoring episodes [12].…”

Section: Introductionmentioning

confidence: 99%

Snoring: The Case for Molecular Tissue Oximetry

Gm¹,

Aa²,

Ad³

2019

Preprint

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Snoring gets no respect. It also gets little to no medical therapy. Why is this? How can something that is clearly pathological based on epidemiologic research not be diagnosed and treated with effective therapy? The problem is the lack of a credible, objective index of pathology during snoring. Pulse oximetry detects drops in arterial blood oxygen saturation (SpO2) associated with obstructive sleep apnea and hypopnea events in polysomnographic (PSG) testing. When no desaturation is present, evidence of sleep disturbance is required to indicate the presence of pathology. However, obstruction at the mild end of the continuum of sleep disordered breathing (SDB) can occur without producing a drop in SpO2 or sleep disturbance; in which case it is referred to as 'primary snoring.' Although statistically associated with comorbidities of SDB, without there being a drop in SpO2 or sleep disturbance, primary snoring is not thought to be pathologic enough to warrant diagnosis or treatment. One promising means of detecting the pathological processes associated with primary snoring is molecular tissue oximetry, which detects skin tissue oxygen need, vs. oxygen supply. In cases of hypoxic challenge, regulatory mechanisms restrict blood flow to the skin to preferentially maintain blood oxygen supply to more vital organs. As a result, molecular tissue oximetry of the skin is a more sensitive measure of inadequate breathing than pulse oximetry measuring blood oxygen saturation. In this article we review molecular tissue oximetry technology and methodology and make the case that it is a promising tool for identifying pathology occurring in association with primary snoring.

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Nocturnal enuresis and sleep disordered breathing in primary school children: Potential implications

Cited by 14 publications

References 38 publications

Prevalence and clinical impact of snoring in older community‐dwelling adults

Prevalence and clinical impact of snoring in older community‐dwelling adults

Pediatric pulmonology year in review 2018: Sleep medicine

Snoring: The Case for Molecular Tissue Oximetry

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