Prevalence and risk factors for functional constipation in adolescent Nigerians

Udoh, Ekong; Rajindrajith, Shaman; Devanarayana, Niranga Manjuri; Benninga, Marc A.

doi:10.1136/archdischild-2016-311908

Cited by 23 publications

(16 citation statements)

References 24 publications

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“…Divorce or separation of parents, severe illness in family, and parental job loss were home‐related issues that were associated with FC 21,27 . However, other studies failed to identify this as a predisposing factor 19,25 . Frequent domestic fights, marital disharmony, and sibling rivalry were reported in other studies as factors leading to FC 17,27 …”

Section: Resultsmentioning

confidence: 98%

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Association between childhood constipation and exposure to stressful life events: a systematic review

Liyanarachchi

Rajindrajith

Kuruppu

et al. 2021

Neurogastroenterology Motil

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Background Several cross‐sectional studies have reported an association between childhood constipation and exposure to stressful events. We planned to systematically review the literature on constipation and its associated stressful events. Methods PubMed, Embase, and PsycINFO databases were searched (until February 2021) using standard search terms related to “constipation” and “stress” from 0 to 18 years that describe the association between psychological stressors and constipation. Studies were screened using pre‐designed eligibility criteria. Studies that fulfilled the criteria were reviewed in a full‐text format. The quality assessment of selected articles was conducted using standard methods. Key Results Of 2296 titles and abstracts screened, 38 were included in the full‐text review. Out of that, 15 articles were included in this systematic review. There were 2954 children with constipation, and the age range was from 6 months to 16 years. Exposure to home‐related stressors (divorce or separation of parents, severe illness in family, and parental job loss) school‐related stressors (including being bullied at school, change in school, separation from the best friend at school, and failure in an examination), exposure to child maltreatments and exposure to war/civil unrest were associated with childhood constipation. Conclusions and Inferences Exposure to day‐to‐day home‐ and school‐related stressors, to child maltreatment, and to civil unrest is associated with constipation in children and adolescents. These factors need to be explored during clinical evaluation of children with constipation.

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Section: Resultsmentioning

confidence: 98%

“…The stressful events were diverse, and no clear pattern was detectable to make a valid comparison between studies. Three studies included the same list of stressful events 21,25,27 …”

Section: Resultsmentioning

confidence: 99%

Association between childhood constipation and exposure to stressful life events: a systematic review

Liyanarachchi

Rajindrajith

Kuruppu

et al. 2021

Neurogastroenterology Motil

Self Cite

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“…Although the typical African diet is high in complex carbohydrates and other fiber-rich foods, urbanization has led to much more snacking on high fat/sugary foods in this region [ 29 ]. Epidemiologic studies that have shown that FGIDs are common to school children in Africa [ 30 , 31 ]; however, there is a scarcity of data about dietary interventions for FGIDs in the African continent. Thus, although many of the African foods are high in FODMAPs, and FGID prevalence is high, the association of diet and symptoms has not been investigated to date.…”

Section: Summary Of Findingsmentioning

confidence: 99%

Global Dietary Patterns and Functional Gastrointestinal Disorders

Axelrod

Saps

2020

Children

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Functional Gastrointestinal Disorders (FGIDs) are common. In the United States alone, approximately 25 million Americans are estimated to have at least one FGID. Nonpharmacological treatment options include psychological/behavioral approaches, and dietary interventions that can vary across countries. The aim of this review is to evaluate the available evidence for dietary interventions for the treatment of childhood FGIDs amongst various cultures and regions of the world. This review includes clinical trials of dietary therapies for the treatment of FGIDs in children posted on or before 13 July 2020 in PubMed. Overall, the consensus view suggests that the westernization of diets is linked to the development of FGIDs, and diets low in Fermentable Oligosaccharides, Disaccharides, Monosaccharides and Polyols (FODMAPs) may reduce abdominal symptoms. However, more work is needed to confirm these findings.

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“…However, epidemiological research in Asian countries has shown a much higher prevalence of up to 32% according to standard Rome III criteria (2). Similar studies in Africa show a prevalence of 27% in Nigerian school children (3). The highest prevalence noted in Sri Lankan children is 15.5% (4).…”

mentioning

confidence: 94%