Balamma Sujatha1, Dhakshyani Raghavan Velayutham2, Nirmala Deivamani3, Sumathi Bavanandam4. 1. Assistant Professor, Department of Paediatrics, Saveetha Medical College, Saveetha University , Thandalam, Chennai, India . 2. Assistant Professor, Department of Paediatrics, Institute of Child Health and Hospital for Children , Egmore, Chennai, India . 3. Professor, Department of Paediatric Gastroenterology, Institute of Child Health and Hospital for Children , Egmore, Chennai, India . 4. Professor, Department of Paediatrics, Institute of Child Health and Hospital for Children , Egmore, Chennai, India .
Abstract
AIM: To study the bowel pattern of children in general population and children with habit constipation with respect to food habits and regarding psychosocial aspect of toileting. MATERIALS AND METHODS: A prospective descriptive study was done in the Institute of child health and hospital for children, Chennai, with two groups, Functional constipation group and Normal bowel pattern group. The functional group included the children with the age group of 2-12 years, of either sex who fulfilled the ROME III criteria for constipation. Normal bowel pattern group had school children of age group 6-12 years of age and 2-5-year-old children attending OPD for minor ailments. The demographic profile, socioeconomic status, complaints, psychosocial aspects affecting bowel pattern and diet chart were collected and recorded from the parents in proforma. Stool frequency and type of stool passed were recorded for a week, with Bristol stool chart. RESULTS: A total of 523 and 131 children were analysed for normal bowel pattern and functional constipation respectively. Data analysis done using SPSS version 15. The prevalence of functional constipation was noted in 13.5% with female preponderance and in the age group of 2-4 years. CONCLUSION: Constipation continues to be a problem, mostly under recognised in older population. Psychosocial factors had a significant effect on functional constipation. Skipping breakfast, early toilet training, low intake of vegetables and fruits were other factors of significance leading to constipation.
AIM: To study the bowel pattern of children in general population and children with habit constipation with respect to food habits and regarding psychosocial aspect of toileting. MATERIALS AND METHODS: A prospective descriptive study was done in the Institute of child health and hospital for children, Chennai, with two groups, Functional constipation group and Normal bowel pattern group. The functional group included the children with the age group of 2-12 years, of either sex who fulfilled the ROME III criteria for constipation. Normal bowel pattern group had school children of age group 6-12 years of age and 2-5-year-old children attending OPD for minor ailments. The demographic profile, socioeconomic status, complaints, psychosocial aspects affecting bowel pattern and diet chart were collected and recorded from the parents in proforma. Stool frequency and type of stool passed were recorded for a week, with Bristol stool chart. RESULTS: A total of 523 and 131 children were analysed for normal bowel pattern and functional constipation respectively. Data analysis done using SPSS version 15. The prevalence of functional constipation was noted in 13.5% with female preponderance and in the age group of 2-4 years. CONCLUSION:Constipation continues to be a problem, mostly under recognised in older population. Psychosocial factors had a significant effect on functional constipation. Skipping breakfast, early toilet training, low intake of vegetables and fruits were other factors of significance leading to constipation.
Authors: Joanna Lomas Mevers; Nathan A Call; Kristina R Gerencser; Mindy Scheithauer; Sarah J Miller; Colin Muething; Shannon Hewett; Courtney McCracken; Lawrence Scahill; Barbara O McElhanon Journal: J Autism Dev Disord Date: 2020-03
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