Investigation of Demographic and Clinical Characteristics of Children with Constipation Referring to the Pediatric Gastrointestinal Clinic, Shiraz in 2014 - 2016

Haghighat, Mahmood; Amiri, Zahra; Dehghani, Seyed Mohsen; Safarpour, Ali Reza; Ataollahi, Maryam; Mani, Arash; Haghighat, Rahele; Rezaianzadeh, Abbas

doi:10.5812/semj.13669

Cited by 5 publications

(21 citation statements)

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“…Constipation is one of the most common GI disorders in children that, if untreated, may lead to various complications (1,2). Constipation is responsible for 3 -5% of outpatient referrals to physicians and pediatricians, as well as 25% of referrals to pediatric gastroenterologists (3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Factors Related to the Duration of Chronic Functional Constipation in Children Referring to a Pediatric Gastrointestinal Clinic of Shiraz in 2014 - 2016

et al. 2018

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Background: Constipation is a common problem among children. This study aimed to identify the factors related to the duration of chronic functional constipation. Methods: The study was conducted on 826 children with chronic functional constipation referring to a pediatric gastrointestinal (GI) clinic in Fars province. The inclusion criteria of the study were suffering from constipation not due to anatomical (Hirschsprung's disease and spinal disease) and organic reasons (non-functional constipation), not suffering from other systemic disorders (hypothyroidism and psychomotor retardation), not having the history of prior anal surgery, and not using drugs inducing constipation. The data were analyzed using a linear regression analysis. Results: This study was performed on 826 children with chronic functional constipation with the mean age of 4.98 + 2.74 years. Among the study children, 418 (50.6%) were boys. Based on the results of multivariate linear regression analysis, the duration of chronic constipation was related to children's age (B = 0.695 [P < 0.001]), intervals between defecations (B = 0.158 [P = 0.036]), age at the onset of defecation control (B = 0.15 [P = 0.050]), intervals of cereals consumption (B = 0.345 [P < 0.001]), and mother's education level (B = 0.283 [P = 0.001]). Accordingly, every year increase in children's age was accompanied by 8.5 months of constipation. In addition, every unit increase in the consumption of cereals during the week (every day, three days a week, once a week, and rarely) caused a four-month increase in chronic constipation. Conclusions: With increasing age, children need parental care to prevent the occurrence of chronic constipation. Moreover, increasing interest in video games has been accompanied by a decrease in physical activity, which requires more attention from parents.

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Section: Introductionmentioning

confidence: 99%

Factors Related to the Duration of Chronic Functional Constipation in Children Referring to a Pediatric Gastrointestinal Clinic of Shiraz in 2014 - 2016

et al. 2018

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“…(2) yaptığı çalışmada fonksiyonel kabızlığın infant ve okul öncesi dönemdeki erkek çocuklarda daha sık görüldüğü ifade edilmiştir. Yapılan bazı çalışmalarda ise çalışmamızda olduğu gibi fonksiyonel kabızlık ve cinsiyet arasında ilişki olmadığı bildirilmiştir (17)(18)(19) . Gaita yapmayı ertelemenin fonksiyonel kabızlık gelişiminde rolü olduğu düşünülmektedir.…”

Section: Discussionunclassified

“…Gaita yapmayı ertelemenin fonksiyonel kabızlık gelişiminde rolü olduğu düşünülmektedir. Çalışmamızda olduğu gibi çocukların okul tuvaletinin temiz olmadığını düşündüğü ve tuvaleti kullanmamak için istemli olarak gaitasını tutmaları nedeniyle fonksiyonel kabızlığın okul çocuklarında sık görüldüğü belirtilmiştir (17) . Uzun süre gaitasını tutan çocuklarda rektum mukozasının biriken gaitadan suyu absorbe ettiği ve dışkının sertleştiği, dışkılama esnasında anal bölgede ağrı hissedildiği ve çocuğun gaita yapmak istemediği ve kabızlık kısır döngüsünün başladığı bildirilmiştir (4,17) .…”

Section: Discussionunclassified

“…(6) yaptığı çalışmada olduğu gibi kabız çocukların daha az sebze ve meyve tükettiği, bisküvi, ekmek, makarna gibi az lifli gıdaları daha fazla tükettiği raporlanmıştır. Lifli gıdaların kolona suyu çekerek gaitayı yumuşattığı ve defekasyonu kolaylaştırarak kabızlığı azalttığı bildirilirken (24) , başka bir çalışmada az lifli diyetle beslenmenin kabızlığa neden olmadığı ancak kabızlığın kronikleşmesinden sorumlu olduğu bildirilmiştir (17) . Düşük lifli diyetin fonksiyonel kabızlık gelişmesindeki rolü tartışmalı olsa da çalışmamızın sonuçları az lifli gıdaların tüketiminin azaltılması, çocukların sebze ve meyve yemeğe özendirilmesi ile kabızlık sıklığının azalacağını düşündürmektedir.…”

Section: Discussionunclassified

“…Fiziksel aktivite yetersizliğinin fonksiyonel kabızlıkla ilişkili olduğu bildirilmiştir (2) . Egzersiz yapılmasının barsak içeriğinin kolona geçişini artırarak, defekasyonu arttırdığı öne sürülmüştür (17) . Düzenli spor yapan çocuklarda kabızlık görülmediği raporlanmıştır (6) .Televizyon veya bilgisayar başında iki saatten daha uzun süre oturarak vakit geçirme sedanter davranış olarak değerlendirilmiş ancak çalışmamızda olduğu gibi fiziksel aktivite veya sedanter davranış ile kabızlık arasında ilişki saptanmadığı raporlanmıştır (8) .…”

Section: Discussionunclassified

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Functional constipation frequency and prominent etiological factors in a primary school in Diyarbakır

Asena¹,

Öztaş²

2020

TCDD

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INTRODUCTION: Functional constipation is a frequently seen gastrointestinal problem in childhood. Rome IV criteria have been proposed in recent years for the diagnosis of functional constipation. The objective of this study is to evaluate frequency of functional constipation in primary school children using the Rome IV criteria and to evaluate the factors associated with functional constipation. METHODS: A primary school was chosen in the center of Diyarbakır Province was chosen between January 2019 and February 2019 for a prospective cross-sectional epidemiological study. A total of 535 cases aged 6-10 years were included in the study. Data collection forms consisting of three parts were distributed to 1.000 students. In the first part, age, gender, height, weight, maternal education level, family economic level were evaluated. In the second part, the habit of eating, participating in physical activities, the time spent sitting in front of TV or computer, delaying the need to use toilet voluntarily, and in the third section, the criteria of Rome IV and the use of the school toilet were questioned. RESULTS: The incidence of functional constipation according to the Rome IV criteria was 24.8 percent. No statistically significant relationship was determined in respect of age, gender, body mass index, maternal education level, family economic level, physical activity or time spent on watching television. There was a statistically significant relationship between consumption of few vegetables and fruits, food with very low fiber content and not using school toilets and functional constipation (p<0.05). DISCUSSION AND CONCLUSION: Functional constipation is more common in primary school children who have low consumption of vegetables and fruits and who do not use the school toilet.

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Measurement of screen time among young children aged 0–6 years: A systematic review

2021

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The impact of screen-based devices on children's health and development cannot be properly understood without valid and reliable tools that measure screen time within the evolving digital landscape. This review aimed to summarize characteristics of measurement tools used to assess screen time in young children; evaluate reporting of psychometric properties; and examine time trends related to measurement and reporting of screen time. A systematic review of articles published in English across three databases from January 2009 to April 2020 was undertaken using PROSPERO protocol (registration: CRD42019132599) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Included articles measured screen time as outcome, exposure, or confounder in children 0-6 years. The search identified 35,868 records, 1035 full-text articles were screened for eligibility, and 622 met inclusion criteria. Most measures (60%) consisted of one to three items and assessed duration of screen time on a usual day. Few measures assessed content (11%) or coviewing (7%). Only 40% of articles provided a citation for the measure, and only 69 (11%) reported psychometric properties-reliability n = 58, validity n = 19, reliability and validity n = 8. Between 2009 and 2019, the number of published articles increased from 28 to 71. From 2015, there was a notable increase in the proportion of articles published each year that assessed exposure to mobile devices in addition to television. The increasing number of published articles reflects increasing interest in screen time exposure among young children. Measures of screen time have generally evolved to reflect children's contemporary digital landscape; however, the psychometric properties of measurement tools are rarely reported. There is a need for improved measures and reporting to capture the complexity of children's screen time exposures.

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Investigation of Demographic and Clinical Characteristics of Children with Constipation Referring to the Pediatric Gastrointestinal Clinic, Shiraz in 2014 - 2016

Cited by 5 publications

References 28 publications

Factors Related to the Duration of Chronic Functional Constipation in Children Referring to a Pediatric Gastrointestinal Clinic of Shiraz in 2014 - 2016

Factors Related to the Duration of Chronic Functional Constipation in Children Referring to a Pediatric Gastrointestinal Clinic of Shiraz in 2014 - 2016

Functional constipation frequency and prominent etiological factors in a primary school in Diyarbakır

Measurement of screen time among young children aged 0–6 years: A systematic review

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