Nocturnal Enuresis Among Overweight Children
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- Category: Vol. 77, December 2009
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Nocturnal Enuresis Among Overweight Children, ZEINAB BAKRY, ABD EL-HADY ABBAS, ASMAA MAHMOUD and GULSEN SALEH
Abstract
Overweight continues to be a leading public health concern all over the world. Some studies showed a positive relationship between body mass index and different urological disorders. Other showed that obesity correlates with a lower voiding diary completion rate and lower efficacy of treatment in children with nocturnal enuresis or dysfunctional voiding.
This study was based on an observation that many over-weight children who were attending the National Nutrition Institute (NNI) childhood obesity clinic were suffering from nocturnal enuresis. This work was designed to evaluate the relationship between overweight and nocturnal enuresis.
The study comprised 114 children aged 4 to 12 years, 53 overweight and 61 non-overweight children as a control group. Anthropometric measures were achieved in the form of weight and height. Body mass index was calculated. Medical history was taken carefully in details and children with primary enuresis were excluded from the study.
Children were clinically examined; those with genetic or endocrinal abnormalities, as well as, those who were suffering from psychological disorders were excluded from the study. Statistical analysis was done using SPSS statistical package version 13.
Our results revealed that 13 (24.5%) of the overweight children (above +2 SD BMI/age) suffered from nocturnal enuresis, compared to 6 (9.8%) of the normal weight children (below +2 SD BMI/age and above –2 SD BMI/age). The difference was statistically significant Chi (1) = 4.41 and p value = 0.032.
We recommend that nocturnal enuresis management should consider life style changes including weight reduction and different sport activities.