The Relationship between Obesity, Dietary Habits, and Pain During Bowel Movements in Children with Functional Constipation: A Literature Review
Literature Review
DOI:
https://doi.org/10.55175/cdk.v53i05.1949Keywords:
Children, constipation, defecation pain, obesity, dietary patternsAbstract
Background: Functional constipation is defined as delayed or difficult bowel movements lasting ≥2 weeks that cause the patient distress. This study aims to examine the relationship between obesity, dietary patterns, and defecation pain with the incidence of functional constipation in children. Methods: A literature review was conducted using predefined keywords from data sources Google Scholar, PubMed, and ScienceDirect. Inclusion criteria included open-access articles published between 2014 and 2024. A total of 9 articles that met the criteria were further analyzed. Results: Functional constipation is associated with several risk factors, including obesity, unhealthy dietary patterns, and defecation pain. Some studies showed a positive correlation between obesity and functional constipation, although the results varied and were not always statistically significant. Low-fiber, high-fat diets have been reported to impair intestinal motility. Pain during defecation may reinforce the behavior of stool withholding, which ultimately worsens constipation symptoms. Conclusion: This review highlights the importance of factors such as obesity, dietary habits, and defecation pain in preventing and managing functional constipation in children.
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Sreedharan R, Liacouras CA. Major symptoms and signs of digestive tract disorders. In : Fiorino KN, Liacouras CA. Nelson textbook of pediatrics. 20th ed. USA: Elsevier; 2012. p.1758-67
Singhal PK, Gupta P, Mathur M. The effects of lifestyle changes like diet, toilet habits, physical activity and others in children with functional constipation. Internat J Contemporary Pediatr. 2023;10(11):1673–9. doi.org/10.18203/2349-3291.ijcp20233237.
Poddar U. Approach to constipation in children. Indian Pediatr. 2016;53:319–27. doi.org/10.1007/s13312-016-0845-9
Vriesman MH, Koppen IJ, Camilleri M, Di Lorenzo C, Benninga MA. Management of functional constipation in children and adults. Nat Rev Gastroenterol Hepatol. 2020;17(1):21–39. https://doi.org/10.1038/s41575-019-0222-y.
Nurko S, Zimmerman LA. Evaluation and treatment of constipation in children and adolescents. Am Fam Phys. 2014;90(2):82–90. PMID:25077577.
Koppen IJ, Lammers LA, Benninga MA, Tabbers MM. Management of functional constipation in children: therapy in practice. Pediatric Drugs. 2015;17:349–60. doi.org/10.1007/s40272-015-0142-4
Oswari H, Alatas FS, Hegar B, Cheng W, Pramadyani A, Benninga MA, et al. Epidemiology of paediatric constipation in Indonesia and its association with exposure to stressful life events. BMC Gastroenterol. 2018 Oct 3;18(1):146. doi: 10.1186/s12876-018-0873-0.
Levy EI, Lemmens R, Vandenplas Y, Devreker T. Functional constipation in children: challenges and solutions. Pediatr Health Med Therapeutics.2017:19–27. doi.org/10.2147/PHMT.S110940.
Alnaim II AA, Alnaim AA. Management approach of pediatric constipation. Cureus. 2021;13(10):e19157. doi.org/10.7759/cureus.19157.
Appak YC, Karakoyun M, Koru T, Baran M. Dietary properties and anthropometric findings of children with functional constipation: a crosssectional study. Arch Argent Pediatr. 2019;117(3):e224–31. doi.org/10.5546/aap.2019.eng.e224.
Methley AM, Campbell S, Chew-Graham C, McNally R, Cheraghi-Sohi S. PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC Health Services Res. 2014;14(1):1–0. doi.org/10.1186/s12913-014-0579-0.
Dehghani SM, Kulouee N, Honar N, Imanieh MH, Haghighat M, Javaherizadeh H. Clinical manifestations among children with chronic functional constipation. Middle East J Digest Dis. 2015;7(1):31. PMID: 25628851.
Koppen IJ, Velasco-Benítez CA, Benninga MA, Di Lorenzo C, Saps M. Is there an association between functional constipation and excessive bodyweight in children? J Pediatr. 2016;171:178–82. doi.org/10.1016/j.jpeds.2015.12.033.
Olaru C, Diaconescu S, Trandafir L, Gimiga N, Stefanescu G, Ciubotariu G, et al. Some risk factors of chronic functional constipation identified in a pediatric population sample from Romania. Gastroenterol Res Practice. 2016;2016(1):3989721. doi.org/10.1155/2016/3989721.
Park M, Bang YG, Cho KY. Risk factors for functional constipation in young children attending daycare centers. J Kor Med Sci. 2016;31(8):1262. doi.org/10.3346/jkms.2016.31.8.1262.
Appak YC, Sapmaz SY, Dogan G, Herdem A, Ozyurt BC, Kasırga E. Clinical findings, child and mother psychosocial status in functional constipation. Turk J Gastroenterol. 2017;28(6):465–70. doi.org/10.5152/tjg.2017.17216.
Giovanni L, Ermaya YS, Hafsah T. Characteristics of functional constipation among kindergarten students in Kecamatan Jatinangor, West Java, Indonesia. Althea Med J. 2018;5(1):1–5. doi.org/10.15850/amj.v5n1.1128.
Fujitani A, Sogo T, Inui A, Kawakubo K. Prevalence of functional constipation and relationship with dietary habits in 3‐to 8‐year‐old children in Japan. Gastroenterol Res Pract. 2018;2018(1):3108021. doi.org/10.1155/2018/3108021.
de Oliveira MB, Jardim-Botelho A, de Morais MB, da Cruz Melo IR, Maciel JF, Gurgel RQ. Impact of infant milk-type and childhood eating behaviors on functional constipation in preschool children. J Pediatr Gastroenterol Nutr. 2021;73(3):e50–6. doi.org/10.1097/MPG.0000000000003163.
Strisciuglio C, Cenni S, Serra MR, Dolce P, Kolacek S, Sila S, et al. Diet and pediatric functional gastrointestinal disorders in Mediterranean countries. Nutrients 2022;14(11):2335. doi.org/10.3390/nu14112335.
Dias FC, Boilesen SN, Tahan S, Melli L, Morais MB. Overweight status, abdominal circumference, physical activity, and functional constipation in children. Revista da Assoc Médica Bras. 2023;69:386–91. doi.org/10.1590/1806-9282.20220845.
Anitha M, Reichardt F, Tabatabavakili S, Nezami BG, Chassaing B, Mwangi S, et al. Intestinal dysbiosis contributes to the delayed gastrointestinal transit in high-fat diet fed mice. Cell Mol Gastroenterol Hepatol. 2016;2(3):328–39. doi.org/10.1016/j.jcmgh.2015.12.008.
Bertrand RL, Senadheera S, Tanoto A, Tan KL, Howitt L, Chen H, et al. Serotonin availability in rat colon is reduced during a Western diet model of obesity. Am J Physiol Gastrointestinal Liver Physiol. 2012;303(3):G424–34. doi.org/10.1152/ajpgi.00048.2012.
Agakidis C, Kotzakioulafi E, Petridis D, Apostolidou K, Karagiozoglou-Lampoudi T. Mediterranean diet adherence is associated with lower prevalence of functional gastrointestinal disorders in children and adolescents. Nutrients 2019;11(6):1283. doi.org/10.3390/nu11061283.
Salvatore S, Battigaglia MS, Murone E, Dozio E, Pensabene L, Agosti M. Dietary fibers in healthy children and in pediatric gastrointestinal disorders: a practical guide. Nutrients 2023;15(9):2208. doi: 10.3390/nu15092208.
Leung AK, Hon KL. Paediatrics: how to manage functional constipation. Drugs in Context. 2021;10:2020–11. doi.org/10.7573/dic.2020-11-2.
Baird DC, Bybel M, Kowalski AW. Toilet training: common questions and answers. Am Fam Physician. 2019;100(8):468–74. PMID: 31613577.
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