Personalized Diet Management Can Optimize Compliance to a High-Fiber, High-Water Diet in Children with Refractory Functional Constipation

Karagiozoglou–Lampoudi, Thomais; Daskalou, Efstratia; Agakidis, Charalampos; Savvidou, Afroditi; Apostolou, Aggeliki; Vlahavas, Georges

doi:10.1016/j.jand.2012.01.021

Cited by 33 publications

(46 citation statements)

References 22 publications

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“…There is a belief that it is difficult to achieve children's and their family's adherence to a DFdd, and several interventions to increase acceptance have been tested (23) : goal setting, stimulate patient's responsibility, point rating, and physician's versus physician's plus dietitian's diet advice. In the latter study, although physician's plus dietitian's advice was somewhat better, detailed physician's dietary advice alone did also significantly increase DF intake (53) , and this is also the authors experience (52) .…”

Section: Treatmentmentioning

confidence: 55%

Proposals to Approximate the Pediatric Rome Constipation Criteria to Everyday Practice

Maffei

Morais

2018

Arq. Gastroenterol.

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Section: Treatmentmentioning

confidence: 55%

Proposals to Approximate the Pediatric Rome Constipation Criteria to Everyday Practice

Maffei

Morais

2018

Arq. Gastroenterol.

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“…Several studies have demonstrated that children consume a low intake of dietary fiber, due to limited ingestion of vegetables, fruits, and whole grains, and are more prone to develop constipation [31,32]. With the help of a dedicated dietician, it is possible to significantly increase fiber intake in children with FC and for at least 6 months [33,34]. Disappointingly, however, no significant benefit has been demonstrated in terms of reduction in laxative use or increased stool frequency associated with additional fiber intake in children.…”

Section: Fibersmentioning

confidence: 99%

Controversies in the Management of Functional Constipation in Children

Mill

Koppen

Benninga

2019

Curr Gastroenterol Rep

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Purpose of review Functional constipation (FC) in children is a common health problem with reported worldwide prevalence rates up to 32.2%. The majority of children with constipation respond to oral laxative treatment. After 5 years of intensive treatment, however, approximately 50% of children remain symptomatic. To discuss the evidence for new treatments in these children, including pre-and probiotics, pelvic physiotherapy, prucalopride, sacral nerve stimulation, and surgery, and to highlight the controversies surrounding them. Recent findings Pre-and probiotics and prucalopride are not effective in the treatment of childhood constipation. Pelvic physiotherapy and sacral nerve stimulation are promising treatment options but larger trials are needed. Surgery for pediatric constipation is the treatment of last resort. Summary Large, well-designed placebo-controlled trials with proper outcome measures, as suggested by the Rome foundation pediatric subcommittee on clinical trials, are necessary to provide more insight regarding the efficacy of new treatments in childhood constipation.

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“…Vitito (2000) also reports that refusal to take medication and adhere to toileting routines are frequent problems in the treatment of children with RFI. Refusal behaviors related to adherence of liquid and fiber intake recommendations are also documented and considered a factor limiting treatment success rates in children with constipation (Karagiozoglou-Lampoudi et al, 2012;Kuhl, Felt, & Patton, 2009;Sullivan, Alder, Shrestha, Turton, & Lambert, 2012).…”

Section: Figure 1: Process Of Retentive Fecal Incontinencementioning

confidence: 99%

“…Diet modification. Treatments aimed at increasing fiber intake in children are described by many investigators (Karagiozoglou-Lampoudi et al, 2012;Kuhl et al, 2009;Sullivan et al, 2012). A recent review of the efficacy of non-pharmalogical therapies for constipation concludes that current evidence related to increased fiber intake is weak (Tabbers et al, 2011b).…”

Section: Conventional Medical Treatment Current Reviews Of Availablementioning

confidence: 99%

Examining the Sensory Characteristics of Preschool Children With Retentive Fecal Incontinence

Lane

Beaudry‐Bellefeuille

2015

The American Journal of Occupational Therapy

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Occupational therapists are concerned with individuals´ abilities to engage in daily occupations. When a daily activity such as bowel management is problematic, participation in key occupations can be limited. Retentive fecal incontinence is a common disorder in children. Behavior seems to be partly responsible for this condition. Occupational therapists have hypothesized that some behaviors could be related to sensory over-responsivity. This study investigated the relationship between retentive fecal incontinence and sensory over-responsivity and examined the Toileting Habit Profile Questionnaire, a tool designed to screen for toileting difficulties. The study showed that a group of children (n=16) with retentive fecal incontinence presented with significantly more behaviors related to sensory over-responsivity than a group of typically developing children (n=27) as measured by the Short Sensory Profile. The study also revealed that the Toileting Habit Profile Questionnaire effectively discriminates between children with retentive fecal incontinence and those without toileting difficulties.

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Personalized Diet Management Can Optimize Compliance to a High-Fiber, High-Water Diet in Children with Refractory Functional Constipation

Cited by 33 publications

References 22 publications

Proposals to Approximate the Pediatric Rome Constipation Criteria to Everyday Practice

Proposals to Approximate the Pediatric Rome Constipation Criteria to Everyday Practice

Controversies in the Management of Functional Constipation in Children

Examining the Sensory Characteristics of Preschool Children With Retentive Fecal Incontinence

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