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

Mungmunpuntipantip, Rujittika; Wiwanitkit, Viroj

doi:10.1590/S1677-5538.IBJU.2019.0489

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

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

[1] 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] 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] 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] 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] ⁵ Kujovich JL. Evaluation of Anemia. Obstet Gynecol Clin North Am. 2016;43:247-64.