Relationships between enuresis and sleep parameters in patients with obstructive sleep apnea syndrome

Abstract

Objective: This study was aimed to investigate the obstructive sleep apnea syndrome (OSAS) in patients with enuresis the relationship between polysomnographic parameters. Methods: A total of 67 OSAS patients included. Data taken knowledge were recorded standard form that all patients with night polysomnographic recordings parameters and the presence of enuresis. Results: The mean age of patients was 45.0 ± 11.7 years. 54% of the patients were male and 46% female. The mean apnea-hypopnea index of the patients was 13.07 events/h. Frequency of enuresis was found 19%, nocturia frequency was found to be 55%. Arousal index, periodic leg movement index and oxygen desaturation index were found different (p

Keywords

• OSAS, enuresis, polysomnography

Obstrüktif uyku apne sendromlu hastalarda enürezis ile uyku parametreleri arasındaki ilişki

Abstract

Amaç: Bu çalışmada enürezis gelişen obstrüktif uyku apne sendromlu (OUAS) hastalarda polisomnografik parametreler ile enürezis gelişimi arasındaki ilişkinin araştırılması amaçlandı. Yöntemler: Çalışmaya 67 OUAS hastası alındı. Hastaların tüm gece polisomnografik kayıtları ile elde edilen parametreler ve enürezis varlığı standart forma kaydedildi. Bulgular: Hastaların yaş ortalaması 45,0 ± 11,7 yıldı. Hastaların %54\'ü erkek, %46\'sı kadındı. Hastaların apne hipopne indeksi ortalaması 13,07 adet/saat idi. Hastalarda enürezis sıklığı %19, noktüri sıklığı %55 olarak saptandı. Enürezis saptanan hastalarda saptanmayanlara göre anlamlı olarak farklı bulunan parametreler; yaş, arousal indeksi, periyodik bacak hareketi indeksi, oksijen desatürasyon indeksi ve vücut kitle indeksi olarak bulundu (p

Keywords

• OUAS, enürezis, polisomnografi

References

1. Köktürk O, Tatlıcıoğlu T, Kemaloğlu Y, ve ark. Habituel horlaması olan olgularda obstrüktif sleep apne send- romu prevelansı. Tüberküloz ve Toraks 1997;45:7-11.
2. Young T, Blustein J, Finn L, Palta M. Sleepiness, driv- ing and accidents sleep-breathing disorders and mo- tor vehicle accidents in a population based sample of employed adults. Sleep 1997;20:608-613.
3. Shabar E, Whitney CW, Redline S, et al. Sleep-dis- ordered breathing and cardiovascular disease; cross- sectional results of the Sleep Heart Health Study Am J Respir Crit Care Med 2001;163,19-25.
4. Kramer ND, Bonitati AE, Millman RP. Enuresis and ob- structive sleep apnea in adults. Chest 1998;114:634- 637.
5. Kinebuchi S, Kazama JJ, Satoh M, et al. Short-term use of continuous positive airway pressure ameliorates glomerular hyperfiltration in patients with obstructive sleep apnoea syndrome. Clin Sci 2004;107:317-322.
6. Wissing KR, Büchner NJ, Stegbauer J, Rump LC. Re- nal resistance index in patients with obstructive sleep apnea. Dtsch Med Wochenschr 2007;132:1815-1819.
7. Hsieh CH, Chen HY, Hsu CS, et al. Risk factors for noc- turia in Taiwanese women aged 20-59 years. Taiwan J Obstet Gynecol 2007; 46: 166-170.
8. Capdevila OS, Crabtree VM, Gozal LK, Gozal D. In- creased morning brain natriuretic peptide levels in children with nocturnal enuresis and sleep disordered breathing: A Community-based study. Pediatrics 2008;121;1208-1214.

9. Burgazlıoğlu B, Karadağ M. Laboratory evaluation of obstructive sleep apnea syndrome: polysomnogra- phy. Turkiye Klinikleri J Surg Med Sci 2007;3:52-56.
10. Krieger J, Imbs J, Schmidt M, et al. Renal function in patients with obstructive sleep apnea: effects of nasal continuous positive airway pressure. Arch Intern Med 1988;148:1337-1334.
11. Fletcher EC. Obstructive sleep apnea and the kidney. J Am Soc Nephrol 1993;4:1111-1112.
12. Öztura I, Kaynak D, Kaynak HC. Nocturia in sleep dis- ordered breathing. Sleep Medicine 2006;7:362-367.
13. Downey B, Bonnet MH. Performance during frequent sleep disruption. Sleep 1987;10:354-363.
14. Phillipson EA, Bowes G, Sullivan CE, et al. The influ- ence of sleep fragmentation on arousal and ventilato- ry responses to respiratory stimuli. Sleep 1980;3:281- 288.
15. Warley ARH, Stradling JR. Abnormal diurnal variation in salt and water excretion in patients with obstructive sleep apnoea. Clin Sci 1988;74:183-185.
16. Krieger J, Follenius M, Sforza E, et al. Effects of treat- ment with nasal continuous positive airway pressure on atrial natriuretic peptide and arginine vasopressin release during sleep in patients with obstructive sleep apnea. Clin Sci 1991;80:443-449.
17. Brooks LJ, Topol HI. Enuresis in children with sleep apnea. J Pediatr 2003;142:515-518.
18. Weissbach A, Leiberman A, Tarasiuk A, et al. Adeno- tonsillectomy improves enuresis in children with ob- structive sleep apnea syndrome. Int J Pediatr Otorhi- nolaryngol 2006;70:1351-1356.