Sleep duration, sleep problems and developmental trajectories of urinary incontinence: a prospective cohort study.

To examine if preschool sleep duration and sleep problems are associated with urinary incontinence (UI) at primary school-age. We used multinomial logistic regression to examine the association of child sleep duration/problems (3½ years) with UI trajectories (4–9 years) in 8751 (4507 boys, 4244 girl...

Full description

Bibliographic Details
Published in:European Child & Adolescent Psychiatry Vol. 33; no. 12; pp. 4361 - 4370
Main Authors: Joinson, Carol, Grzeda, Mariusz T., Heron, Jon, von Gontard, Alexander
Format: research tables/charts Journal Article
Published: Springer Nature Dec2024
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181465094&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 181465094
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10188827
        EJ3
      jtl: European Child & Adolescent Psychiatry
      issn: 10188827
      maglogo: N
    pubinfo:
      dt: Dec2024
      vid: 33
      iid: 12
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        181465094
        177621763
        181465094
        181465094
        10.1007/s00787-024-02471-1
        181465094
      ppf: 4361
      ppct: 9
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Sleep duration, sleep problems and developmental trajectories of urinary incontinence: a prospective cohort study.
      aug:
        au:
          Joinson, Carol
          Grzeda, Mariusz T.
          Heron, Jon
          von Gontard, Alexander
        affil: https://ror.org/0524sp257 Centre for Academic Child Health, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, BS8 2PS, Bristol, UK
      sug:
        subj:
          Sleep Duration
          Sleep Disorders
          Urinary Incontinence Risk Factors
          Risk Assessment
          Human
          Prospective Studies
          Funding Source
          Logistic Regression
          Child, Preschool
          Child
          Male
          Female
          Sex Factors
          Socioeconomic Factors
          Emotions
          Financial Support
          Temperament
          Affective Disorders
          Child Behavior Disorders
          Odds Ratio
          Confidence Intervals
          Descriptive Statistics
          Sleep Disorders, Circadian Rhythm
          Respiration Disorders
          Enuresis, Nocturnal
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Male
          Female
      ab: To examine if preschool sleep duration and sleep problems are associated with urinary incontinence (UI) at primary school-age. We used multinomial logistic regression to examine the association of child sleep duration/problems (3½ years) with UI trajectories (4–9 years) in 8751 (4507 boys, 4244 girls) from the Avon Longitudinal Study of Parents and Children. We adjusted for sex, socioeconomic indicators, mothers' emotional/practical/financial support, developmental delay, stressful life events, temperament, and emotional/behaviour problems. Preschool children who slept more than 8½ hours per night had a decreased probability of UI at school-age. There was a 33% reduction in odds of daytime wetting per additional hour of sleep (odds ratio [OR] = 0.67, 95% confidence interval [CI] 0.52–0.86). Sleep problems were associated with increased odds of UI e.g., getting up after being put to bed was associated with daytime wetting (OR = 2.20, 95% CI 1.43–3.39); breathing problems whilst sleeping were associated with delayed bladder control (OR = 1.68, 95% CI 1.12–2.52), and night-time waking was associated with persistent (day and night) wetting (OR = 1.53, 95% CI 1.16–2.00). Waking during the night and waking up early in the morning were associated with reduced odds of bedwetting at school-age (OR = 0.76, 95% CI 0.61–0.96 and OR = 0.80, 95% CI 0.64–0.99 respectively). Preschool children who sleep for longer have a lower likelihood of UI at school-age, whilst those with sleep problems are more likely to experience daytime wetting and combined (day and night) wetting, but not bedwetting alone. Short sleep duration and sleep problems in early childhood could be indicators of future problems attaining and maintaining bladder control.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N