Epidemiology of constipation in children and adults: A systematic review

Mugie, Suzanne M.; Benninga, Marc A.; Lorenzo, Carlo Di

doi:10.1016/j.bpg.2010.12.010

Cited by 679 publications

(593 citation statements)

References 92 publications

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“…Treatment can be very difficult. The median prevalence is 16% in the US and is as high as 33.5% in adults aged 60-101 years [2]. The overall prevalence in Chinese adults is 16%-20% [3].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Yu¹,

Lin²

2017

Gastroenterology

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“…Treatment can be very difficult. The median prevalence is 16% in the US and is as high as 33.5% in adults aged 60-101 years [2]. The overall prevalence in Chinese adults is 16%-20% [3].…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Predictors for Biofeedback Therapeutic Outcome in Patients with Dyssynergic Defecation

Yu¹,

Lin²

2017

Gastroenterology

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“…It is estimated that 0.7% to 29.6% of children suffer from constipation. 1 Constipation can be defined by difficulty or pain with passage, as well as consistency and frequency of bowel movements. In children, it also can be characterized by volitional stool retention.…”

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confidence: 99%

Association of Constipation and Fecal Incontinence With Attention-Deficit/Hyperactivity Disorder

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Several studies have shown that behavioral problems can be associated with defecation and voiding disorders, although few studies have looked directly at a link between a diagnosis of attention-deficit/hyperactivity disorder (ADHD) and constipation or fecal incontinence. WHAT THIS STUDY ADDS:We identified an increased risk for both constipation and fecal incontinence in children with ADHD. In patients with concomitant ADHD and defecation disorders, more aggressive medical and behavioral treatment of the constipation or fecal incontinence may be warranted. abstract OBJECTIVE: Functional constipation and fecal incontinence are common childhood gastrointestinal conditions. Both conditions may be associated with behavioral problems. Attention-deficit/hyperactivity disorder (ADHD) is the most common behavioral disorder of childhood, characterized by shortened attention span and hyperactivity. We hypothesize that a diagnosis of ADHD increases the risk for functional constipation and fecal incontinence. METHODS:A retrospective cohort study of children was performed by using the military health system database. Children of active-duty military personnel, aged 4 to 12 years, from October 2005 to September 2007, were included. ADHD, constipation, and fecal incontinence were identified by International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic codes. Relative risks and adjusted incidence rate ratios (IRRs) were calculated. A subgroup analysis of subjects receiving medical therapy was performed.RESULTS: There were 742 939 children identified in the study, 32 773 (4.4%) of whom had ADHD. Children with ADHD had an increased prevalence of constipation (4.1% of children with ADHD vs 1.5% children without ADHD; P , .001) and fecal incontinence (0.9% of children with ADHD vs 0.15% of children without ADHD; P , .0001). Children with ADHD had more visits than those without ADHD for both constipation (IRR 3.39; 95% confidence interval 2.59-4.43) and fecal incontinence (IRR 7.74; 95% confidence interval 5.01-11.98). Children with ADHD receiving medicinal therapy did not differ significantly from children with ADHD not receiving medicinal therapy on rates of constipation visits (P = .57) or fecal incontinence visits (P = .32). CONCLUSIONS:Children with ADHD are significantly more likely to have constipation and fecal incontinence. Medical therapy for ADHD does not impact visit rates for defecation disorders.

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“…Constipation is defi ned as a delay or diffi culty in defecation, persists for ≥2weeks and suffi cient to cause signifi cant distress to the patient 11 . The worldwide prevalence of functional constipation in children rates from 0.7% to 29.6% 12,13 .…”

Section: Discussionmentioning

confidence: 99%