Re: Association between enuresis and obesity in children with primary monosymptomatic nocturnal enuresis

To the editor,

We read the publication on “Association between enuresis and obesity in children with primary monosymptomatic nocturnal enuresis” with a great interest. Ma et al. concluded that “Obesity is associated with severe enuresis and low efficacy of behavioral therapy in children with nocturnal enuresis (¹).” This report is concordant with a recent report from China (²) and Denmark (³). Nevertheless, the association between enuresis and obesity might be affected by some confounding personal illnesses. For example, the children with underlying hemoglobin disorder, such as thalassemia and sickle cell, has a chance for developing enuresis regardless of obesity (⁴). Indeed, those children with underlying hemoglobin disorder usually have malnutrition problem, not obesity (⁵).

REFERENCES

• ¹
  Ma Y, Shen Y, Liu X. Association between enuresis and obesity in children with primary monosymptomatic nocturnal enuresis. Int Braz J Urol. 2019;45:790-7.
• ²
  Zhang A, Li S, Zhang Y, Jiang F, Jin X, Ma J. Nocturnal enuresis in obese children: a nation-wide epidemiological study from China. Sci Rep. 2019;9:8414.
• ³
  Warner TC, Baandrup U, Jacobsen R, Bøggild H, Aunsholt Østergaard PS, Hagstrøm S. Prevalence of nocturia and fecal and urinary incontinence and the association to childhood obesity: a study of 6803 Danish school children. J Pediatr Urol. 2019;15:225.e1-225.e8.
• ⁴
  Ekinci O, Celik T, Ünal Ş, Oktay G, Toros F, Ozer C. Nocturnal enuresis in sickle cell disease and thalassemia major: associated factors in a clinical sample. Int J Hematol. 2013;98:430-6.
• ⁵
  Kujovich JL. Evaluation of Anemia. Obstet Gynecol Clin North Am. 2016;43:247-64.

Publication Dates

• Publication in this collection
  21 Feb 2020
• Date of issue
  Mar-Apr 2020

History

• Received
  31 July 2019
• Accepted
  11 Aug 2019
• Published
  30 Oct 2019