Premium
Depth of sleep and sleep habits among enuretic and incontinent children
Author(s) -
Néveus T,
Hetta J,
Cnattingius S,
Tuvemo T,
Läckgren G,
Olsson U,
Stenberg A
Publication year - 1999
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1999.tb00036.x
Subject(s) - enuresis , nocturia , medicine , bedtime , urinary incontinence , odds ratio , pediatrics , arousal , sleep (system call) , logistic regression , desmopressin , urology , urinary system , psychology , neuroscience , computer science , operating system
In order to evaluate differences in sleep factors between children with wetting problems and dry children, questionnaire data were obtained from 1,413 schoolchildren between the ages of 6 and 10 y. The analyses were performed using logistic regression, and adjusted odds ratios (ORs) were calculated to approximate the relative risk. Current enuresis was associated with a subjectively high arousal threshold, pavor nocturnus, nocturia and confusion when awoken from sleep (ORs 2.7, 2.4, 2.1 and 3.4, respectively), whereas children with current incontinence often experienced bedtime fears, onset insomnia or nocturia (ORs 2.4, 2.3 and 2.7, respectively). Children exhibiting urinary urgency were overrepresented among both children with current enuresis (OR 2.5) and those with current incontinence (OR 17.2). It is concluded that impaired arousal mechanisms and bladder instability are aetiological factors underlying nocturnal enuresis. □ Arousal, enuresis, incontinence, sleep