Abstract |
The objective of these studies was to determine a relationship between primary nocturnal enuresis and arginine vasopressin (AVP) secretion. The first study compared 24-h AVP secretion profiles of enuretic (n = 9) and non-enuretic children (n = 8). Blood samples were collected at 1-h intervals for 24 h. In the second study, nocturnal AVP secretion in group A (n = 40)--with low urinary osmotic pressure (UOP) and large nocturnal urine output (NUO)--was compared with that in group D (n = 11) with normal UOP and small NUO. Plasma AVP levels were measured at 30-min intervals, immediately after falling asleep until 06.00 the following morning. The results of the first study showed that the plasma AVP level was significantly lower (p < 0.05-0.001) in the enuretic group between 23.00 and 04.00. The second study showed that group A had significantly lower AVP levels (p < 0.05-0.001) than group D throughout the night. The mean AVP level during night sleep was 0.64 +/- 0.23 pg/ml in group A and 1.43 +/- 0.66 pg/ml in group D. The results of the first study suggest that decreased nocturnal AVP secretion is a cause of bedwetting. However, the results of the second study suggest that nocturnal enuresis cannot be explained by a decrease in nocturnal AVP secretion alone.
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Authors | T Aikawa, T Kasahara, M Uchiyama |
Journal | Scandinavian journal of urology and nephrology. Supplementum
(Scand J Urol Nephrol Suppl)
Vol. 202
Pg. 47-9
( 1999)
ISSN: 0300-8886 [Print] England |
PMID | 10573793
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Arginine Vasopressin
(blood)
- Child
- Circadian Rhythm
(physiology)
- Enuresis
(physiopathology)
- Female
- Humans
- Male
- Polysomnography
- Reference Values
- Sleep Stages
(physiology)
- Urodynamics
(physiology)
- Water-Electrolyte Balance
(physiology)
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