Quality of life is impaired in children with functional defecation disorders

Benninga, Marc A.

doi:10.2223/jped.1570

Cited by 10 publications

(5 citation statements)

References 17 publications

(22 reference statements)

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“…As consequências em crianças com PC determinam vários sintomas que interferem de forma negativa em sua qualidade de vida. Pode ser observado quadro de dor crônica, distensão abdominal, choro e irritabilidade, sono inquieto, hemorroidas, fissura anal, escape fecal, indisposição, alteração do apetite e saciedade precoce, alteração do humor, infecção urinária, agravamento do refluxo gastroesofágico 67,68 .…”

Section: Constipação Intestinalunclassified

Digestive tract neural control and gastrointestinal disorders in cerebral palsy

Araújo¹,

Silva²,

Mendes³

2012

J Pediatr (Rio J)

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Objectives: To examine the neural control of digestive tract and describe the main gastrointestinal disorders in cerebral palsy (CP), with attention to the importance of early diagnosis to an efficient interdisciplinary treatment.Sources: Systematic review of literature from 1997 to 2012 from Medline, Lilacs, Scielo, and Cochrane Library databases. The study included 70 papers, such as relevant reviews, observational studies, controlled trials, and prevalence studies. Qualitative studies were excluded. The keywords used were: cerebral palsy, dysphagia, gastroesophageal reflux disease, constipation, recurrent respiratory infections, and gastrostomy. Summary of the findings:The appropriate control of the digestive system depends on the healthy functioning and integrity of the neural system. Since CP patients have structural abnormalities of the central and peripheral nervous system, they are more likely to develop eating disorders. These range from neurological immaturity to interference in the mood and capacity of caregivers. The disease has, therefore, a multifactorial etiology. The most prevalent digestive tract disorders are dysphagia, gastroesophageal reflux disease, and constipation, with consequent recurrent respiratory infections and deleterious impact on nutritional status. Conclusions:Patients with CP can have neurological abnormalities of digestive system control; therefore, digestive problems are common. The issues raised in the present study are essential for professionals within the interdisciplinary teams that treat patients with CP, concerning the importance of comprehensive anamnesis and clinical examination, such as detailed investigation of gastrointestinal disorders. Early detection of these digestive problems may lead to more efficient rehabilitation measures in order to improve patients' quality of life.J Pediatr (Rio J). 2012;88(6):455-64: Cerebral palsy, dysphagia, gastroesophageal reflux disease, constipation. ResumoObjetivos: Abordar as peculiaridades do controle neuronal digestório e descrever as principais manifestações digestórias na paralisia cerebral, atentando-se à importância do diagnóstico precoce para intervenção interdisciplinar eficaz. Fontes dos dados:Revisão sistemática de 1997 a 2012 das bases de dados MEDLINE, LILACS, SciELO e Cochrane Library. Incluem-se 70 artigos, como revisões relevantes, estudos observacionais, ensaios clínicos e estudos de prevalência. Excluíram-se pesquisas qualitativas. Os termos pesquisados foram: paralisia cerebral, disfagia, doença do refluxo gastroesofágico, constipação intestinal, infecção respiratória e gastrostomia. Síntese dos dados:O controle adequado do trato digestório depende do funcionamento e integridade do sistema nervoso. Como indivíduos portadores de paralisia cerebral possuem anormalidades estruturais evidentes no sistema nervoso central e periférico, estão mais propensos a desenvolver distúrbios do trato digestório, com repercussões nutricionais. As alterações vão desde imaturidade neurológica até interferência do estado d...

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Section: Constipação Intestinalunclassified

Digestive tract neural control and gastrointestinal disorders in cerebral palsy

Araújo¹,

Silva²,

Mendes³

2012

J Pediatr (Rio J)

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“…In addition, in some cases there has been described an increased risk for life-threatening bowel dilatation [ 15 ] and acute respiratory failure because of colonic pseudo-obstruction [ 16 ]. Moreover, bladder and bowel dysfunction (BBD) is a potential cause of significant physical and psychosocial burden for children and adults in general and their families [ 9 , 17 , 18 , 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Bladder and Bowel Dysfunction in Duchenne Muscular Dystrophy Using the Childhood Bladder and Bowel Dysfunction Questionnaire

Lionarons

Groot

Fock

et al. 2021

Life

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Introduction: Lower urinary tract symptoms (LUTS) and gastrointestinal (GI) problems are common in Duchenne muscular dystrophy (DMD), but not systematically assessed in regular care. We aimed to determine the prevalence of bladder and bowel dysfunction (BBD) in DMD patients compared with healthy controls (HC). Methods: The Childhood Bladder and Bowel Dysfunction Questionnaire (CBBDQ) based on the International Rome III criteria and the International Children’s Continence Society was filled out by 57 DMD patients and 56 HC. Additionally, possible associations of BBD with, for example, medication use or quality of life were evaluated in an additional questionnaire developed by experts. Results: In 74% of patients versus 56% of HC ≥1 LUTS (n.s.) were reported, 68% of patients versus 39% of HC reported ≥1 bowel symptom (p = 0.002) and 53% of patients versus 30% of HC reported combined LUTS and bowel symptoms (p = 0.019). A negative impact of BBD on daily life functioning was reported by 42% of patients. Conclusions: These data underscore that standard screening for BBD is needed and that the CBBDQ could be of added value to optimize DMD care.

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“…This result confirms the study of Youssef et al [23], which concludes that a low QoL reported by the parents can translate the severity of the disorder itself, the frustration in the diagnostic and therapeutic approach underwent to their children or the parents' own experiences with the functional symptoms. Benninga [24] states that children and adolescents with less visible disorders, such as GFDs, and who are uncertain about the outcome of their disease, can be identified with psychosocial and/or emotional disturbance. A recent systematic review also highlights that GFDs in children causes behavioural, social and emotional problems, which negatively affects the QoL of both child and family [25].…”

Section: Discussionmentioning

confidence: 99%

“…The provided assistance allows and eases the understanding of the causes and maintenance of the fear to evacuate and of the anxiety disorder, which sometimes settles on the children and on their mothers [28]. Therefore, it is likely that children with high sensitivity to anxiety have an increased risk to develop fear of pain and physical, emotional or behavioural disabilities, which are often irreversible due to its chronical nature [4,24,29].…”

Section: Discussionmentioning

confidence: 99%

Do Educational Interventions with Mothers Enhance the Quality of Life of their Children with Chronic Functional Constipation in a Randomized Trial?

Sette¹,

Cavalcanti²,

Coriolano³

et al. 2017

J Comm Pub Health Nurs

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Aim: To analyse the effect on the quality of life of children with chronic functional constipation when performing educational intervention on mothers, using the technique of focus groups, in a prospective randomized trial. Method:This study was conducted on the paediatric gastroenterology clinic of the teaching hospital of the Federal University of Pernambuco, from November 2012 to May 2013. A prospective study of educational intervention in health was applied on two randomized groups (experimental and control) that was formed from a sample of 55 participants according to the Rome III criteria. Mothers from the experimental group participated of a focus group that used active methods of teaching and learning in order to elucidate the biopsychosocial issues surrounding constipation. Children from both groups kept the usual treatment held by the paediatric gastroenterologist during the monthly medical visits. In order to measure the primary outcome -quality of life -the questionnaire PedsQLTM 4.0 Generic Core Scales was applied to both groups before and after the intervention. The data related to clinical parameters and quality of life of participants before and after the intervention were analytically compared in both groups with the significance level p ≤ 0.05. Results:This study included 55 mothers of children and adolescents with disorders of defecation, 11 in the educational intervention group and 44 in the control group. After monitoring the mothers that participated in focus groups for six months, the outcome quality of life was represented by a total score of 89.13, whilst the total score before the intervention was 78,26 (p=0,00). Conclusion:The quality of life of patients with functional constipation improved after the intervention. Therefore, the educational intervention on focus groups with mothers configure a therapeutic alternative to patients and families living with defecation disorders.

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Quality of life is impaired in children with functional defecation disorders

Cited by 10 publications

References 17 publications

Digestive tract neural control and gastrointestinal disorders in cerebral palsy

Digestive tract neural control and gastrointestinal disorders in cerebral palsy

Prevalence of Bladder and Bowel Dysfunction in Duchenne Muscular Dystrophy Using the Childhood Bladder and Bowel Dysfunction Questionnaire

Do Educational Interventions with Mothers Enhance the Quality of Life of their Children with Chronic Functional Constipation in a Randomized Trial?

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