Gulnar Agakisiyeva, D. Yıldırım, Hayriye Hizarcioglu-Gulsen, Ersin Gumus, A. Karhan, E. Karabulut, H. Ozen, H. Demir, İ. Saltık-Temizel
{"title":"Nutritional characteristics of patients with functional constipation aged 4 years and older.","authors":"Gulnar Agakisiyeva, D. Yıldırım, Hayriye Hizarcioglu-Gulsen, Ersin Gumus, A. Karhan, E. Karabulut, H. Ozen, H. Demir, İ. Saltık-Temizel","doi":"10.23736/S0026-4946.20.05978-2","DOIUrl":null,"url":null,"abstract":"BACKGROUND\nDietary modifications may have role in prevention and treatment of functional constipation. Macronutrient, extra fluid, and fibre intake have been evaluated and the results are conflicting. The aim of our study was to define the nutritional features associated with functional constipation aged 4 years and older.\n\n\nMETHODS\nThis is a cross-sectional descriptive study. Forty-one patients with functional constipation and 55 age-gender matched controls between 4-18 years old were enrolled. Demographic data, duration of breast-feeding, defecation pattern in the first year of life, physical activity, socioeconomic parameters, and anthropometric measurements were noted. Mean daily macronutrient and micronutrient consumption from the 5-day dietary records were calculated by Nutrition Information System - BEBIS 7.2 version.\n\n\nRESULTS\nThere were no differences between two groups in energy, water, protein, and fibre consumption. However, in 4-7 years old constipated female and male group, the percentage of carbohydrate was higher (p=0.010, p=0.049, respectively) but fat was lower (p=0.011, p=0.032, respectively). All patients except 4-7 years old boys of both groups got less energy than the reference values. The mean daily protein intake was higher than required in the 4-7 years old constipated and control groups. There was no significant difference in fibre consumption between groups. Breastfeeding >18 months was more common in controls (p=0.039). The constipated group used the squatting toilet more frequently (p=0.002). Lower family income (p<0.001) and parental education levels (p<0.001) were associated with FC.\n\n\nCONCLUSIONS\nDietary habits may be a risk factor for functional constipation, especially, in rapid growth period.","PeriodicalId":18533,"journal":{"name":"Minerva pediatrica","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Minerva pediatrica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.23736/S0026-4946.20.05978-2","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
BACKGROUND
Dietary modifications may have role in prevention and treatment of functional constipation. Macronutrient, extra fluid, and fibre intake have been evaluated and the results are conflicting. The aim of our study was to define the nutritional features associated with functional constipation aged 4 years and older.
METHODS
This is a cross-sectional descriptive study. Forty-one patients with functional constipation and 55 age-gender matched controls between 4-18 years old were enrolled. Demographic data, duration of breast-feeding, defecation pattern in the first year of life, physical activity, socioeconomic parameters, and anthropometric measurements were noted. Mean daily macronutrient and micronutrient consumption from the 5-day dietary records were calculated by Nutrition Information System - BEBIS 7.2 version.
RESULTS
There were no differences between two groups in energy, water, protein, and fibre consumption. However, in 4-7 years old constipated female and male group, the percentage of carbohydrate was higher (p=0.010, p=0.049, respectively) but fat was lower (p=0.011, p=0.032, respectively). All patients except 4-7 years old boys of both groups got less energy than the reference values. The mean daily protein intake was higher than required in the 4-7 years old constipated and control groups. There was no significant difference in fibre consumption between groups. Breastfeeding >18 months was more common in controls (p=0.039). The constipated group used the squatting toilet more frequently (p=0.002). Lower family income (p<0.001) and parental education levels (p<0.001) were associated with FC.
CONCLUSIONS
Dietary habits may be a risk factor for functional constipation, especially, in rapid growth period.
期刊介绍:
Minerva Pediatrica publishes scientific papers on pediatrics, neonatology, adolescent medicine, child and adolescent psychiatry and pediatric surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.