The impact of constipation on growth in children

Hsun-Chin Chao1, Shih-Yen Chen, Chien-Chang Chen

  • 1Department of Pediatrics, Chang Gung Children's Hospital, Chang Gung University College of Medicine, Kweishan, Taoyuan 33305, Taiwan. chchiu@adm.cgmh.org.tw

Pediatric Research
|April 17, 2008
PubMed

Insights

Chronic constipation can hinder children's growth. Effective treatment, including long-term medication, significantly improves nutritional and growth status in pediatric patients.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Child Health

Background:

  • Constipation's impact on pediatric nutritional and growth status is under-researched.
  • Chronic constipation affects a significant number of children.
  • Understanding this link is crucial for comprehensive child healthcare.

Purpose of the Study:

  • To investigate the effects of chronic constipation on the nutritional and growth status of children.
  • To evaluate the correlation between constipation treatment efficacy and growth outcomes.
  • To determine if long-term constipation management benefits child development.

Main Methods:

  • A 4-year observational study involving 2426 children (aged 1-15 years) with constipation.
  • Constipation symptom scoring to assess medical response to treatment.
  • Statistical evaluation of therapeutic effects on growth parameters (height-for-age, weight-for-age, BMI-for-age) at 12 and 24 weeks.

Main Results:

  • Children with good medical responses to constipation treatment showed significant improvements in height-for-age, weight-for-age, and BMI-for-age z-scores after 12 weeks.
  • Even patients with poor initial responses, who received advanced medications, demonstrated significant growth improvements.
  • Increased appetite post-treatment strongly correlated with better height and weight gain.

Conclusions:

  • Chronic constipation can negatively impact and retard growth in children.
  • Long-term medical management of constipation in pediatric populations is beneficial for improving growth status.
  • Addressing constipation is a key factor in optimizing nutritional and developmental outcomes in children.

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