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Some Risk Factors of Chronic Functional Constipation Identified in a Pediatric Population Sample from Romania
Claudia Olaru1, Smaranda Diaconescu1, Laura Trandafir1
1"Gr. T. Popa" University of Medicine and Pharmacy, Iași, Romania; "Sf. Maria" Emergency Hospital for Children, Iași, Romania.
Insights
Children with functional constipation often have a family history, poor diet, and sedentary habits. These risk factors, including obesity and screen time, increase the likelihood of developing chronic constipation.
Area of Science:
- Pediatrics
- Gastroenterology
- Public Health
Background:
- Functional constipation is a common pediatric issue.
- Identifying risk factors is crucial for early intervention and prevention strategies.
Purpose of the Study:
- To investigate the association between various lifestyle and familial factors and the occurrence of functional constipation in children.
- To identify key risk factors contributing to the development of chronic functional constipation in pediatric populations.
Main Methods:
- An observational study was conducted over one year involving 234 children (aged 4-18) with functional constipation and a control group.
- Data collected included demographics, family history, dietary habits, physical activity levels, and screen time.
- Statistical analyses, including chi-squared tests and correlation analyses, were employed to determine significant associations.
Main Results:
- Children with functional constipation exhibited later mealtimes, higher fast-food consumption, and increased screen time compared to controls.
- Significant associations were found between functional constipation and obesity/overweight (p < 0.001), physical activity levels (p < 0.001), and screen time (p < 0.001).
- A positive family history of functional constipation was present in 38.49% of affected children.
Conclusions:
- Children from single-parent families, those with a positive family history, poor dietary habits, obesity, and sedentary behaviors are at a higher risk for chronic functional constipation.
- Lifestyle modifications, including dietary changes and increased physical activity, are recommended for prevention and management.
Abstract:
We conducted an observational study over a 1-year period, including 234 children aged 4-18 years and their caregivers and a matching control group. 60.73% of the children from the study group were males. Average age for the onset of constipation was 26.39 months. The frequency of defecation was 1/4.59 days (1/1.13 days in the control group). 38.49% of the patients in the sample group had a positive family history of functional constipation. The majority of children with functional constipation come from single-parent families, are raised by relatives, or come from orphanages. Constipated subjects had their last meal of the day at later hours and consumed fast foods more frequently than the children in the control sample. We found a statistically significant difference between groups regarding obesity/overweight and constipation (χ2 = 104.94, df = 2, p < 0.001) and regarding physical activity and constipation (χ2 = 18.419; df = 3; p < 0.001). There was a positive correlation between the number of hours spent watching television/using the computer and the occurrence of the disease (F = 92.162, p < 0.001, and 95% Cl). Children from broken families, with positive family history, defective dietary habits, obesity and sedentary behavior, are at higher risk to develop chronic functional constipation.
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