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Bowel Habits and Functional Constipation in Healthy Children-A Longitudinal Birth-Cohort Study
C Gatzinsky1,2, U Sillén1,2, M Bräutigam1,2
1Institute of Clinical Sciences, Department of Paediatrics, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Functional constipation affects one-fifth of young children, often requiring long-term medication and follow-up. Breastfeeding in early infancy may reduce the risk of functional constipation.
Area of Science:
- Pediatric Gastroenterology
- Child Health Outcomes
Background:
- Functional constipation (FC) is a prevalent concern in pediatric healthcare.
- Parental anxiety regarding infant bowel habits frequently leads to medical consultations.
Purpose of the Study:
- To establish normative data for infant bowel habits.
- To determine the prevalence and long-term outcomes of FC in early childhood.
- To identify potential risk factors for FC development.
Main Methods:
- Prospective longitudinal birth-cohort study.
- Inclusion of 122 healthy term infants.
- Repeated parental questionnaire assessments.
Main Results:
- Stool frequency normalized by 6 months; stool consistency hardened with age.
- Prevalence of FC was 22.1%; 69.6% required ongoing medication.
- Relapse occurred in 26.1% of cases.
- Early breastfeeding (2 weeks) was associated with reduced FC risk.
Conclusions:
- One-fifth of children develop FC within the first 2.5 years.
- FC often requires prolonged treatment, frequent medical visits, and sustained follow-up due to high relapse rates.
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