Is Constipation More Common in Overweight Children?

Shah, Manoj; Patole, Aniket; Darji, Puja

doi:10.14309/00000434-201610001-01039

Cited by 1 publication

(4 citation statements)

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“…7 Teitelbaum et al, and Shah et al, reported increased incidence of obesity in chidren with constipation. 8,9 Tambucci et al, reported an association between constipation and obesity in a study population recruited from pediatric gastroenterology and endocrine clinics. 10 In contrast, community based or primary care based studies from India, Brazil, Colombia and Sri Lanka failed to document an association between constipation and overweight/obesity.…”

Section: Discussionmentioning

confidence: 99%

“…This referral pattern may explain the reported increased prevalence of children with increased BMI at the subspecialty clinics. [1][2][3][7][8][9][10] It will be reasonable to assume that children were referred to pediatric gastroenterology or other subspecialty clinics as they failed to respond to management in the primary care setting. These findings may suggest that children with increased BMI did not have an increased risk of constipation.…”

Section: Discussionmentioning

confidence: 99%

“…vd Baan‐Slootweg et al., reported increased incidence of constipation in mobidly obese children 7 . Teitelbaum et al., and Shah et al., reported increased incidence of obesity in chidren with constipation 8,9 . Tambucci et al., reported an association between constipation and obesity in a study population recruited from pediatric gastroenterology and endocrine clinics 10 .…”

Section: Discussionmentioning

confidence: 99%

“…However, the key to resolving this dilemma may be the other significant finding of this study; that children with increased BMI and constipation in the primary care setting were about three times more likely to be referred to the pediatric gastroenterology clinic for further management of constipation. This referral pattern may explain the reported increased prevalence of children with increased BMI at the subspecialty clinics 1–3,7–10 . It will be reasonable to assume that children were referred to pediatric gastroenterology or other subspecialty clinics as they failed to respond to management in the primary care setting.…”

Section: Discussionmentioning

confidence: 99%

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Controversies on the relationship between increased body mass index and treatment‐resistant chronic constipation in children

Misra

Liaw

2021

J Parenter Enteral Nutr

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Background There are conflicting reports on the association between children with increased body mass index (BMI), and constipation. This retrospective chart review of two groups of children from a primary care clinic was designed to address the controversy. Methods Group‐1: Charts of all children seen in a year for general pediatric care were reviewed for incidences of increased BMI (>85th percentile) and constipation as well as overweight recognition in the final diagnosis; Group‐2: Children diagnosed with constipation at the same primary care setting for 5 years were identified by ICD‐9 code. These charts were reviewed for prevalence of increased BMI and incidences of referral to subspecialty clinic. Results Group‐1: Three hundred nineteen (33.4%) of the 955 children had increased BMI and 28 (2.93%) had constipation. The prevalence of constipation was not increased among children with increased BMI. Group‐2: 24 of the 66 children with constipation were referred to the pediatric gastroenterology clinic. children with increased BMI were three times more likely to be referred (n = 20, p = 0.04). The two groups had a similar prevalence of children with increased BMI (Group 1 = 33.4%; Group 2 = 30.3%). Conclusion In the general pediatric population, children with an increased BMI were not at an increased risk of developing constipation. However, children with increased BMI and constipation were three times more likely to be referred, presumably for treatment failure, to the pediatric gastroenterology clinic .Hence children with increased BMI were more likely to develop treatment resistant constipation.

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