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Familial clustering of habitual constipation: a prospective study in children from West Virginia
Waseem Ostwani1, Jenna Dolan, Yoram Elitsur
1Department of Pediatrics, Section of Gastroenterology, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia 25701, USA.
Insights
Pediatric habitual constipation appears to run in families. This study found significantly higher rates of constipation among siblings and parents of children with constipation compared to controls.
Area of Science:
- Pediatric Gastroenterology
- Genetics
- Public Health
Background:
- Habitual constipation is a common pediatric issue.
- Familial aggregation of constipation suggests potential genetic or environmental influences.
Purpose of the Study:
- To investigate the familial clustering of habitual constipation in children.
- To compare constipation rates in families of pediatric patients with constipation versus control families.
Main Methods:
- Prospective recruitment of children diagnosed with habitual constipation (probands) and their families.
- Inclusion of a control group of children without constipation and their families.
- Standardized Rome criteria questionnaire used to assess constipation in all participants.
Main Results:
- 112 children and 310 family members participated (37 proband families, 75 control families).
- No significant demographic differences (age, sex, family size) between groups.
- Significantly higher constipation rates in siblings (30% vs 7%) and parents (42% vs 9%) of probands compared to controls (P=0.001).
Conclusions:
- Habitual constipation in children demonstrates familial clustering.
- The underlying pathophysiology of familial constipation in pediatric patients remains to be elucidated.
Objective:
To investigate familial clustering of habitual constipation in pediatric patients who attended our medical facilities.
Patients And Methods:
Children with the diagnosis of functional, habitual constipation or patients without constipation and their respective family members were prospectively recruited to our study. Constipation was established in all participants using a standard questionnaire (Rome criteria).
Results:
A total of 112 children and their families participated in the study, of which 37 were probands families (test) and 75 children and their respective family members constituted the control group. A total of 310 family members completed the questionnaire. No significant differences were found between the study and the control groups in age, sex, or family size. Siblings or parents from the study group (probands) had significantly higher rates of constipation compared with the control group (30% vs 7% and 42% vs 9%, respectively; P = 0.001).
Conclusions:
Habitual constipation in children seemed to cluster in families. The pathophysiology behind this phenomenon is yet unknown.
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