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Functional Constipation and the Gut Microbiome in Children: Preclinical and Clinical Evidence
David Avelar Rodriguez1,2, Jelena Popov3, Elyanne M Ratcliffe4
1Department of Pediatric Gastroenterology and Nutrition, Instituto Nacional de Pediatría, Mexico City, Mexico.
Insights
Pediatric functional constipation, often resistant to treatment, may be influenced by the gut microbiome. This review explores how gut bacteria could contribute to constipation symptoms in children.
Area of Science:
- Pediatric Gastroenterology
- Microbiome Research
- Child Health
Background:
- Functional constipation is a prevalent childhood condition impacting quality of life and healthcare costs.
- Symptoms include infrequent bowel movements and hard stools, causing distress for children and families.
- A significant percentage of children experience persistent constipation into adulthood, indicating unmet treatment needs.
Purpose of the Study:
- To review preclinical and clinical evidence on the gut microbiome's role in pediatric functional constipation.
- To explore potential mechanisms linking gut microbiota to constipation pathophysiology in children.
Main Methods:
- Literature review of preclinical studies.
- Analysis of clinical research investigating the gut microbiome in pediatric functional constipation.
Main Results:
- The gut microbiome is increasingly recognized as a potential factor in functional constipation.
- Evidence suggests specific microbial compositions or functions may contribute to symptom development.
- Further research is needed to fully elucidate these complex interactions.
Conclusions:
- The gut microbiome represents a promising area for understanding and potentially treating pediatric functional constipation.
- Targeting the gut microbiota could offer novel therapeutic strategies for refractory cases.
- This review highlights the importance of considering the microbiome in pediatric constipation management.
Abstract:
Functional constipation is a common condition in childhood with significant impact on patients' quality of life and on health care resources. Functional constipation is characterized by decreased bowel movements and/or hard stools, which cause significant distress for children and their caregivers. While the term "functional" may imply the absence of organic causes with a focus on behavioral aspects, 40% of children continue to have symptoms beyond conventional management with one in four children continuing to experience constipation into adulthood. The refractory and chronic nature of constipation highlights the importance of considering a range of pathophysiological mechanisms, including the potential role of the gut microbiome. In this review, we provide an overview of preclinical and clinical studies that focus on the potential mechanisms through which the gut microbiome might contribute to the clinical presentation of functional constipation in pediatrics.
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