Nocturnal enuresis in obese children: a nation-wide epidemiological study from China

Childhood obesity increases the risk of obstructive sleep apnea syndrome, type 2 diabetes mellitus, cardiovascular abnormalities, and psychological and behavioral disorders. But it is unclear whether obesity is associated with childhood nocturnal enuresis (NE). This study aimed to assess the relatio...

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Bibliographic Details
Published in:Scientific reports 2019-06, Vol.9 (1), p.8414, Article 8414
Main Authors: Zhang, Anyi, Li, Shenghui, Zhang, Yiwen, Jiang, Fan, Jin, Xingming, Ma, Jun
Format: Article
Language:English
Subjects:
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Apnea
Asthma
Attention deficit hyperactivity disorder
Body mass index
Child
Children
China - epidemiology
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Enuresis
Epidemiology
Female
Humanities and Social Sciences
Humans
Hyperactivity
Logistic Models
Male
Mental depression
Mood
multidisciplinary
Multivariate Analysis
Nocturnal
Nocturnal Enuresis - complications
Nocturnal Enuresis - epidemiology
Nocturnal Enuresis - pathology
Obesity
Obesity - complications
Risk Factors
Science
Science (multidisciplinary)
Severity of Illness Index
Sleep
Sleep disorders
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Summary:Childhood obesity increases the risk of obstructive sleep apnea syndrome, type 2 diabetes mellitus, cardiovascular abnormalities, and psychological and behavioral disorders. But it is unclear whether obesity is associated with childhood nocturnal enuresis (NE). This study aimed to assess the relationship between childhood obesity and NE in a nationally representative large sample in China. Subjects were enrolled from Urumqi, Chengdu, Xi’an, Hohhot, Wuhan, Canton, Shanghai, and Harbin cities in China in November and December 2005. The survey included 20,987 children aged 5–12 years and they and their caregivers completed questionnaires. Height and weight were measured by school teachers trained in healthcare. According to the WHO child growth standards, obesity was defined as a body mass index >95 th percentile of peers with the same age and gender. NE was defined as bed wetting for more than twice a week for 3 consecutive months. Demographic variables were compared among different groups. The prevalence of obesity, asthma, attention-deficit/hyperactivity disorder (ADHD), depressive moods, and snoring were different between the NE and without-NE groups (P 
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-019-44532-5