Chronic Constipation in Overweight Children

Misra, Sudipta; Lee, Amy; Gensel, Kathy

doi:10.1177/014860710603000281

Cited by 44 publications

(45 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Not like a previous observation indicated that chronic severe constipation was more prone to obese children (12), children with constipation in our series were prone to be malnourished. Misra et al (12) indicated an association between chronic severe constipation and being overweight by comparing 101 overweight and constipated children with 100 normal controls. In their study, the overweight ones were significantly male predominant (70.45%) and showed significantly increased incidence of psychological or behavior disorders in comparison with the control group.…”

Section: Discussioncontrasting

confidence: 64%

The Impact of Constipation on Growth in Children

Chao

Chen

et al. 2008

Pediatr Res

View full text Add to dashboard Cite

ABSTRACT:The observation on the impact of constipation on nutritional and growth status in healthy children was never reported. During a 4-y period, we evaluated the consequence of constipation on growth in children. The enrolled children were aged between 1 and 15 y with constipation. Medical response of constipation to treatment was evaluated by the scoring of constipation symptoms. The correlation of therapeutic effect of constipation with growth status at 12 wk and 24 wk was statistically evaluated. About 2426 children (1284 boys, 1142 girls) with a mean age of 7.31 Ϯ 3.65 (range 1.1-14.9) y were enrolled. After 12-wk treatment, significant increase of z-scores of height-for-age, weight-for-age, and body mass index-for-age were all found in patients with good medical responses (1377 cases) than in those with poor medical responses (1049 cases). The 1049 patients with poor medical response received advanced medications; significant increase of z-scores of height-for-age, weight-for-age, and body mass index were also found in these patients. A marked increase of appetite was significantly correlated with better gain on height and weight after treatment. We conclude that chronic constipation may retard growth status in children, and a long-term medication for constipation in children appears beneficial to their growth status.

show abstract

Section: Discussioncontrasting

confidence: 64%

The Impact of Constipation on Growth in Children

Chao

Chen

et al. 2008

Pediatr Res

View full text Add to dashboard Cite

show abstract

“…This high prevalence is reported in both genders that is not related to the presence of fecal incontinence among constipated children (5). In another study Misra et al (6) observed an association between chronic severe constipation and overweight. The present study was undertaken to investigate the growth status of children with chronic functional constipation.…”

Section: Introductionmentioning

confidence: 76%

“…They reported a prevalence rate of constipation to be 23% and fecal incontinence 15% in obese children. Misra et al (6) in a retrospective study, an association between chronic constipation and being overweight was indicated by comparing 101 constipated children (mean age, 10.97 ± 3.83 years) with 100 normal controls (mean age, 8.07 ± 2.56 years). The obesity was observed in 44 out of 101 constipated children (43.6%) and 30 out of 100 normal control (30%), that are comparable with our findings, although our patients were younger than those analyzed in Misra et al study (6).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Growth Parameters in Children with Chronic Functional Constipation

Dehghani¹,

Karamifar²,

Imanieh³

et al. 2013

Ann Colorectal Res

View full text Add to dashboard Cite

Background: Chronic functional constipation is an epidemic problem in children that has effects on the growth status. Objectives: The aim of this study is to evaluate the growth parameters in children with chronic functional constipation and compare them with healthy individuals. Patients and Methods: One hundred children with chronic functional constipation (defined as Rome III criteria) referred to Pediatric Gastroenterology Clinic enrolled in this study. Control group was consisted of 100 children who referred for well-child visits, without constipation. Weight, height, body mass index (BMI) and Z-score weight, Z-score height and Z-score BMI was calculated for each patient and control group. Results: Both case and control groups were consisted of the same age (P = 0.725) and gender (P = 0.777) individuals. The BMI (P < 0.0001) and BMI Z-scores (P < 0.0001) of constipated children was significantly higher than the control group. Also, weight (P = 0.004) and weight Z-scores (P < 0.0001) were significantly higher in the study group. There was no significant difference in height between two groups (P = 0.1), but constipated children had higher height Z-scores than control group (P = 0.027). The rate of obesity (define as BMI Z-score > 2) in children with chronic constipation was 40% that was significantly higher than normal control group (11%) (P < 0.0001). Conclusion:We found a higher obesity rate and also higher BMI and weight Z-scores in functionally constipated children compared with healthy control group. The reasons for the association between obesity and constipation are not clear and multifactor including diet, activity level, or hormonal influences, are involved that required additional studies.

show abstract

“…One study 19 stated that Children with constipation are more likely to be overweight. These children had increased incidence of psychological/behavioral problems, and were more likely to fail treatment.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of Chronic Constipation and Its Psychosocial Impact on Children Aged Between 4 to 14 Years and Their Parents : A Hospital Based Cross - Sectional Study

Madhu¹,

Agarwal²

2015

jemds

View full text Add to dashboard Cite

BACKGROUND:Gastrointestinal functional disorders especially constipation cause morbidity in otherwise healthy children with an estimated prevalence of 1% to 30%. It is perceived as a benign, easily treatable condition however left untreated, can lead to complications (Faecal impaction, incontinence and bowel perforations). Only a small proportion of patients seek medical advice; thus, the exact prevalence of the disorder is difficult to estimate. AIMS: To estimate the prevalence of chronic functional constipation in children aged 4-14 years and the degree of psychosocial impact on children and their parents. SETTINGS AND DESIGN: This cross-sectional study was carried out at K.R and Cheluvamba Hospital, MMC &RI, MYSORE from 1st FEB 2014 to 31ST MAY, 2014. METHODS AND MATERIAL: Constipation was defined using Rome III criteria. Children with organic causes of chronic constipation were excluded. Abdominal pain, fecal mass, anorexia, fecal soiling, withholding behavior were recorded. Psychosocial impact on children and parents was assessed using Paediatric Quality Of Life Inventory (PQLI) and modified PIP Questionnaires. Scoring done according to instructions given with respective questionnaires. STATISTICAL ANALYSIS: Prevalence was calculated using rates, ratios and percentages. Tests of significance were performed wherever relevant. P value of less than 0.05 was considered significant. RESULTS:The prevalence of functional constipation was estimated to be 14.29% with higher prevalence in females as compared to males i.e. 16.19% vs. 13.42%. Perineal soiling was significantly associated with functional constipation i.e. 58.33%. Mean score of all children was 75.4 and 70.6 for physical and psychosocial impact. 88% children reported PQLI score <80 (Mean 69.4). No difference between male and female child (p=.614). 83.33% parents reported score <80(Mean 69.3). No significant difference on psychosocial impact and quality of life according to PQLI parent report (p=1). CONCLUSIONS: High prevalence of functional constipation was observed amongst the younger female children. Children with chronic constipation have a lower quality of life. This study proves that functional constipation, its associated factors and complications are frustrating to the child and their parents.

show abstract

Chronic Constipation in Overweight Children

Cited by 44 publications

References 15 publications

The Impact of Constipation on Growth in Children

The Impact of Constipation on Growth in Children

Evaluation of the Growth Parameters in Children with Chronic Functional Constipation

Prevalence of Chronic Constipation and Its Psychosocial Impact on Children Aged Between 4 to 14 Years and Their Parents : A Hospital Based Cross - Sectional Study

Contact Info

Product

Resources

About