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Correspondence

Indian Pediatr 2015;52: 995

Enuresis and Sleep Disorders in Children


Girish C Bhatt

Department of Pediatrics, AIIMS, Bhopal, Madhya Pradesh, India.
Email: [email protected]
 

      

I read with interest the recent article by Anyanwu, et al. [1] published in Indian Pediatrics and have following comments to offer:

The association of sleep disorders and nocturnal enuresis have been established in previously published reports. A retrospective study of the 525 children with snoring refereed for polysomnography found that 67.7% of these children had nocturnal enuresis [2]. The authors of present article [1] also found that nocturnal enuresis was significantly associated with poor sleep hygiene. A systematic review of 14 studies found that sleep-disordered breathing is associated with nocturnal enuresis and adeno-tonsillectomy was associated with significant improvement in enuresis [3].

In the present study, it would have been interesting to know the presence of sleep-disordered breathing in the patients having enuresis by using appropriate scales. Moreover, as the study intended to find out the association of nocturnal enuresis with sleep, we expected the authors to have subjected enuretic children to Pediatric sleep questionnaire (PSQ) to find out the prevalence of sleep-disorders/sleep-disordered breathing. These findings are important as children having nocturnal enuresis along with obstructive sleep apnea may require different therapeutic interventions [4].

References

1. Anyanwu OU, Ibekwe RC, Orji ML. Nocturnal  enuresis among Nigerian children and its association with sleep, behavior and school performance. Indian Pediatr. 2015;52:587-9.

2. Alexopoulos EI,  Malakasioti G,  Varlami V,  Miligkos M,  Gourgoulianis K,  Kaditis AG. Nocturnal enuresis is associated with moderate-to-severe obstructive sleep apnea in children with snoring. Pediatr Res. 2014;76: 555-9.

3. Jeyakumar A, Rahman SI,  Armbrecht ES,  Mitchell R. The association between sleep-disordered breathing and enuresis in children. Laryngoscope. 2012;122:1873-7.

4. Jain S, Bhatt GC. Advances in the management of primary monosymptomatic nocturnal enuresis in children. Paediatr Int Child Health. 2015:2046905515Y0000000023.

 

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