Hubungan antara Obesitas, Pola Makan, dan Nyeri Saat Buang Air Besar pada Anak dengan Konstipasi Fungsional: Tinjauan Literatur

Tinjauan Pustaka

Penulis

  • Ayu Lilyana Nuridah Fakultas Kedokteran, Universitas Jember, Jember, Indonesia https://orcid.org/0009-0006-8494-5678
  • Awalya Rahma Putri Fakultas Kedokteran, Universitas Jember, Jember, Indonesia
  • Yunita Dewi Anggraeni RS Bhayangkara, Bondowoso
  • Muhammad Ali Shodikin Departemen Pediatri/Fakultas Kedokteran, Universitas Jember/Rumah Sakit Umum Dr. Soebandi, Jember, Indonesia0

DOI:

https://doi.org/10.55175/cdk.v53i05.1949

Kata Kunci:

Anak, konstipasi, nyeri defekasi, obesitas, pola makan

Abstrak

Latar Belakang: Konstipasi fungsional didefinisikan sebagai keterlambatan atau kesulitan buang air besar yang berlangsung selama ≥2 minggu dan menimbulkan distres. Penelitian ini bertujuan untuk melihat hubungan antara obesitas, pola makan, dan nyeri defekasi terhadap kejadian konstipasi fungsional pada anak. Metode: Tinjauan literatur dari sumber data Google Scholar, PubMed, dan ScienceDirect menggunakan kata kunci yang sudah ditentukan. Kriteria inklusi mencakup artikel akses terbuka yang terbit pada tahun 2014–2024. Sebanyak 9 artikel yang memenuhi kriteria dianalisis lebih lanjut. Hasil: Konstipasi fungsional berhubungan dengan beberapa faktor risiko, termasuk obesitas, pola makan yang tidak sehat, dan nyeri defekasi. Beberapa studi menunjukkan korelasi positif antara obesitas dan konstipasi fungsional, meskipun masih bervariasi dan tidak selalu signifikan. Konsumsi makanan rendah serat dan tinggi lemak dilaporkan berkontribusi terhadap gangguan motilitas usus. Nyeri saat defekasi dapat memperkuat perilaku menahan feses, yang pada akhirnya memperburuk gejala konstipasi. Simpulan: Tinjauan ini menegaskan pentingnya mempertimbangkan faktor obesitas, pola makan, dan nyeri defekasi untuk pencegahan dan tatalaksana konstipasi fungsional pada anak.

Unduhan

Data unduhan belum tersedia.

Referensi

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.

Unduhan

Diterbitkan

2026-05-13

Cara Mengutip

Nuridah, A. L., Putri, A. R., Anggraeni, Y. D., & Shodikin, M. A. (2026). Hubungan antara Obesitas, Pola Makan, dan Nyeri Saat Buang Air Besar pada Anak dengan Konstipasi Fungsional: Tinjauan Literatur: Tinjauan Pustaka. Cermin Dunia Kedokteran, 53(05), 334–344. https://doi.org/10.55175/cdk.v53i05.1949