Defecation-Specific Behavior in Children with Functional Defecation Issues: A Systematic Review

Beaudry‐Bellefeuille, Isabelle; Booth, Debbie; Lane, Shelly J.

doi:10.7812/tpp/17-047

Cited by 22 publications

(23 citation statements)

References 77 publications

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“…Rationalization of diet and guidance of defecation behavior are essential to prevent FC. Some scholars believe that infants can train regular bowel movements in the early months [10] . Defecation often occur because bowel movements are accelerated after eating.…”

Section: Discussionmentioning

confidence: 99%

Clinical features and outcome of fecal retention in infancy

Ren

Geng

Wang

et al. 2020

Preprint

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1) Background: To understand the clinical features and outcome of fecal retention in infancy(FRI), so as to guide the focus and intervention methods of such infants.2) Methods: The electronic medical record system(EMRS)was used to collect and screen out cases diagnosed as fecal retention from June 2018 to June 2019 in outpatient clinic of our hospital. The age, feeding method, frequency and traits of stool, and accompanying symptoms were recorded. The changes of clinical symptoms, medical examinations and drug treatment by the age of 1 year were investigated by means of electronic medical record review and telephone follow-up.3) Results: A total of 286 infants were enrolled, 7 were lost to follow-up, and 279 were effectively followed up. There were 157 males and 129 females, with an age of 3.6 ± 1.5 months. The average stool frequency was 5.9 ± 1.8 days. 63.3% of the infants were breast-fed, 16.8% were formula-fed, and the rest were mixed-fed,all without supplementary food. 9.1% of the infants showed corresponding gastrointestinal symptoms, such as bloating, increased crying, decreased milk intake, and laborious defecation. 87.1% of the infants received medical treatment, including glycerin enema, probiotics, and Chinese herbal preparations, with an effective treatment rate of 7.8%. 38.7% of infants have undergone medical examination, including abdominal ultrasound, X-ray film / barium enema, blood test, etc, the positive rate is 14.8%. The duration of fecal retention in 53% of infants was ≤ 2 months, 22.6% between 2–3 months, 24.4% ≥ 3 months, with an average of 2.6 ± 1.1 months. At the age of followed up to 1 year, 16.8% of infants developed functional constipation(FC). Compared with other infants with normal defecation, there was no significant difference in age, frequency of stool, the proportion of breast milk feeding and receiving treatment, and there was a significant difference in the duration of fecal retention. The duration of FC group was longer than normal defecation group by which was 3.49 ± 0.83 months.4) Conclusions: Infants with fecal retention are more likely to develop FC at age 1 than general population, and may be positively related to the duration of fecal retention.

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Section: Discussionmentioning

confidence: 99%

Clinical features and outcome of fecal retention in infancy

Ren

Geng

Wang

et al. 2020

Preprint

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“…One child had better control of his urine output and went to the toilet on his own. Unfortunately, problems with constipation and painful defecation are common in children with disabilities [40] as well as urinary retention problems [41]. Horse rhythmic movements are known to mobilize the child's pelvic girdle and muscles, thus stimulating intestinal peristalsis and elimination, which is vital for a child's well-being [42].…”

Section: Parental Perception Of Changes In Their Child's Basic Life Nmentioning

confidence: 99%

Parental Perception of Changes in Basic Life Needs of Children with Disabilities after Six Months of Therapeutic Horseback Riding: A Qualitative Study

Lovrić

Farčić

Mikšić

et al. 2020

IJERPH

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Therapeutic horseback riding (THR) has a positive effect on the physical, cognitive, and psychosocial functioning of children with disabilities. Parents’ reports of the effects of THR on their children support professionals in individualizing the THR program. With this qualitative study, we aimed to explore parents’ perceptions of changes in the basic life needs of their children with disabilities after six months of THR lessons and to survey parents’ explanations for the causes of these changes. The study involved parents of 13 children with disabilities who were enrolled in a six-month THR program. Parents continuously monitored their children and wrote a report on possible changes in their child’s needs according to Virginia Henderson’s need theory. Qualitative content analysis of parents’ reports indicated only positive changes in 11 children. Most codes were identified in categories “relationships and communication with other people” and “movement and posturing”. Other categories identified codes such as easier breathing, a better quality of sleep, better appetite, better elimination of stool and urine, more independence in clothing and maintaining personal hygiene, and greater interest in play and learning. Parents’ reports are further supported by the assessments of professionals. Most parents think THR is responsible for the noticeable improvements in their children’s quality of life.

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“…Diet, physical activity levels, toilet behaviors, social environment factors, and family history have been considered as causes of child constipation (8)(9)(10). Several nutrients and foods have been examined as factors lowering constipation prevalence in school-age children (11)(12)(13)(14)(15), as well as in pre-school children and college students (16)(17)(18)(19)(20).…”

mentioning

confidence: 99%

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

Okuda

Kunitsugu

Yoshitake

et al. 2019

Journal of Nutritional Science and Vitaminology

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Functional constipation negatively affects school-related quality of life for children and adolescents. We investigated the association between functional constipation, defined according to the Rome criteria version III, and dietary habits. The subjects of this cross-sectional study were 1,140 5th graders and 1,054 8th graders attending schools in Shunan City, Japan in 2012. Functional constipation was defined as having two or more symptoms of constipation. Dietary habits were assessed using a brief questionnaire. Selfreported biological, demographic and lifestyle information was obtained. Using multiple logistic models, dose-dependent associations among subgroups stratified with quintiles of nutrient and food intake were examined. The prevalence of functional constipation ranged from 3.7% to 8.3% across the grades. The most prevalent symptom was pain or hard stools. There was a link between higher rates of functional constipation and lower levels of dietary fiber intake, vegetables, and fruits (ptrend50.010-0.030). Associations with vegetables and fruits attenuated when controlling for dietary fiber intake (ptrend50.074-0.150). When 5th and 8th graders were separately analyzed, intake of dietary fiber, water from foods, and vegetables had beneficial effects on functional constipation in 8th graders (ptrend50.005-0.038), and fruit intake had a beneficial effect in 5th graders (ptrend50.012). Modification of dietary habits may have a positive effect in reducing functional constipation in school-age children. Diets rich in fiber, vegetables, and fruits, have the potential to improve functional constipation in Japanese children and adolescents.

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Defecation-Specific Behavior in Children with Functional Defecation Issues: A Systematic Review

Cited by 22 publications

References 77 publications

Clinical features and outcome of fecal retention in infancy

Clinical features and outcome of fecal retention in infancy

Parental Perception of Changes in Basic Life Needs of Children with Disabilities after Six Months of Therapeutic Horseback Riding: A Qualitative Study

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

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