Comorbid Monosymptomatic Nocturnal Enuresis and Snoring Exhibit an Additive Effect on Impairments in Heath-Related Quality of Life
Health related quality of life (HRQOL) is a relatively new concept in pediatrics, but it has shown to be extremely important in terms of clinical care, treatment planning, and compliance with medical and behavioral recommendations. Two groups of children who are at risk for impairments in HRQOL are those who have bedwetting and those who snore or have sleep apnea. However, the current study sought to determine whether the combination of monosymptomatic nocturnal enuresis (MNE) and sleep disordered breathing (SDB) results in diminished HRQOL in a pediatric sample.
Conclusion Snoring was shown to be a frequent pathophysiology in active workers. It was a health indicator for active workers, and especially in men, intervention for snoring may reduce the risk of developing lifestyle-related diseases. PMID: 32938849 [PubMed - in process]
Publication date: January 2021Source: Biomedical Signal Processing and Control, Volume 63Author(s): Fan Li, Rui Yan, Reza Mahini, Lai Wei, Zhiqiang Wang, Klaus Mathiak, Rong Liu, Fengyu Cong
Publication date: Available online 18 September 2020Source: Neurología (English Edition)Author(s): J.J. Poza, M. Pujol, J.J. Ortega-Albás, O. Romero, on behalf of the Insomnia Study Group of the Spanish Sleep Society (SES)
We examined whether allergic disease and SDB were associated with childhood NE.MethodsData were assessed from the 2007 –2012 Taiwan National Health Insurance Research Database. We enrolled 4308 children aged 5–18 years having NE diagnosis and age- and sex-matched 4308 children as the control group. The odds ratios of NE were calculated to determine an association with preexisting allergic disease and SDB.ResultsA total of 8616 children were included in the analysis. Prevalence of allergic diseases and SDB was significantly higher for the NE group than the control group (allp
DISCUSSION The study indicated that OSA and NE were associated, leading to their possible common pathogeneses. There were a few limitations; this was based on cross-sectional study, and thus did not elucidate the causal relations. In addition, some of the diagnoses might be clinically inaccurate as the study was to the parents or care-takers. However, only a restricted number of studies based on communities was available regarding this topic, while our study enrolled more than 21,000 children, with such a high response rate.
Summary Obstructive sleep‐disordered breathing includes a spectrum of clinical entities with variable severity ranging from primary snoring to obstructive sleep apnea syndrome (OSAS). The clinical suspicion for OSAS is most often raised by parental report of specific symptoms and/or abnormalities identified by the physical examination which predispose to upper airway obstruction (e.g., adenotonsillar hypertrophy, obesity, craniofacial abnormalities, neuromuscular disorders). Symptoms and signs of OSAS are classified into those directly related to the intermittent pharyngeal airway obstruction (e.g., parental report of sn...
ConclusionsThe prevalence of sleep disorders in Thai children who underwent polysomnography at a tertiary-care hospital is very high. The factors that contribute are the limited availability and high costs of polysomnography in Thailand. This information will encourage pediatricians to look for sleep disorders in children.
Conclusions Symptoms of sleep disorders are prevalent among primary school children. Common disorders are parasomnia, sleep apnea and daytime sleepiness.
Enuresis, sleep respiratory disorders and asthma compromise the quality of sleep in children and may occur in association with each other. An association between sleep respiratory disorders and enuresis has already been demonstrated. According to united airways disease abnormalities of the upper and lower airways may coexist. A child who wheezes has a greater chance of snoring and having obstructive sleep apnea. Since asthma and sleep respiratory disorders may be associated, and sleep respiratory disorders are associated with enuresis, we determined the possibility of an association between asthma and enuresis.
Conclusions: OSA risk factors are associated with nocturnal enuresis in postmenopausal women. Mechanisms relating nocturnal enuresis to OSA may include apnea-associated changes in intrathoracic pressure, leading to increased urine output. Questioning at-risk postmenopausal women presenting with nocturnal enuresis about other OSA risk factors should be considered.