Prevalence of chronic constipation in children at a primary health care unit

Ciampo, Ieda Regina Lopes Del; Galvão, Lívia Carvalho; Ciampo, Luíz Antônio Del; Fernandes, Maria Inez Machado

doi:10.2223/jped.906

Cited by 13 publications

(14 citation statements)

References 6 publications

(8 reference statements)

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“…Recalled constipation frequency (17.5%) was within the frequency range reported for children about the same age in Brazil and in developed countries (16%-27%), except for lower frequency of constipation in USA and of hard stools in Thailand (2,5,12,16,22,25,38) . To compare our recorded constipation frequency to literature data, the criterion used must be considered (Table 2): thus, by the predominant criterion, 10.5% was similar to 11% of hard stools recorded over 4 days in South Africa (37) , but lower than 27% of hard stools (modal frequency over 7 days) in former Burma (23) .…”

Section: Discussionsupporting

confidence: 54%

“…But, data may be biased by the reliability of maternal recall after a long time lapse and by referral of the most severe cases. More reliable information concerning early onset of constipation could be obtained in community studies, but prevalence surveys including infants/young children or specifically addressing them are scarce and, besides, some were performed in primary health clinics: these surveys (2,5,12,16,22) detected high prevalence of constipation in Brazil (18%-26.8%) and in Canada (16%), but only 4.5% in USA. In other studies, young children's bowel habit (BH) was recalled (25,38) or recorded (23,37) , but the prevalence of constipation or diarrhea was not reported, since frequency and characteristics of stools are used for classification of the BH (9,18,27,28) , and these studies considered defecation frequency apart from hard or runny stool occurrence.…”

Section: Introductionmentioning

confidence: 99%

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Recalled and recorded bowel habits confirm early onset and high frequency of constipation in day-care nursery children

Borgo

Maffei

2009

Arq. Gastroenterol.

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-Context -Mothers recall early-onset constipation in children attending gastroenterology clinics. Objectives -To study the bowel habit of young children in the community to determine, first, whether early-onset constipation is confirmed in this setting and, second, the agreement between recalled and recorded bowel habit. Methods -Defecation data of 57 children aged 6.0-40.7 mo were obtained by maternal recall (questionnaire on predominant stool characteristics) and by record (1,934 defecations registered prospectively at home and in the nursery). The bowel habit was classified according to stool frequency and proportion of stool characteristics (soft, hard and/or runny). Two criteria were used to classify recorded data, since the cutoff point for hard stools to identify constipation is undefined in children: predominant criterion and adult criterion, respectively with >50% and ≥25% of stools with altered consistency. Bowel habit categories were: adequate, constipation, functional diarrhea and "other bowel habit". Nonparametric statistics, and the Kappa index for agreement between recalled and recorded bowel habit, were used. Results -Constipation occurred in 17.5%, 10.5%, 19.3% of the children by recall, the predominant and the adult criteria, respectively. Constipation was the main recalled alteration, vs 12.3% "other bowel habit". Only one child classified as having functional diarrhea (by the adult criterion). Agreement between recalled and recorded bowel habit was fair for constipation, by the predominant and the adult criteria (K = 0.28 and 0.24, respectively), but only slight (K ≤0.16) for other bowel habit categories. Individual data, however, pointed to a better relationship between recalled constipation and the adult rather than the predominant criterion. Conclusions -Frequent early-onset constipation was confirmed. Fair agreement between recalled and recorded constipation by the two used criteria indicates that recalled data are quite reliable to detect constipation.

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Section: Discussionsupporting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Recalled and recorded bowel habits confirm early onset and high frequency of constipation in day-care nursery children

Borgo

Maffei

2009

Arq. Gastroenterol.

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“…18% in the study conducted by Lorenzo, Vera Loening-Baucke found that the prevalence of constipation was equal in both boys and girls and it was 0.3% to 8% in paediatric population [4,5]. Similarly Iacono et al, and Ciampo D et al, found the prevalence of constipation to be equal between girls and boys [6,7]. Ip et al, and Kajiwara et al, found a increased prevalence in girls 32% and 24.2% as compared to boys 21% and 13.2% respectively, similar to our study [8,9].…”

Section: Resultsmentioning

confidence: 93%

Normal Bowel Pattern in Children and Dietary and Other Precipitating Factors in Functional Constipation

Sujatha

Velayutham

Deivamani

et al. 2015

JCDR

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“…показано, что средний возраст на момент постановки диагноза запора у младенцев составил 33 ± 27 сут [10]. Запоры регистрировали у детей в течение первого года жизни с частотой от 46,9 до 50,2% случаев [11,12]. В дру-гом исследовании средний возраст возникновения рас-стройств дефекации определен как 2,1 ± 1,8 года [13].…”

Section: эпидемиологияunclassified

“…В дру-гом исследовании средний возраст возникновения рас-стройств дефекации определен как 2,1 ± 1,8 года [13]. Наибольшая распространенность запоров (до 35,4%) была зарегистрирована в возрасте 5-6 лет, а у 3-5-лет-них детей она составила 29,6 [14]. Противоречивые дан-ные получены о соотношении полов у детей, страдающих запором.…”

Section: эпидемиологияunclassified