The Evaluation of Sleep Quality and Voiding Function in Children with Obesity

Abstract

Objective: Obesity is an important health problem with the potential to cause secondary diseases in children. In these patients, increased intra-abdominal and intra-vesical pressure leads to changes in voiding physiology. In addition, insulin and glucose metabolism disorders can also affect lower urinary system functions. However, the relationship between obesity and sleep disorders is also known.

Materials and Methods: The questionnaire, which was prepared to determine voiding and sleep disorders, was applied to 100 obese pediatric patients aged between 9 and 18 and 100 normal weight healthy individuals in the similar age group.

Results: Daytime urinary incontinence was present in 17% of the patient group and 2% of the control group. Nocturnal enuresis was present in 25% of the patient group and 2% of the control group. The frequency of overactive bladder was also higher in the patient group compared to the healthy controls (15% and 5%, respectively; p<0.05). In addition, a higher rate of restless sleep at night, snoring and tiredness during the day were determined in the patient group. However, significantly increased behavioral disorders and learning disabilities were found in this group.

Conclusion: This is the first study to show a higher prevalence of decreased sleep quality and voiding dysfunction in obese children compared to the healthy group. Pathologies that occur due to the negative effects of obesity on many systems reveal the necessity of evaluating the disease as a syndrome in childhood. Multidisciplinary approach will increase the success of treatment in these patients. 

Keywords

• Childhood
• Voiding disorders
• Sleep quality
• Obesity
• Body mass index

Obez Çocuklarda Uyku Kalitesi ve İşeme Fonksiyonunun Değerlendirilmesi

Öz

Amaç: Çocuklarda obezite ikincil hastalıklara yol açabilen önemli bir sağlık sorunudur. Bu hastalarda artan intraabdominal ve intravezikal basınç işeme fizyolojisinde değişikliklere yol açar. Ayrıca insülin ve glukoz metabolizma bozukluğu da alt üriner sistem fonksiyonlarını etkileyebilmektedir. Bununla birlikte obezitenin uyku bozuklukları ile ilişkisi de bilinmektedir.

Materyal ve Metot: İşeme ve uyku bozukluklarını belirlemek için hazırlanan anket, yaşları 9 ile 18 arasında olan, 100 obez çocuk hasta ile benzer yaş grubundaki 100 normal kilolu sağlıklı bireye uygulandı.

Bulgular: Hasta grubunun %17’sinde kontrol grubunun %2’sinde gündüz idrar kaçırma şikayeti varken, nokturnal enürezis hasta grubunun %25’inde, kontrol grubunun ise %2’sinde gözlendi. Hasta grubunda sağlıklı kontrollere göre aşırı aktif mesane sıklığı da daha fazla idi (sırasıyla %15 ve %5; p<0,05). Ayrıca hasta grubunun daha yüksek oranda gece huzursuz uyuduğu, horladığı ve gün içinde yorgun göründüğü ve yine bu grupta belirgin artmış davranış bozukluğu ve öğrenme güçlüğü olduğu belirlendi.

Sonuç: Bu çalışma obez çocuklarda azalmış uyku kalitesi ve işeme bozukluğunun sağlıklı gruba göre yüksek prevalansını gösteren ilk çalışmadır. Obezitenin bir çok sistemi olumsuz etkilemesine bağlı olarak ortaya çıkan patolojiler çocukluk çağında da hastalığın bir sendrom olarak değerlendirilmesinin gerekliliğini ortaya koymaktadır. Bu hastalarda multidisipliner yaklaşım tedavi başarısını artıracaktır. 

Anahtar Kelimeler

• Çocukluk çağı
• İşeme bozuklukları
• Uyku kalitesi
• Obezite
• Vücut kitle indeksi

Kaynakça

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