Sleep fragmentation and increased periodic limb movements are more common in children with nocturnal enuresis

Dhondt, Karlien; Baert, E; Herzeele, Charlotte Van; Raes, Ann; Groen, Luitzen Albert; Hoebeke, Piet; Walle, Johan Vande

doi:10.1111/apa.12610

Cited by 69 publications

(44 citation statements)

References 21 publications

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“…Based on Dhondt et al's study (13), the incidence of limb movement was higher in children with nocturnal PNE, while in the current study no difference was found between the groups.…”

Section: Discussioncontrasting

confidence: 60%

Sleep Quality in Children with Primary Nocturnal Enuresis

Najafian

Shahverdi

Afsharpaiman

et al. 2018

Jundishapur J Chronic Dis Care

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Objectives: The aim of this study was to compare a group of children with primary nocturnal enuresis (PNE) with a healthy control group by assessing sleep quality. Methods: This observational study comprised of 116 children aged between 5 and 15; 58 children, who had natural PNE and had attended the urology clinic as outpatients, and 58 healthy controls, who had referred to Baqiyatallah and Najmiyeh hospitals, Tehran, in 2016 and were selected by simple random sampling. All participants performed the Pittsburgh sleep quality index (PSQI) test. The SPSS 13.0 (SPSS Inc.) software was used for data analysis. Results: Ten children (17%) from patients with PNE were preterm or had a difficult delivery (P = 0.02). Most healthy children (n = 26) had eight to ten hours of sleep each night, while in patients, the largest number (n = 28) had six to eight hours of sleep each night (P = 0.09). The need for the presence of parents or toys was higher in children with PNE. Being accustomed to eating and drinking before bedtime was significantly higher in children with PNE (P < 0.05). Sleep apnea was significantly higher in children with PNE (P < 0.05). Parents of 52 children mentioned nocturnal PNE as the only reason for lack of good sleep in their children (P = 0.01). Conclusions: Sleep problems in children with enuresis is one of the most important problems, which affects their lives. The current study confirms sleeping problems in children with enuresis. Sleep and enuresis have mutual impressions and one has to consider improvising of sleep quality in children with enuresis.

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“…Based on Dhondt et al's study (13), the incidence of limb movement was higher in children with nocturnal PNE, while in the current study no difference was found between the groups.…”

Section: Discussioncontrasting

confidence: 60%

Sleep Quality in Children with Primary Nocturnal Enuresis

Najafian

Shahverdi

Afsharpaiman

et al. 2018

Jundishapur J Chronic Dis Care

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“…Many previous studies on sleep homeostasis and consolidation in NE focused on increased deep sleep and a higher arousal threshold by using questionnaires and polygraphy [8][9][10][11]. Conversely, recent publications highlight the presence of sleep fragmentation [12][13][14][15]. In a pilot study in which sleep architecture in children with refractory NE was analyzed, Dhondt et al demonstrated a high incidence of periodic limb movements in sleep (PLMS) associated with cortical arousals [13].…”

Section: Introductionmentioning

confidence: 99%

Sleep fragmentation and periodic limb movements in children with monosymptomatic nocturnal enuresis and polyuria

et al. 2015

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We found that PLMS and cortical arousals in sleep were increased in children with monosymptomatic NE and polyuria, without a significant association with the enuretic parameters. These observations suggest the presence of a comorbid mechanism driven by a common, independent pacemaker. We hypothesize the autonomic system, its sympathetic branch, and the dopaminergic system as candidates for this pacemaker.

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“…It is not commonly studied in children with SCA. It was reported in few studies to occur in 20.5-29% of children with SCA [25,59,93], a prevalence significantly higher than a 1.2-8% rate reported in healthy children [92][93][94][95]. RLS was reported in 11.1 of patients with SCA [ 25].…”

Section: Periodic Limb Movement Syndrome (Plms) and Restless Leg Syndmentioning

confidence: 99%

Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia

Ahmed¹

2017

Med Surg Urol

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Children with sickle cell anemia (SCA) have a tendency to have nocturnal enuresis (NE) more than normal children with males being more affected than females. Mechanisms of NE that operate in normal children probably do so in children with SCA. Postulated causes of nocturnal enuresis in individuals with SCA include hyposthenuria causing nocturnal polyuria, reduced bladder capacity or nocturnal bladder overactivity, sleep disordered breathing and an increased arousal thresholds. The variation in the reported prevalence rate of NE in SCA is probably due to differences in definition criteria and methodology. This review will discuss the prevalence rate and postulated causes of NE in children with SCA.

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Sleep fragmentation and increased periodic limb movements are more common in children with nocturnal enuresis

Abstract: Children with NE displayed higher sleep fragmentation and periodic limb movements in sleep than the control children with a possible sleep disorder without NE. The findings emphasise the central involvement of the pathophysiology of NE and the multifactorial nature of the condition.

Cited by 69 publications

References 21 publications

Sleep Quality in Children with Primary Nocturnal Enuresis

Sleep Quality in Children with Primary Nocturnal Enuresis

Sleep fragmentation and periodic limb movements in children with monosymptomatic nocturnal enuresis and polyuria

Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia

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