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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
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.
Abstract:
The observation on the impact of constipation on nutritional and growth status in healthy children was never reported. During a 4-y period, we evaluated the consequence of constipation on growth in children. The enrolled children were aged between 1 and 15 y with constipation. Medical response of constipation to treatment was evaluated by the scoring of constipation symptoms. The correlation of therapeutic effect of constipation with growth status at 12 wk and 24 wk was statistically evaluated. About 2426 children (1284 boys, 1142 girls) with a mean age of 7.31 +/- 3.65 (range 1.1-14.9) y were enrolled. After 12-wk treatment, significant increase of z-scores of height-for-age, weight-for-age, and body mass index-for-age were all found in patients with good medical responses (1377 cases) than in those with poor medical responses (1049 cases). The 1049 patients with poor medical response received advanced medications; significant increase of z-scores of height-for-age, weight-for-age, and body mass index were also found in these patients. A marked increase of appetite was significantly correlated with better gain on height and weight after treatment. We conclude that chronic constipation may retard growth status in children, and a long-term medication for constipation in children appears beneficial to their growth status.
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