Sleep disordered breathing in enuretic children and controls

Ring, Ingrid Jönson; Markström, Agneta; Bazargani, Farhan; Nevéus, Tryggve

doi:10.1016/j.jpurol.2017.05.012

Cited by 12 publications

(7 citation statements)

References 24 publications

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“…Of these three factors, the first two are also intimately associated with SDB . Interestingly, habitual snoring, even with concurrent normal findings during polysomnography (PSG), can lead to not only abnormalities in behavior and cognition, as well as in cardiometabolic parameters, but can also increase the risk of NE, while reciprocally, the presence of NE is associated with increased SDB risk …”

Section: Introductionmentioning

confidence: 99%

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

Wada

Kimura

Tajima

et al. 2018

Pediatric Pulmonology

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The pathogenic mechanisms linking snoring and unrefreshing sleep to increased risk of NE are unknown. However, snoring, a surrogate reporter of SDB, is associated with increased urine production, while unrefreshing sleep may result from disrupted sleep facilitating increased sleep pressure and elevated arousal thresholds. Thus, both SDB and unrefreshing sleep are potential independent risk factors of NE in school age children.

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Section: Introductionmentioning

confidence: 99%

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

Wada

Kimura

Tajima

et al. 2018

Pediatric Pulmonology

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“…5,7 Seven studies from our preliminary literature review (Tables S1 and S3, Supporting Information) comparing sleep behaviours using standardised questionnaires support the notion that children with NE experience a greater number of behavioural sleep problems, as well as sleep disruption and sleep fragmentation compared to children without NE. [8][9][10][11][12][13][14] Relative to children without NE, parents of children with NE in these studies were more likely to report symptoms related to daytime sleepiness, 8,10,12 bedtime resistance, 10 sleep anxiety, 10,14 sleep onset delay, 8,10 sleep duration disorder, 8,10 sleep arousals and disturbances, [8][9][10][11][12]14 sleep-disordered breathing (SDB) or snoring, 8,10,13 parasomnias, 10,12 nocturnal hyperhidrosis 8 and feeling unrefreshed after sleep. 13 Thus, children with NE exhibit more behavioural sleep problems and more sleep disruption than children without NE.…”

mentioning

confidence: 87%

“…However, one recent study found a reduction in stage three (slow wave) sleep and major disruption of sleep microstructure in children with NE using cyclic alternating pattern 18 . For individual PSG parameters, sleep time, sleep latency and sleep efficiency have been consistently comparable 4,9,12,18 . There is mixed evidence for between‐group differences in arousals, the number of awakenings after sleep onset and mean oxygen saturation, 4,9,12,18,19 although one study did report a greater oxygen desaturation index (ODI) in children with NE 9 .…”

Section: What Is Already Known On This Topicmentioning

confidence: 99%

Relationship between sleep respiration, architecture and childhood enuresis: Correlates between polysomnography and questionnaire

Martenstyn

Machaalani

Waters

2021

J Paediatrics Child Health

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Aim: Nocturnal enuresis (NE) and sleep-disordered breathing (SDB) are common in childhood. While the two disorders are linked, those links are still being clarified. Methods: This study compared sleep profiles and enuresis-related behaviours between children with NE and those without, who were referred to a tertiary sleep unit with suspected SDB, using the combination of polysomnography (PSG) and questionnaire. Continuous numerical data were analysed after adjusting for body mass index z-score. Results: The study included 52 Children (39 boys, 13 girls) aged 5-14 years. Twenty-one had enuresis (10 monosymptomatic enuresis (MNE) and 11 non-monosymptomatic enuresis (NMNE)) and 31 did not have enuresis. The majority had comorbidities. On PSG, all children with NE had moderate obstructive sleep apnoea (OSA) compared to the control group which were of mild OSA. Children with NMNE had a higher percentage time in stage-3 non-REM sleep when compared to the non-enuretic and MNE groups (P < 0.05). On the questionnaire, more parents of the NE groups reported that their child was 'difficult to wake in the morning' (P < 0.05). Conclusion:In this heterogeneous population referred for suspected SDB, children with NE had moderate OSA, yet those with MNE had increased arousals and more often report difficulty waking than children with suspected SDB who do not wet, while children with NMNE exhibit changes in sleep architecture suggesting deeper sleep. These differences may impact treatment choices for children with enuresis.

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“…Symptoms such as habitual snoring, apneas, excessive sweating at night, and mouth breathing in the history or via sleep questionnaires can lead to the diagnosis of adenotonsillar hypertrophy. However, looking at enuretic and nonenuretic children, the incidence of sleep‐disordered breathing between both groups seems not to be different . If sleep‐disordered breathing occurs, a referral to an ear‐nose‐throat specialist should be advised.…”

Section: Diagnostic Evaluationmentioning

confidence: 99%

Practical recommendations of the EAU‐ESPU guidelines committee for monosymptomatic enuresis—Bedwetting

Bogaert

Stein

Undre

et al. 2019

Neurourology and Urodynamics

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Background and Aims: The objective of this update of the EAU-ESPU guidelines recommendations for nocturnal enuresis was to review the recent published literature of studies, reviews, guidelines regarding the etiology, diagnosis and treatment options of nocturnal enuresis and transform the information into a practical recommendation strategy for the general practitioner, pediatrician, pediatric urologist and urologist. Material and Methods: Since 2012 a monthly literature search using Scopus® was performed and the relevant literature was reviewed and prospectively registered on the European Urology bedwetting enuresis resource center (http:// bedwetting.europeanurology.com/). In addition, guideline papers and statements of the European Society for Paediatric Urology (ESPU), the European Association of Urology (EAU), the National Institute for Health and Care Excellence (NICE) and the International Children Continence Society (ICCS) were used to update the knowledge and evidence resulting in this practical recommendation strategy.Recommendations have been discussed and agreed within the working group of the EAU-ESPU guidelines committee members. Results:The recommendations focus to place the child and his family in a control position. Pragmatic analysis is made of the bedwetting problem by collecting voiding and drinking habits during the day, measuring nighttime urine production and identification of possible risk factors such as high-volume evening drinking, nighttime overactive bladder, behavioral or psychological problems or sleep disordered breathing. A questionnaire will help to identify those risk factors. Conclusion: Motivation of the child is important for success. Continuous involvement of the child and the family in the treatment will improve treatment compliance, success and patient satisfaction.bedwetting, guidelines, monosymptomatic enuresis, practical recommendations Abbreviations: EAU, the European Association of Urology; ESPU, European Society for Paediatric Urology; UTI, urinary tract infections.

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Sleep disordered breathing in enuretic children and controls

Cited by 12 publications

References 24 publications

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

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

Relationship between sleep respiration, architecture and childhood enuresis: Correlates between polysomnography and questionnaire

Practical recommendations of the EAU‐ESPU guidelines committee for monosymptomatic enuresis—Bedwetting

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