The Relationship Between Functional Constipation and Emotional, Social, Physical, and Educational Functioning of Children

Background: Functional constipation in children is common. Management of this condition can be challenging and is often based on symptom reports. Increased, objective knowledge of colonic volume changes in constipation compared to health could provide additional information. However, very little data on paediatric colonic volume is available except from methods that are invasive or require unphysiological colonic preparations. Objectives: (1) To measure volumes of the undisturbed colon in children with functional constipation (FC) using magnetic resonance imaging (MRI) and provide initial normal range values for healthy controls, and (2) to investigate possible correlation of colonic volume with whole gut transit time (WGTT). Methods: Total and regional (ascending, transverse, descending, sigmoid, and rectum) colon volumes were measured from MRI images of 35 participants aged 7–18 years (16 with FC and 19 healthy controls), and corrected for body surface area. Linear regression was used to explore the relationship between total colon volume and WGTT. Results: Total colonic volume was significantly higher, with a median (interquartile range) of 309 mL (243–384 mL) for the FC group than for the healthy controls of 227 mL (180–263 mL). The largest increase between patients and controls was in the sigmoid colon–rectum region. In a linear regression model, there was a positive significant correlation between total colonic volume and WGTT (R = 0.56, p = 0.0005). Conclusions: This initial study shows increased volumes of the colon in children with FC, in a physiological state, without use of any bowel preparation. Increased knowledge of colonic morphology may improve understanding of FC in this age group and help to direct treatment.

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Chronic constipation in pediatric practice: what do we know? Anything new?

Experimental and Clinical Gastroenterology ◽

10.31146/1682-8658-ecg-171-11-16-26 ◽

2019 ◽

pp. 16-26

Author(s):

R. A. Fayzullina ◽

S. V. Belmer

Keyword(s):

Chronic Constipation ◽

Functional Constipation ◽

Evidence Base ◽

Prolonged Treatment ◽

Strict Adherence ◽

Adherence To Diet ◽

Treatment And Prevention ◽

Effective Use ◽

The Relationship

Constipation among children is an extremely widespread state. They arise at any age and may pose major challenges, disrupting the child’s health with the risk of complications, regressing the quality of life of both the child and his family members. Having arisen once, constipation among children can recur, require repeated and prolonged treatment. For children, functional constipation is the most common. According to international recommendations, it is not necessary to resort to complicated methods for its diagnosis, wherein the treatment and prevention of constipation in children requires a fairly strict adherence to diet, motor activity and drug therapy. The evidence base on the use of certain foods for constipation is expanding. The relationship between constipation and intestinal microbiota disturbance was revealed, providing a theoretical basis for the microbial treatment of chronic constipation. Among the wide variety of laxatives traditionally prescribed for constipation in children’s practice, safe and effective use is proven with the use of polyethylene glycol (macrogol) and lactulose.

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P0473* THE RELATIONSHIP BETWEEN DIET AND FUNCTIONAL CONSTIPATION IN CHILDREN AND ADOLESCENTS

Journal of Pediatric Gastroenterology and Nutrition ◽

10.1097/00005176-200406001-00597 ◽

2004 ◽

Vol 39 (Supplement 1) ◽

pp. S236

Author(s):

K. E. Whitten ◽

A. S. Day ◽

U. Krishnan ◽

T. D. Bohane

Keyword(s):

Children And Adolescents ◽

Functional Constipation ◽

The Relationship

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The Relationship between Functional Constipation and Dietary Habits in School-Age Japanese Children

Journal of Nutritional Science and Vitaminology ◽

10.3177/jnsv.65.38 ◽

2019 ◽

Vol 65 (1) ◽

pp. 38-44 ◽

Cited By ~ 1

Author(s):

Masayuki OKUDA ◽

Ichiro KUNITSUGU ◽

Norikazu YOSHITAKE ◽

Satoshi SASAKI

Keyword(s):

Dietary Habits ◽

Functional Constipation ◽

School Age ◽

Japanese Children ◽

The Relationship

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SUN-PO149: The Relationship Between Waist Circumference and Dietary Intake and Functional Constipation in Women

Clinical Nutrition ◽

10.1016/s0261-5614(19)32782-7 ◽

2019 ◽

Vol 38 ◽

pp. S114-S115

Author(s):

G. Yurtdaş ◽

G. Akbulut ◽

N. Acar Tek

Keyword(s):

Waist Circumference ◽

Dietary Intake ◽

Functional Constipation ◽

The Relationship

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Fructose Intolerance: Cause or Cure of Chronic Functional Constipation

Global Pediatric Health ◽

10.1177/2333794x18761460 ◽

2018 ◽

Vol 5 ◽

pp. 2333794X1876146 ◽

Cited By ~ 1

Author(s):

Mehek Mehta ◽

Mirza Beg

Keyword(s):

Literature Review ◽

Chronic Constipation ◽

Pediatric Population ◽

Statistical Significance ◽

Functional Constipation ◽

Published Data ◽

Clinical Presentations ◽

Fructose Intolerance ◽

Relationship Of ◽

The Relationship

Functional constipation is a common occurrence in the pediatric population. The link between fructose ingestion and constipation is obscure due to a lack of published data. In this article, we discuss the relationship of fructose tolerance and the development of constipation via a literature review and our single-center experience. A literature review of constipation and fructose ingestion was performed using PubMed. A retrospective chart review from the pediatric gastroenterology clinic, January 2012 to December 2015, was completed, with attention to the relationship of fructose intolerance and its clinical presentations. There were 367 patients who underwent the fructose breath hydrogen test (FBHT), out of which 208 patients had fructose intolerance. Clinical presentations included chronic abdominal pain, chronic diarrhea, chronic constipation, emesis, and nausea. Statistical significance was reached for chronic constipation, emesis, and nausea, being less likely to be found in FBHT-positive patients. Thus, fructose intolerance may help resolve symptoms in patients with chronic functional constipation.

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Functional constipation and posture in defecation

Paediatrica Indonesiana ◽

10.14238/pi53.2.2013.104-7 ◽

2013 ◽

Vol 53 (2) ◽

pp. 104 ◽

Cited By ~ 1

Author(s):

Fahrul Azmi Tanjung ◽

Supriatmo Supriatmo ◽

Atan Baas Sinuhaji ◽

Hakimi Hakimi

Keyword(s):

Junior High School ◽

Functional Constipation ◽

Cross Sectional Study ◽

Considerable Proportion ◽

Sectional Study ◽

Cross Sectional ◽

Parents And Children ◽

Rome Iii ◽

The Relationship ◽

Nature Ofthe

Background Functional constipation is often a consequence ofhabitual bowel elimination while sitting on common toilet seats.A considerable proportion of the population with n ormal bowelmovement frequency has difficulty emptying their bowels. Theprincipal cause of this problem may be the obstructive nature ofthe rectoanal angle and its relationship to the posture normallyused in defecation.Objective To assess the relationship between functional constipationwith the posture (sitting vs squatting) during defecationin children.Methods We conducted a cross-sectional study in November2010. Participants aged 12- 15 years were selected consecutivelyfrom a junior high school in Medan . Parents and children filledquestionnaires and were interviewed. Functional constipation wasassessed based on the Rome III criteria.Results Sixty-five students enrolled in the study. There was nostatistically significant diffe rences in subjects' characteristics.T here was a significant correlation between functional constipationwith posture during defecation in children (RR= 0.06, 95%CI0.02 to 0.25; P=0.0001). Functional constipation was more likelyoccured in children with sitting (12/20) th an squatting posture(4/45) during defecation.Conclusion We found th at posture in defecation is correlatedto functional con stipation in children.

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The relationship between body weight, fiber and fluid intake status and functional constipation in young adults

Nutrition & Food Science ◽

10.1108/nfs-03-2018-0083 ◽

2019 ◽

Vol 49 (1) ◽

pp. 129-140 ◽

Cited By ~ 1

Author(s):

Efsun Karabudak ◽

Eda Koksal ◽

Melahat Sedanur Macit

Keyword(s):

Physical Activity ◽

Young Adults ◽

Nutritional Status ◽

Fruits And Vegetables ◽

Fluid Intake ◽

Assessment Tool ◽

Eating Habits ◽

Functional Constipation ◽

Content Type ◽

The Relationship

Purpose The present study aims to determine the relationship between functional constipation and lifestyle patterns, eating habits and nutritional status in young adults. Design/methodology/approach This study was conducted in 825 young adults between the age of 20 and 24 years in Ankara. Constipation was evaluated via self-reports and ROMA III criteria. Food and beverage consumption frequency and fluid intake were surveyed, and anthropometric measurements (weight and height) were evaluated. Physical activity was assessed using the brief physical activity assessment tool. Findings Participants reported themselves as constipated, not constipated and sometimes constipated in 7.8, 39.6 and 53.6 per cent of cases, respectively. These rates differed from those obtained using the ROMA III criteria: constipated 51.3 per cent and not constipated 48.7 per cent. Constipation rates were higher in females (54.4 per cent) than males (44.8 per cent) (p < 0.05). No association was found between daily water, total fluid and fiber intake and constipation (p > 0.05). However, water from foods have lowering effects on constipation (p < 0.05). Increased physical activity seems to have no effect on constipation. According to food frequency records, participants who consumed more whole grains, rice/pasta and vegetables had lower rates of constipation. Conversely, higher consumption of tea was associated with higher constipation rates (p < 0.05). Originality/value Young adults should be encouraged to consume foods rich in water such as fruits and vegetables against constipation, fiber-rich foods and fluids to meet the recommendations for healthy eating. Only a few studies have assessed the relationships between lifestyle, fluid and nutritional status and body mass index.

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The Relationship Between Obsessive-Compulsive Disorders and Childhood Chronic Functional Constipation

ACTA MEDICA IRANICA ◽

10.18502/acta.v59i8.7257 ◽

2021 ◽

Author(s):

Pedram Ataee ◽

Hadi Badiee ◽

Soleiman Mohammadzadeh ◽

Borhan Moradveisi ◽

Daem Roshani ◽

...

Keyword(s):

Functional Constipation ◽

Control Group ◽

Case Group ◽

Healthy Children ◽

Obsessive Compulsive ◽

Compulsive Disorder ◽

Significant Difference ◽

Obsessive Compulsive Disorders ◽

The Relationship ◽

Compulsive Disorders

Chronic constipation is one of the most common problems in children. It can cause anxiety and psychological problems in patients and parents. The purpose of this study was to investigate the relationship between obsessive-compulsive disorders (OCD) in children with chronic functional constipation. This is a case-control study performed at the gastroenterology clinic of Besat Hospital Sanandaj for one year. The children aged 7-14-year-old with chronic functional constipation were selected as a case group, and the healthy children were recruited as a control group, who referred for growth control. Then, the Maudsley questionnaire for obsessive-compulsive disorders was completed by a trained assistant. With this questionnaire, the presence or absence of OCD and its type can be determined. Forty-three children were selected as the case group and sixty-seven children as the control group. The mean age of the case and control group was 9.3±1.5 and 8.8±1.6 years, respectively. Based on the results, there was a significant difference between the groups in terms of checking, cleaning, slowness, doubting, and total obsessive score (P˂0.05). Therefore, all five types of obsessive-compulsive disorder in the case group were greater than the control group. Obsessive-compulsive disorders were more common in children with functional constipation, and the total obsessive score in these children than the healthy children was a significant difference.

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Parenting Styles, Parental Involvement in School, and Educational Functioning of Children with Special Needs Integrated into Mainstream Education

Journal of Studies in Education ◽

10.5296/jse.v5i4.8588 ◽

2015 ◽

Vol 5 (4) ◽

pp. 258 ◽

Cited By ~ 1

Author(s):

Yosi Yaffe

Keyword(s):

Parental Involvement ◽

Special Needs ◽

Parenting Style ◽

Parenting Styles ◽

Significant Proportion ◽

Children With Special Needs ◽

Educational Functioning ◽

Mainstream Education ◽

And Mathematics ◽

The Relationship

The study examined the relationship between parenting style and parental involvement in school, and educational functioning among children with various disabilities integrated into mainstream education. It included 116 parents of children with special needs who reported their children according to formal educational evaluations they possessed. The sample of children reported by parents disproportionately represents six age layers ( =9.23, SD=1.85( and 3 main disability groups. Multivariate regression analyses indicated that parenting style and parental involvement in school explain a significant proportion of the variance in educational functioning among children with attention deficit disorders and complex disabilities. Within the first group, parental involvement significantly mediated the relationship between parenting style and educational functioning. Parenting style and parental involvement modestly predicted academic achievements in language skills and mathematics field (respectively) in the general sample. Significant relationships between parenting style and educational functioning and achievements in these tests pointed to better performance of children of authoritative parents compared with children of authoritarian parents. The main findings stress the need to encourage and nurture authoritative parenting traits, along with consistent parental involvement in school, as significant means of improving and strengthening the educational functioning among children with special needs integrated into mainstream education.

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