Toilet training and less fiber consumption as risk factors of constipation in preschool children (original) (raw)
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Althea Medical Journal, 2018
Background: Functional constipation can occur in children and affect their quality of life, but there is still lack of awareness and inability to provide proper management. Therefore, early detection is important. The aim of this study was to identify the prevalence of functional constipation among kindergarten students and its risks. Methods: A quantitative descriptive study was conducted from April to May 2017 on kindergarten students in Kecamatan Jatinangor, West Java, Indonesia by using questionnaires for their parents. In total, 149 parents joined the study. The questionnaire was made based on the Rome IV Criteria with additional questions for the student's characteristics comprised of sex, prematurity, allergy, family history of constipation, dietary fiber consumption, and parents' education level. Descriptive analyses were conducted. Results: The prevalence of functional constipation among the students was 8.7% with the most frequent complaints were retentive posturing (76.9%), hard stool consistency (38.5%), and history of obstructing toilet by stool (38.5%). Characteristics of children with functional constipation were prematurity (15.4%), history of allergy (15.4%), low dietary fiber intake (from fruits, 69.2%, vegetables 84.6%, seeds 100%), and non-university educated parents (father 76.9%, mother 84.6%). Conclusions: Constipation among kindergarten students in Jatinangor is 8.7%, while the most apparent characteristics in constipated children is low dietary fiber intake.
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition
Background: Childhood constipation is still common among children under 5 years of age. This study was conducted to determine the clinical profile of childhood constipation under 5 years of age at dr. Soetomo General Hospital, Indonesia. Methods: This retrospective cross-sectional study was performed by reviewing medical record of constipated children under 5 years of age at dr. Soetomo General Hospital Surabaya from January to December 2021. Data regarding age, gender, living place, body anthropometric (weight, height and nutritional status), sign and symptoms, and physical examination were collected for each patient. Nutritional status was determined by using WHO 2006 growth chart. We also assessed the presence of concomitant disease among those children and presented the data on the table. Results: A total of 35 subjects with constipation were included in this study. Mean (±SD) for age, body weight, length/height of these subjects were 27.09±17.71 months, 10.93±6.11 kg, 82.34±18....
Outcome of Functional Constipation in Children Age 1 to 12 Year in Tertiary Care Hospital
Pakistan Journal of Medical and Health Sciences, 2023
Background: Both parents and children are bothered by constipation. Even then, it continues to go untreated, delaying medical intervention. It causes both physical and psychological morbidity. It has an impact on children's quality of life. The issue is exacerbated by delayed medical care. The young person could become less confident. Children may experience impaction of the faeces in 1%-3% of cases, which can result in faecal matter soiling. Aim: To investigate the outcomes of functional constipation in children between the ages of 1 and 12 in tertiary care facilities. Methodology: After receiving ethical approval from the committee, this cross-sectional study was conducted at Lady Reading Hospital in Peshawar from June 2021 to May 2022. The study included a total of 381 children's. After obtaining parental assent, the ROME IV criteria was applied to the children who had functional constipation, and the children were treated according to the recommended recommendations and protocols. Result: 381 kids were enrolled in a study using the Rome IV criteria for constipation manifestation. The ratio was highest when passing 188 hard stools (49.34%) and lowest when passing 13 unpleasant stools (22.30%). Similar high ratio was observed in type-1 129(33.83%) of Bristol stool type. The ratio of males to females in the age range 3-6 year group was highest in the age group 6-12 year group, with 166 males and 63 females. The majority of restrooms (65.09%) were located outside door 248. Constipation-causing factors were shown to be highest in avoiding school lavatory use 181(47.50%) and lowest in opposing behavior 73(19.16%). History of food intake revealed a high ratio of 211(55.38%) from stores and a low ratio of 13(3.41%) from home-cooked meals. The hygienic care ratio was 178(46.71%) for not using water and soap and 19(4.98%) for using soap after using the loo.By exposing the concerns and their solutions for the health of their children, this will raise mothers' knowledge and be beneficial to society as a whole. Conclusion: All children need hygienic care and adequate education as a foundation. Dietary nutrition is crucial for growth. Children who are taken to the hospital may develop phobias and parents may experience problems. Children who are not properly treated for constipation are more likely to have serious psychological harm and bowel dysfunction.
BMJ paediatrics open, 2018
Constipation and soiling are common in childhood. This study examines the comorbidity between childhood constipation and soiling and early childhood risk factors for these problems. The sample comprised 8435 participants from the Avon Longitudinal Study of Parents and Children with maternally reported measures of constipation (six time points between 4 and 10 years) and soiling (five time points between 4 and 9 years). We used latent class analysis to extract longitudinal patterns of constipation and soiling. We examined whether the latent classes are differentially associated with maternally reported risk factors in early childhood (stool consistency, breast feeding, socioeconomic background, gestation, birth weight, developmental level and age at initiation of toilet training) using multinomial logistic regression models. We extracted four latent classes: 'normative' (74.5%: very low probability of constipation or soiling), 'constipation alone' (13.2%), 'soilin...
Identification of prevalence of constipation in infants aged 0-12 months in rural areas
Rural and remote health, 2019
INTRODUCTION This study was conducted to determine the prevalence of constipation in infants aged 0-12 months in rural areas of Turkey. The study sample consisted of 203 mothers with infants aged 0-12 months. METHODS Data were collected between April and June 2016, using the Rome III criteria and the Bristol stool chart. The data were analysed with χ2 analysis to compare the rate of the incidence of constipation according to variables and logistic regression (enter) analysis to evaluate all variables that have an effect on the incidence of constipation. RESULTS Although the parents participating in the study stated that 19.7% of infants had constipation, applying the Rome III criteria showed the prevalence of constipation declined to 17.7%. Of the cases of constipation, 44.4% were female and 55.6% were male. A total of 32.1% of the non-breastfed infants were constipated and 30.2% of the infants who were started on supplementary food before age 6 months were constipated. In 50% of th...
Bangladesh Journal of Child Health, 2021
Background: Constipation is not uncommon in childhood. This study was aimed to evaluate demography and probable/potential risk factors for functional constipation in Bangladeshi children. Materials & Method: This cross-sectional study was carried out among 179 children from May 2018 to June 2019 in the department of Pediatric Gastroenterology and Nutrition, BSMMU, Dhaka both indoor and outdoor basis. Collected data from children with constipation who fulfilled the Rome III criteria were analyzed by SPSS 20. Results: Among 179 children, 54.75% were boys, and 45.25% girls. It was found more in age group above 5 years (56.42%), then in 2 to 5 years (33.52%) and lower in below 2 years (10.6%). Constipation was more in urban areas (55.3%) than in rural (44.69%). Among potential risk factors, low fiber in diet (72.63%) was most common, other factors were ingestion of cow’s milk (32.96%), not having regular meals with parents (19.55%), consumption of junk foods (28.49%), Staying with grand...
Shiraz E-Medical Journal
Background: Constipation is one of the most common Gastrointestinal (GI) symptoms among children. The present study aimed to identify the demographic and clinical characteristics of the children suffering from constipation. Methods: This descriptive-analytical study was conducted on 987 children with constipation in Fars province from March 2015 to March 2016. The study data were collected in the pediatric GI clinic affiliated to Shiraz University of Medical Sciences and analyzed using descriptive statistics, including frequency, mean, and standard deviation (SD). Results: More than 40% of the cases who referred to the pediatric GI clinic were suffering from constipation. Totally, 987 [495 females (50.2%) and 492 males (49.8%)] out of the 1000 children with constipation met the inclusion criteria. The remaining 13 children were excluded due to non-functional constipation. The mean age of the children was 4.8 ± 2.8 years (range: 6.9 months to 17.7 years). In addition, the children's mean age at the beginning of toilet training and defecation control was 1.9 ± 0.5 years (range: 11 months to 5 years) and 2.1 ± 0.6 years (range: 17 months to 8 years), respectively. The mean of daily physical activity was 2.3 ± 3.6 hours and 707 children (71.6%) had less than one hour of daily physical activity. In addition, 54.2% and 13.9% of the children watched TV and used computer games for more than 3 hours a day, respectively. Finally, 57.5% and 48.3% of the children reported a low consumption of vegetables and grains per week, respectively. Furthermore, having constipation for more than six months was associated with the age of onset of constipation less than two years (P = 0.003). Watching television was reported in 600 (69.7%) children with more than six months constipation (P < 0.001). Conclusions: More than 40% of the cases who referred to the pediatric GI clinic were suffering from constipation. Furthermore, having constipation for more than six months was associated with the age of onset of constipation and watching television habits.
Predisposing Factors for Chronic Constipation in Children – 2-YEAR Clinical Study
Romanian Journal of Pediatrics, 2014
In the last decade constipation has become a current problem addressed in the pediatric gastroenterology departments. Objectives. We propose a study to establish the prevalence of constipation and the correlations between diet and the socio-familial environment in children aged from 1 to 17 years old, hospitalized in the Gastroenterology Department, "Saint Mary" Emergency Hospital for Children of Iasi, between 1 January 2012 and 1 January 2014 Results. The study group consisted of 994 patients, representing 9.6% of all hospitalized children. Regarding the prevalence of constipation, we did not notice a signifi cant difference between the sexes, the ratio F/M was 1.3/1, but we found a signifi cantly higher proportion of patients from urban areas 68% (676) versus 32% (318) from rural areas. In terms of social and family environment: 34% (338) of children live with grandparents, 13.9% (139) come from single-parent families, 6.7% (67) are in the care of a foster parent and 2.6...
Shiraz E-Medical Journal, 2018
Background: Constipation is a common problem among children. This study aimed to identify the factors related to the duration of chronic functional constipation. Methods: The study was conducted on 826 children with chronic functional constipation referring to a pediatric gastrointestinal (GI) clinic in Fars province. The inclusion criteria of the study were suffering from constipation not due to anatomical (Hirschsprung's disease and spinal disease) and organic reasons (non-functional constipation), not suffering from other systemic disorders (hypothyroidism and psychomotor retardation), not having the history of prior anal surgery, and not using drugs inducing constipation. The data were analyzed using a linear regression analysis. Results: This study was performed on 826 children with chronic functional constipation with the mean age of 4.98 + 2.74 years. Among the study children, 418 (50.6%) were boys. Based on the results of multivariate linear regression analysis, the duration of chronic constipation was related to children's age (B = 0.695 [P < 0.001]), intervals between defecations (B = 0.158 [P = 0.036]), age at the onset of defecation control (B = 0.15 [P = 0.050]), intervals of cereals consumption (B = 0.345 [P < 0.001]), and mother's education level (B = 0.283 [P = 0.001]). Accordingly, every year increase in children's age was accompanied by 8.5 months of constipation. In addition, every unit increase in the consumption of cereals during the week (every day, three days a week, once a week, and rarely) caused a four-month increase in chronic constipation. Conclusions: With increasing age, children need parental care to prevent the occurrence of chronic constipation. Moreover, increasing interest in video games has been accompanied by a decrease in physical activity, which requires more attention from parents.
Nutrients
Background: The prevalence of functional constipation (FC) among children varies widely. A survey among healthcare professionals (HCPs) was conducted to better understand the HCP-reported prevalence and (nutritional) management of FC in children 12–36 months old. Methods: An anonymous e-survey using SurveyMonkey was disseminated via emails or WhatsApp among HCPs in eight countries/regions. Results: Data from 2199 respondents were analyzed. The majority of the respondents (65.9%) were from Russia, followed by other countries (Indonesia (11.0%), Malaysia (6.0%)), Mexico, KSA (5.1% (5.7%), Turkey (3.0%), Hong Kong (2.2%), Singapore (1.1%)). In total, 80% of the respondents (n = 1759) were pediatricians. The prevalence of FC in toddlers was reported at less than 5% by 43% of the respondents. Overall, 40% of the respondents reported using ROME IV criteria in > 70% of the cases to diagnose FC, while 11% never uses Rome IV. History of painful defecation and defecations < 2 x/week are...