Assessment of Blood Pressure in Primary Monosymptomatic Nocturnal Enuresis
Journal of Pediatric Nephrology,
Vol. 4 No. 1 (2016),
13 February 2016
Introduction: Enuresis is defined as the repeated voiding of urine into bed at least twice a week for at least 3 consecutive months in a child who is at least 5 years of age. Primary enuresis occurs in children who have never been consistently dry through the night. Monosymptomatic enuresis has no associated daytime symptoms. Increased nocturnal urine production in primary nocturnal enuretic patients could possibly be associated with autonomic nervous system dysfunction. The aim of this study was to investigate autonomic nervous system function in enuretic children.
Materials and Methods: In this study, children with monosymptomatic primary nocturnal enuresis (MPNE) and healthy children without MPNE were enrolled and their blood pressure was measured twice a day (in the morning and afternoon). Urinalysis, urine electrolyte levels, urinary culture, and urinary system ultrasound were performed in all the children. They were also requested to have a diary about daily fluid intake and the volume of daily urine.
Results: The MPNE group comprised 100 children (M/F: 58/42) and the control group included 100 healthy children (M/F: 51/49). The mean age of the children was 8.1±2.3 and (8.9±2.53 years in MPNE and control groups, respectively. The mean diastolic blood pressure (DBP) during the nighttime and daytime did not differ between the groups (p-value>0.05); however, the mean systolic blood pressure (SBP) was significantly higher in the nighttime in the MPNE group (p-value<0.05) but did not differ between the groups during the daytime (p-value>0.05).
Conclusions: Nighttime SBP was significantly higher in children with MPNE. These subtle abnormalities of the circadian blood pressure regulation may reflect autonomic nervous system dysfunction and contribute to the pathogenesis of MPNE.Keywords: Child; Enuresis; Blood pressure; Autonomic dysfunction
- blood pressure
- autonomic dysfunction.
How to Cite
Yousefichaijan p, Salehi B, Firouzifar MR, Sheikholeslami H. The correlation between attention deficit hyperactivity disorder and enuresis in children with nocturnal enuresis. Journal of Isfahan medical school 30(184).
Yousefichaijan p, Firouzifar MR, Cyrus A. Correlation between sacral ratio and primary enuresis .Journal of nephropathology 1(3).
Yousefichaijan p, Firouzifar MR, Dorreh F. Growth and development in 6-year-old children with and without primary nocturnal enuresis. Journal of Zanjan University of medical sciences and health services.20 (82-6).
Robert MD, Chevalier L. Polydipsia and enuresis in children renin-dependent hypertension. The Journal of Pediatrics, April 1984, Vol.104 (4):591-3.
Bjerre A , Erlandsen M , Odland HH , Dorenberg E , Hafsahi G. Fourteen-year-old boy with severe hypertension and monosymptomatic nocturnal enuresis ( case presentation ) . Acta Paediatric. 2014 May; 103 (5):466-7.
Yousefichaijan P, Salehi B, Firouzifar MR, Sheikholeslami H. The correlation between attention deficit hyperactivity disorder and enuresis in children with nocturnal enuresis .JIMS, 30, 184 2nd week, June 2012, 1-8.
Yousefichaijan P, Firouzifar MR, Dorreh F. Growth and development in 6 years old children with and without primary nocturnal enuresis . Journal of medical university of zanjan, 2011, 20 (82) 97-100.
Yousefichaijan P, Salehi B , Rafiei M , Ghadimi N , Taherahmadi H , Hashemi SM . Emotional disorders in children with monosymptomatic primary nocturnal enuresis. J Ped. Nephrology 2015; 3(1):22-25.
Yousefichaijan P, Salehi B, Rafiei M, Firouzifar MR, Mousavinejad SA. Parents function and behavioral disorders in children with/ without diurnal voiding dysfunction: A comparative study. ZJRMS, 2013; 15.
Yousefichaijan P, Ali Khosrobeigi, Bahman Salehi, Hassan Taherahmadi, Fakhreddin Shariatmadari, Yazdan Ghandi, Ali Arjmand, Delayed Sleep Phase Disorder in Children With Non-Monosymptomatic Primary Nocturnal Enuresis. Int J Clin Pediatr. 2015;4(4):178-180.
Marc B, Lande. Systemic Hypertension .Kliegman, Stanton, St.Geme Schor, Behrman. Nelson Text book of Pediatric. 19th edition, Elsevier Saunders, 2011, Chapter 439, p; 1639-46.
Emily R, Kats and David R, DeMaso. Enuresis (Bed-Wetting).Kliegman, Stanton, St.Geme Schor, Behrman. Nelson Textbook of Pediatrics.19th edition, Elsevier Saunders, 2011, chapter 21.3, P; 71-73.
Kahraman A, Dursun H , Hatipoglu S , Kural B , Sahin M , Birgul K, Akyol MB . Non-dipping phenomenon in children with monosymptomatic nocturnal enuresis. Pediatric Nephrology, July 2013, 28( 7), 1099-1103.
- Abstract Viewed: 586 times
- PDF Downloaded: 241 times