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Reported Prevalence and Nutritional Management of Functional Constipation among Young Children from Healthcare
Louise Naz West1, Irina Zakharova2, Koen Huysentruyt3
1FrieslandCampina, 3818 LE Amersfoort, The Netherlands.
Insights
Functional constipation (FC) in toddlers is reported as less than 5% prevalent by most healthcare professionals. Nutritional management is preferred over medication for treating childhood FC.
Area of Science:
- Pediatrics
- Gastroenterology
- Nutrition
Background:
- Functional constipation (FC) prevalence in children shows significant variation.
- Understanding healthcare professional (HCP) perspectives on FC in toddlers (12-36 months) is crucial.
Purpose of the Study:
- To assess HCP-reported prevalence of FC in toddlers.
- To understand the nutritional and pharmacological management of FC in this age group.
Main Methods:
- Anonymous e-survey distributed to HCPs across eight countries/regions.
- Analysis of data from 2199 respondents, primarily pediatricians (80%).
Main Results:
- 43% of HCPs reported FC prevalence below 5% in toddlers.
- ROME IV criteria are frequently used for diagnosis (40% in >70% of cases).
- Nutritional solutions and parental reassurance are common management strategies (33% modified formula).
Conclusions:
- The perceived prevalence of toddler FC is generally low (<5%).
- ROME IV criteria are standard for FC diagnosis.
- Nutritional interventions are favored over pharmacological treatments for FC management.
Abstract:
Background: The prevalence of functional constipation (FC) among children varies widely. A survey among healthcare professionals (HCPs) was conducted to better understand the HCP-reported prevalence and (nutritional) management of FC in children 12−36 months old. Methods: An anonymous e-survey using SurveyMonkey was disseminated via emails or WhatsApp among HCPs in eight countries/regions. Results: Data from 2199 respondents were analyzed. The majority of the respondents (65.9%) were from Russia, followed by other countries (Indonesia (11.0%), Malaysia (6.0%)), Mexico, KSA (5.1% (5.7%), Turkey (3.0%), Hong Kong (2.2%), Singapore (1.1%)). In total, 80% of the respondents (n = 1759) were pediatricians. The prevalence of FC in toddlers was reported at less than 5% by 43% of the respondents. Overall, 40% of the respondents reported using ROME IV criteria in > 70% of the cases to diagnose FC, while 11% never uses Rome IV. History of painful defecation and defecations < 2 x/week are the two most important criteria for diagnosing FC. In total, 33% of the respondents reported changing the standard formula to a specific nutritional solution, accompanied by parental reassurance. Conclusion: The most reported prevalence of FC in toddlers in this survey was less than five percent. ROME IV criteria are frequently used for establishing the diagnosis. Nutritional management is preferred over pharmacological treatment in managing FC.
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