Vol. 42 (3): 550-557, May – June, 2016
The effect of breastfeeding on spontan resolution of monosymptomatic enuresis
Eyup Burak Sancak 1, Ural Oguz 2, Aykut Aykac 3, Erhan Demirelli 2, Omer Faruk Bozkurt 4, Sertac Cimen 5
1 Department of Urology, Canakkale Onsekiz Mart University, Faculty of Medicine, Canakkale, Turkey; 2 Department of Urology, Giresun University, School of Medicine, Giresun, Turkey; 3 Department of Urology, Bursa Orhangazi State Hospital, Bursa, Turkey; 4 Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey; 5 Diskapi Yildirim Beyazit Training and Research Hospital, Department of Urology, Ankara, Turkey
Purpose: The aim of this study was to examine whether the duration of breastfeeding during infancy was associated with the time of spontaneous resolution of monosymp¬tomatic enuresis (SRME).
Materials and Methods: A total of 1500 people were surveyed at four centers. One hundred and eighty-one people with a history of monosymptomatic enuresis (ME) who received no treatment and had no day time symptoms were included in the study. The relationship between the duration of breastfeeding and SRME was assessed by consi¬dering the duration of breastfeeding as both continuous and categorical (cut-off value 5 months) variable. The multivariate general linear model was used to identify inde¬pendent predictors such as gender, family history, and educational status of parents.
Results: Pearson correlation analysis of the age of SRME and duration of breastfeeding found no statistically significant relationship. However, there was a significant diffe¬rence in the age of SRME of those who were breastfed for 5 months or less compared to those who were breastfed for more than 5 months. According to the multivariate analysis, gender and educational status of parents were not effective on the age of SRME. Stepwise linear regression model showed that breastfeeding for five months or less and family history could affect the age of SRME. The regression formula was: age of SRME=9.599 + (3.807×five months or less of breastfeeding) + (1.258×positive family history).
Conclusions: It was found that when breastfeeding lasted for more than 5 months, there was a positive contribution to SRME.
Keywords: Breast Feeding; Breast Milk Expression; Enuresis