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Infant enuresis not only interferes with the quality of sleep or the social relationships of children. The intellectual and cognitive performance of the child is also negatively affected by bedwetting in children. This is what reveals and highlights the result of a study carried out by the International Society for Continence in Children (ICCS) during the World Day of Children who wet the bed (on December 1).
Research also shows that with proper treatment these symptoms can significantly improve. It is therefore worrying that almost half of parents ignore the problem in the hope that it will go away on its own.
Over a nine-year period, three studies have been conducted in 264 Hong Kong children comparing children who wet the bed at night (or enuretics) with children who did not wet the bed at night (or not enuretics) in order to evaluate the differences that may exist in the quality of sleep, the functioning of the central nervous system and the cognitive function.
Enuresis is traditionally associated with deep sleep, although new research indicates otherwise. In the first study, the sleep patterns of children with enuresis (35 children) were compared with those of children without enuresis (21 children classified by age). The results suggest that children with enuresis have a lower quality of sleep compared to those without. They had a shorter duration of the deep sleep phases and spent more time in light sleep phases. Children with enuresis are awakened by voiding activity in such a way that they experience shallow and interrupted sleep, fragmentation, and lack of sleep. Paradoxically, they have a high awakening threshold, which makes it more difficult for them to wake up. In addition, your bladder capacity is generally significantly reduced to 44% of the estimated capacity for your age.
The third study compared the cognitive function and intellectual performance of children with enuresis (95 children) with that of children without enuresis (46 children classified by age). Using four tests, the level of intelligence, attention, distraction, short and long-term memory, learning capacity, and the ability to process and react were compared. The results showed that children with enuresis have significantly impaired intellectual performance compared to the control group.
However, six months of successful treatment with a combination of desmopressin and urotherapy (the latter was used to correct bladder function) achieved significant progress in normalizing sleep disorders, brain function, and improved cognitive ability.
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