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Defecation Habits in Preschoolers Are Associated with Physical Activity: A Cross-Sectional and Isotemporal
Yoshinori Komeno1,2, Tsutomu Kuchiki1, Yumiko Onodera3
1Faculty of Health Science, Hyogo University, 2301 Hiraokacho Shinzaike, Kakogawa 675-0195, Hyogo, Japan.
Insights
Physical activity (PA) in preschoolers is linked to better defecation habits (DF). Replacing sedentary behavior (SB) with moderate-to-vigorous physical activity (MVPA) can improve children's DF.
Area of Science:
- Pediatric Health
- Behavioral Science
- Exercise Physiology
Background:
- Limited research exists on the connection between defecation habits (DF) and physical activity (PA) in preschoolers.
- Understanding this relationship is crucial for promoting healthy development in early childhood.
Purpose of the Study:
- To investigate the association between sedentary behavior (SB), PA levels, and DF in preschoolers.
- To quantify the impact of substituting SB with PA on DF using an isotemporal substitution (IS) model.
Main Methods:
- 166 preschoolers (4-6 years) wore accelerometers to measure SB, light-intensity PA (LPA), and moderate-to-vigorous PA (MVPA).
- Defecation habits (DF) were categorized based on frequency and timing.
- Multinomial logistic regression and isotemporal substitution models were employed.
Main Results:
- Significant differences in MVPA were observed across different DF groups (F(2) = 3.12, p < 0.05).
- Replacing 5 minutes of SB with MVPA improved DF (OR, 0.89; 95% CI, 0.81-0.97).
- Conversely, replacing 5 minutes of MVPA with SB worsened DF (OR, 1.13; 95% CI, 1.03-1.23).
Conclusions:
- Physical activity is significantly associated with defecation habits in preschoolers.
- Increasing MVPA by reducing SB may be a viable strategy to enhance DF in young children.
Abstract:
There is a lack of research on the relationship between defecation habits (DF) and physical activity (PA) in preschoolers. This study aimed to clarify the relationship between sedentary behaviour (SB), PA time, and DF in preschoolers and to estimate the effect of DF replacement in an isotemporal substitution (IS) model. The participants included 166 children (aged 4-6 years) attending childcare facilities. PA was measured using an accelerometer to calculate the daily activity and wearing time for SB, light-intensity physical activity (LPA), and moderate-to-vigorous-intensity physical activity (MVPA). DF were classified based on defecation frequency and timing. A multinomial logistic regression analysis was used for the IS model. One-way analysis of variance detected significant differences in MVPA between the DF groups (F(2) = 3.12, p < 0.05). According to the analysis results of the IS model, replacing 5 min of SB with MVPA resulted in improved DF (odds ratio [OR], 0.89; 95% confidence interval [CI], 0.81-0.97). Conversely, replacing 5 min of MVPA with SB worsened DF (OR, 1.13; 95% CI, 1.03-1.23). The findings suggest that PA is associated with DF among preschoolers. It also indicates that replacing SB with MVPA could help improve DF in children.
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