Enuresis—an unattended comorbidity of childhood obesity
Objective: Obstructive sleep apnea (OSA), attention deficit/hyperactivity disorder (ADHD), type 2 diabetes mellitus and psychopathological problems co-occur at increased rates among both obese and enuretic children. We hypothesized that the prevalence of enuresis will be increased in obese children...
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| Veröffentlicht in: | International Journal of Obesity 2013-01, Vol.37 (1), p.75-78 |
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| container_title | International Journal of Obesity |
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| creator | Weintraub, Y Singer, S Alexander, D Hacham, S Menuchin, G Lubetzky, R Steinberg, D M Pinhas-Hamiel, O |
| description | Objective:
Obstructive sleep apnea (OSA), attention deficit/hyperactivity disorder (ADHD), type 2 diabetes mellitus and psychopathological problems co-occur at increased rates among both obese and enuretic children. We hypothesized that the prevalence of enuresis will be increased in obese children and adolescents.
Design:
A cross-sectional study.
Subjects:
281 children and adolescents aged 7–18 years, who completed a questionnaire regarding enuresis, medical conditions and sociodemographic parameters; 158 were normal weight, 37 overweight (85th⩽BMI (body mass index) |
| doi_str_mv | 10.1038/ijo.2012.108 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1273307801</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A315370366</galeid><sourcerecordid>A315370366</sourcerecordid><originalsourceid>FETCH-LOGICAL-c518t-a8d50567b1a3cfc7f4c5e8c201cb9b0aa8faa0420e85826e23ba1342c7c02c113</originalsourceid><addsrcrecordid>eNqN0U9vFCEUAHBiNHat3jybSYzGg7M-YPgzx6apf5ImXvRMGAa6bGagAnPYmx_CT-gnkXVX25oeDAcC_HiPx0PoOYY1Birf-W1cE8CkruQDtMKd4C3revEQrYCCaIFxdoKe5LwFAMaAPEYnhEgie9qvUH8RlmSzzz-__9ChWYIuxYbRjo2Jc0yDH33ZNdE1ZuOncRPj2MSh-rJ7ih45PWX77Difoq_vL76cf2wvP3_4dH522RqGZWm1HFl9ghiwpsYZ4TrDrDT1xWboB9BaOq2hI2Alk4RbQgeNaUeMMEAMxvQUvTnEvU7x22JzUbPPxk6TDjYuWWEiaK1Twn9RIjAXtK_05T90G5cUaiFVcYGB8J7dqCs9WeWDiyVpsw-qzihmVADlvKr1PaqO0c7exGCdr_t3Lry-dWFj9VQ2OU5L8THku_DtAZoUc07WqevkZ512CoPad1_V7qt99-tKVv7iWNQyzHb8i_-0u4JXR6Cz0ZNLOhifbxyXveS_87YHl-tRuLLp1u_cl_gXEjLDCw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1267102695</pqid></control><display><type>article</type><title>Enuresis—an unattended comorbidity of childhood obesity</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Nature Journals Online</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Weintraub, Y ; Singer, S ; Alexander, D ; Hacham, S ; Menuchin, G ; Lubetzky, R ; Steinberg, D M ; Pinhas-Hamiel, O</creator><creatorcontrib>Weintraub, Y ; Singer, S ; Alexander, D ; Hacham, S ; Menuchin, G ; Lubetzky, R ; Steinberg, D M ; Pinhas-Hamiel, O</creatorcontrib><description>Objective:
Obstructive sleep apnea (OSA), attention deficit/hyperactivity disorder (ADHD), type 2 diabetes mellitus and psychopathological problems co-occur at increased rates among both obese and enuretic children. We hypothesized that the prevalence of enuresis will be increased in obese children and adolescents.
Design:
A cross-sectional study.
Subjects:
281 children and adolescents aged 7–18 years, who completed a questionnaire regarding enuresis, medical conditions and sociodemographic parameters; 158 were normal weight, 37 overweight (85th⩽BMI (body mass index)<95th percentiles) and 86 obese (BMI⩾95th percentile).
Main outcome measure(s):
Occurrence of enuresis among obese children and adolescents.
Results:
Enuresis was reported in 14 (8.8%) normal weight, 6 (16%) overweight and 26 (30%) obese youth. Odds ratio (OR)=6.5, 95% confidence interval (CI)=2.67–15.78 for enuresis among obese compared with normal weight (
P
<0.0001). Each increment of one BMI-
Z
score unit was associated with an increased risk of enuresis, OR of 2.14, 95% CI (1.46–3.12),
P
=0.00008. Male gender (OR 2.84, 95% CI (1.10–5.58),
P
=0.028), first-degree relative with current/past enuresis (OR 4.24, 95% CI (1.62–11.08),
P
=0.003), voiding dysfunction symptoms (OR 3.067, 95% CI (1.05–9.00),
P
=0.041) and ADHD (OR 2.31, 95% CI (0.99–5.34),
P
=0.051) increased the risk of enuresis. OSA-related symptoms, academic achievements in school, sharing a bedroom, family size relative to number of rooms in home, parental education, family status and religious observance were not found to increase the risk for enuresis.
Conclusions:
Obese children are at increased risk for enuresis. Enuresis should be clarified during the primary workup of every obese child and adolescent.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/ijo.2012.108</identifier><identifier>PMID: 22828939</identifier><identifier>CODEN: IJOBDP</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/477 ; 692/699 ; 692/699/1702/393 ; 692/700/478 ; Adolescent ; Adolescents ; Analysis of Variance ; Attention Deficit Disorder with Hyperactivity ; Attention deficit hyperactivity disorder ; Biological and medical sciences ; Body Mass Index ; Child ; Children ; Comorbidity ; Cross-Sectional Studies ; Diabetes Mellitus, Type 2 - epidemiology ; Education ; Enuresis ; Epidemiology ; Family size ; Female ; General aspects ; Health Promotion and Disease Prevention ; Humans ; Internal Medicine ; Israel - epidemiology ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Mental Health - statistics & numerical data ; Metabolic Diseases ; Nephrology. Urinary tract diseases ; Nocturnal Enuresis - diagnosis ; Nocturnal Enuresis - epidemiology ; Nocturnal Enuresis - psychology ; Obesity ; Obesity - complications ; Obesity - epidemiology ; Obesity - psychology ; Obesity in children ; Odds Ratio ; original-article ; Physical Fitness ; Predictive Value of Tests ; Prevalence ; Prevalence studies (Epidemiology) ; Public Health ; Quality of Life ; Risk Factors ; Sleep apnea ; Sleep Apnea, Obstructive - diagnosis ; Sleep Apnea, Obstructive - epidemiology ; Socioeconomic Factors ; Surveys and Questionnaires ; Teenagers ; Urinary system involvement in other diseases. Miscellaneous ; Urinary tract. Prostate gland</subject><ispartof>International Journal of Obesity, 2013-01, Vol.37 (1), p.75-78</ispartof><rights>Macmillan Publishers Limited 2013</rights><rights>2014 INIST-CNRS</rights><rights>COPYRIGHT 2013 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-a8d50567b1a3cfc7f4c5e8c201cb9b0aa8faa0420e85826e23ba1342c7c02c113</citedby><cites>FETCH-LOGICAL-c518t-a8d50567b1a3cfc7f4c5e8c201cb9b0aa8faa0420e85826e23ba1342c7c02c113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/ijo.2012.108$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/ijo.2012.108$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26898666$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22828939$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weintraub, Y</creatorcontrib><creatorcontrib>Singer, S</creatorcontrib><creatorcontrib>Alexander, D</creatorcontrib><creatorcontrib>Hacham, S</creatorcontrib><creatorcontrib>Menuchin, G</creatorcontrib><creatorcontrib>Lubetzky, R</creatorcontrib><creatorcontrib>Steinberg, D M</creatorcontrib><creatorcontrib>Pinhas-Hamiel, O</creatorcontrib><title>Enuresis—an unattended comorbidity of childhood obesity</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Objective:
Obstructive sleep apnea (OSA), attention deficit/hyperactivity disorder (ADHD), type 2 diabetes mellitus and psychopathological problems co-occur at increased rates among both obese and enuretic children. We hypothesized that the prevalence of enuresis will be increased in obese children and adolescents.
Design:
A cross-sectional study.
Subjects:
281 children and adolescents aged 7–18 years, who completed a questionnaire regarding enuresis, medical conditions and sociodemographic parameters; 158 were normal weight, 37 overweight (85th⩽BMI (body mass index)<95th percentiles) and 86 obese (BMI⩾95th percentile).
Main outcome measure(s):
Occurrence of enuresis among obese children and adolescents.
Results:
Enuresis was reported in 14 (8.8%) normal weight, 6 (16%) overweight and 26 (30%) obese youth. Odds ratio (OR)=6.5, 95% confidence interval (CI)=2.67–15.78 for enuresis among obese compared with normal weight (
P
<0.0001). Each increment of one BMI-
Z
score unit was associated with an increased risk of enuresis, OR of 2.14, 95% CI (1.46–3.12),
P
=0.00008. Male gender (OR 2.84, 95% CI (1.10–5.58),
P
=0.028), first-degree relative with current/past enuresis (OR 4.24, 95% CI (1.62–11.08),
P
=0.003), voiding dysfunction symptoms (OR 3.067, 95% CI (1.05–9.00),
P
=0.041) and ADHD (OR 2.31, 95% CI (0.99–5.34),
P
=0.051) increased the risk of enuresis. OSA-related symptoms, academic achievements in school, sharing a bedroom, family size relative to number of rooms in home, parental education, family status and religious observance were not found to increase the risk for enuresis.
Conclusions:
Obese children are at increased risk for enuresis. Enuresis should be clarified during the primary workup of every obese child and adolescent.</description><subject>631/477</subject><subject>692/699</subject><subject>692/699/1702/393</subject><subject>692/700/478</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Analysis of Variance</subject><subject>Attention Deficit Disorder with Hyperactivity</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Children</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Education</subject><subject>Enuresis</subject><subject>Epidemiology</subject><subject>Family size</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Promotion and Disease Prevention</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Israel - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental Health - statistics & numerical data</subject><subject>Metabolic Diseases</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nocturnal Enuresis - diagnosis</subject><subject>Nocturnal Enuresis - epidemiology</subject><subject>Nocturnal Enuresis - psychology</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - epidemiology</subject><subject>Obesity - psychology</subject><subject>Obesity in children</subject><subject>Odds Ratio</subject><subject>original-article</subject><subject>Physical Fitness</subject><subject>Predictive Value of Tests</subject><subject>Prevalence</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Public Health</subject><subject>Quality of Life</subject><subject>Risk Factors</subject><subject>Sleep apnea</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Sleep Apnea, Obstructive - epidemiology</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>Teenagers</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urinary tract. Prostate gland</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqN0U9vFCEUAHBiNHat3jybSYzGg7M-YPgzx6apf5ImXvRMGAa6bGagAnPYmx_CT-gnkXVX25oeDAcC_HiPx0PoOYY1Birf-W1cE8CkruQDtMKd4C3revEQrYCCaIFxdoKe5LwFAMaAPEYnhEgie9qvUH8RlmSzzz-__9ChWYIuxYbRjo2Jc0yDH33ZNdE1ZuOncRPj2MSh-rJ7ih45PWX77Difoq_vL76cf2wvP3_4dH522RqGZWm1HFl9ghiwpsYZ4TrDrDT1xWboB9BaOq2hI2Alk4RbQgeNaUeMMEAMxvQUvTnEvU7x22JzUbPPxk6TDjYuWWEiaK1Twn9RIjAXtK_05T90G5cUaiFVcYGB8J7dqCs9WeWDiyVpsw-qzihmVADlvKr1PaqO0c7exGCdr_t3Lry-dWFj9VQ2OU5L8THku_DtAZoUc07WqevkZ512CoPad1_V7qt99-tKVv7iWNQyzHb8i_-0u4JXR6Cz0ZNLOhifbxyXveS_87YHl-tRuLLp1u_cl_gXEjLDCw</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Weintraub, Y</creator><creator>Singer, S</creator><creator>Alexander, D</creator><creator>Hacham, S</creator><creator>Menuchin, G</creator><creator>Lubetzky, R</creator><creator>Steinberg, D M</creator><creator>Pinhas-Hamiel, O</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7U1</scope><scope>7U2</scope><scope>7X8</scope></search><sort><creationdate>20130101</creationdate><title>Enuresis—an unattended comorbidity of childhood obesity</title><author>Weintraub, Y ; Singer, S ; Alexander, D ; Hacham, S ; Menuchin, G ; Lubetzky, R ; Steinberg, D M ; Pinhas-Hamiel, O</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c518t-a8d50567b1a3cfc7f4c5e8c201cb9b0aa8faa0420e85826e23ba1342c7c02c113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>631/477</topic><topic>692/699</topic><topic>692/699/1702/393</topic><topic>692/700/478</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Analysis of Variance</topic><topic>Attention Deficit Disorder with Hyperactivity</topic><topic>Attention deficit hyperactivity disorder</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Children</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Education</topic><topic>Enuresis</topic><topic>Epidemiology</topic><topic>Family size</topic><topic>Female</topic><topic>General aspects</topic><topic>Health Promotion and Disease Prevention</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Israel - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental Health - statistics & numerical data</topic><topic>Metabolic Diseases</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nocturnal Enuresis - diagnosis</topic><topic>Nocturnal Enuresis - epidemiology</topic><topic>Nocturnal Enuresis - psychology</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity - epidemiology</topic><topic>Obesity - psychology</topic><topic>Obesity in children</topic><topic>Odds Ratio</topic><topic>original-article</topic><topic>Physical Fitness</topic><topic>Predictive Value of Tests</topic><topic>Prevalence</topic><topic>Prevalence studies (Epidemiology)</topic><topic>Public Health</topic><topic>Quality of Life</topic><topic>Risk Factors</topic><topic>Sleep apnea</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep Apnea, Obstructive - epidemiology</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><topic>Teenagers</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urinary tract. Prostate gland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weintraub, Y</creatorcontrib><creatorcontrib>Singer, S</creatorcontrib><creatorcontrib>Alexander, D</creatorcontrib><creatorcontrib>Hacham, S</creatorcontrib><creatorcontrib>Menuchin, G</creatorcontrib><creatorcontrib>Lubetzky, R</creatorcontrib><creatorcontrib>Steinberg, D M</creatorcontrib><creatorcontrib>Pinhas-Hamiel, O</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>MEDLINE - Academic</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weintraub, Y</au><au>Singer, S</au><au>Alexander, D</au><au>Hacham, S</au><au>Menuchin, G</au><au>Lubetzky, R</au><au>Steinberg, D M</au><au>Pinhas-Hamiel, O</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Enuresis—an unattended comorbidity of childhood obesity</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes (Lond)</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>37</volume><issue>1</issue><spage>75</spage><epage>78</epage><pages>75-78</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><coden>IJOBDP</coden><abstract>Objective:
Obstructive sleep apnea (OSA), attention deficit/hyperactivity disorder (ADHD), type 2 diabetes mellitus and psychopathological problems co-occur at increased rates among both obese and enuretic children. We hypothesized that the prevalence of enuresis will be increased in obese children and adolescents.
Design:
A cross-sectional study.
Subjects:
281 children and adolescents aged 7–18 years, who completed a questionnaire regarding enuresis, medical conditions and sociodemographic parameters; 158 were normal weight, 37 overweight (85th⩽BMI (body mass index)<95th percentiles) and 86 obese (BMI⩾95th percentile).
Main outcome measure(s):
Occurrence of enuresis among obese children and adolescents.
Results:
Enuresis was reported in 14 (8.8%) normal weight, 6 (16%) overweight and 26 (30%) obese youth. Odds ratio (OR)=6.5, 95% confidence interval (CI)=2.67–15.78 for enuresis among obese compared with normal weight (
P
<0.0001). Each increment of one BMI-
Z
score unit was associated with an increased risk of enuresis, OR of 2.14, 95% CI (1.46–3.12),
P
=0.00008. Male gender (OR 2.84, 95% CI (1.10–5.58),
P
=0.028), first-degree relative with current/past enuresis (OR 4.24, 95% CI (1.62–11.08),
P
=0.003), voiding dysfunction symptoms (OR 3.067, 95% CI (1.05–9.00),
P
=0.041) and ADHD (OR 2.31, 95% CI (0.99–5.34),
P
=0.051) increased the risk of enuresis. OSA-related symptoms, academic achievements in school, sharing a bedroom, family size relative to number of rooms in home, parental education, family status and religious observance were not found to increase the risk for enuresis.
Conclusions:
Obese children are at increased risk for enuresis. Enuresis should be clarified during the primary workup of every obese child and adolescent.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>22828939</pmid><doi>10.1038/ijo.2012.108</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0307-0565 |
| ispartof | International Journal of Obesity, 2013-01, Vol.37 (1), p.75-78 |
| issn | 0307-0565 1476-5497 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Nature Journals Online; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | 631/477 692/699 692/699/1702/393 692/700/478 Adolescent Adolescents Analysis of Variance Attention Deficit Disorder with Hyperactivity Attention deficit hyperactivity disorder Biological and medical sciences Body Mass Index Child Children Comorbidity Cross-Sectional Studies Diabetes Mellitus, Type 2 - epidemiology Education Enuresis Epidemiology Family size Female General aspects Health Promotion and Disease Prevention Humans Internal Medicine Israel - epidemiology Male Medical sciences Medicine Medicine & Public Health Mental Health - statistics & numerical data Metabolic Diseases Nephrology. Urinary tract diseases Nocturnal Enuresis - diagnosis Nocturnal Enuresis - epidemiology Nocturnal Enuresis - psychology Obesity Obesity - complications Obesity - epidemiology Obesity - psychology Obesity in children Odds Ratio original-article Physical Fitness Predictive Value of Tests Prevalence Prevalence studies (Epidemiology) Public Health Quality of Life Risk Factors Sleep apnea Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - epidemiology Socioeconomic Factors Surveys and Questionnaires Teenagers Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland |
| title | Enuresis—an unattended comorbidity of childhood obesity |
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