Eating habits, lifestyle and intestinal constipation in children aged four to seven years
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Updated: Jan 28, 2026

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Published on: July 29, 2020
Cristiana Santos Andreoli1, Sarah Aparecida Vieira-Ribeiro2, Poliana Cristina Almeida Fonseca3
1Instituto Federal De Minas Gerais, Campus Ouro Preto.
Insights
Childhood intestinal constipation is linked to poor diet and sedentary habits. Unhealthy eating patterns, like low fruit/vegetable intake and frequent fried foods, significantly increase constipation risk in young children.
Area of Science:
- Pediatric Gastroenterology
- Public Health Nutrition
Background:
- Childhood intestinal constipation is a prevalent issue affecting young children.
- Lifestyle and dietary factors are suspected contributors to constipation in this age group.
Purpose of the Study:
- To investigate the association between intestinal constipation, lifestyle, and eating habits in children aged four to seven years.
- To identify specific dietary and lifestyle risk factors for constipation in preschool and early school-aged children.
Main Methods:
- A cross-sectional study involving 152 children aged 4-7 years.
- Intestinal constipation diagnosed using Rome IV criteria; excess weight assessed by BMI.
- Poisson regression analysis used to determine prevalence ratios (p < 0.05).
Main Results:
- Constipation prevalence was 32.2%, with 34.7% of constipated children being overweight.
- Significant associations found between constipation and prolonged school time (>4.5 hours/day), low fruit/vegetable intake, and regular fried food consumption.
- High rates of physical inactivity (73%) and sedentary behavior (>2 hours/day) were observed.
Conclusions:
- Childhood intestinal constipation is significantly associated with unhealthy dietary patterns, including low intake of fruits and vegetables and high consumption of fried foods.
- Lifestyle modifications focusing on diet and physical activity are crucial for preventing and managing constipation in children.
- Family involvement in lifestyle and dietary changes is essential for effective prevention strategies.
Introduction:
Objective: to investigate the association between intestinal constipation, lifestyle and eating habits in four to seven year old children. Methods: a cross-sectional study with a sample of 152 children aged four to seven years old. Intestinal constipation was characterized according to the Rome IV criteria. Excess weight was classified by the body mass index. Variables that could be associated with constipation, such as maternal constipation, lifestyle, food and water intake, were selected. In the analysis, the prevalence ratio using Poisson regression, with a robust variance and statistical significance was set at p < 0.05. Results: the prevalence of intestinal constipation was 32.2% (n = 49), of which 34.7% (n = 17) of the children were overweight. As for lifestyle, 73% of the children did not practice any regular physical activities and approximately 60% spent more than two hours a day in sedentary activities, such as watching television or playing electronic games. A statistically significant association was found between constipation and daily school time equal to or greater than 4.5 hours (p = 0.007), non-consumption of fruits (p = 0.003) and greens (p = 0.007) and regular intake of fried food (p = 0.003). Conclusion: an association between intestinal constipation and unhealthy habits, such as non-consumption of fruits and vegetables, and regular consumption of fried food was observed. Preventing intestinal constipation requires changes in the lifestyle and eating habits of the children and family.
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