Guideline for the Management of Pediatric Idiopathic Constipation and Soiling

Felt, Barbara T.; Wise, Christopher G.; Olson, A.; Kochhar, Paramjeet; Marcus, Sheila M.; Coran, Arnold G.

doi:10.1001/archpedi.153.4.380

Cited by 89 publications

(42 citation statements)

References 19 publications

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“…The most common type of constipation in children is simple constipation. As first intervention steps, it requires behavioural training and dietary changes such as an increased liquid and fibre intake and considerations of restriction of constipating foods (Tedesco, 1985;Felt et al, 1999). Inadequate fluid intake or excessive fluid loss from diarrhoea, vomiting or febrile illness may cause hardening of the stool and is considered to be an important cause of constipation, especially in infants (Leung et al, 1996).…”

Section: Dietmentioning

confidence: 99%

Mild dehydration: a risk factor of constipation?

Arnaud

2003

Eur J Clin Nutr

111

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Constipation defined as changes in the frequency, volume, weight, consistency and ease of passage of the stool occurs in any age group. The most important factors known to promote constipation are reduced physical activity and inadequate dietary intake of fibres, carbohydrates and fluids. Fluid losses induced by diarrhoea and febrile illness alter water balance and promote constipation. When children increase their water consumption above their usual intake, no change in stool frequency and consistency was observed. The improvement of constipation by increasing water intake, therefore, may be effective in children only when voluntary fluid consumption is lower-than-normal for the child's age and activity level. In the elderly, low fluid intake, which may be indicative of hypohydration, was a cause of constipation and a significant relationship between liquid deprivation from 2500 to 500 ml per day and constipation was reported. Dehydration is also observed when saline laxatives are used for the treatment of constipation if fluid replacement is not maintained and may affect the efficacy of the treatment. While sulphate in drinking water does not appear to have a significant laxative effect, fluid intake and magnesium sulphate-rich mineral waters were shown to improve constipation in healthy infants. In conclusion, fluid loss and fluid restriction and thus de-or hypohydration increase constipation. It is thus important to maintain euhydration as a prevention of constipation.

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Section: Dietmentioning

confidence: 99%

Mild dehydration: a risk factor of constipation?

Arnaud

2003

Eur J Clin Nutr

111

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“…[1][2][3][4][5][6][7] Some studies have also shown that insufficient dietary fiber consumption is associated with an increased risk of constipation in children. [8][9] Notwithstanding, systematic literature reviews published in recent years point out that much of the conduct recommended for constipation treatment is based on the opinion of specialists and is not founded on evidence from adequately planned clinical trials.…”

Section: Introductionmentioning

confidence: 99%

“…[8][9] Notwithstanding, systematic literature reviews published in recent years point out that much of the conduct recommended for constipation treatment is based on the opinion of specialists and is not founded on evidence from adequately planned clinical trials. 3,5 There are few studies of dietary fiber for the treatment of chronic constipation in infancy. A study of the treatment of children with chronic functional constipation found that the median increase in dietary fiber consumption, when the source is items from the habitual diet, while statistically significant, did not reach the minimum recommended in published literature, despite good clinical progress, in a scenario of a treatment program including disimpaction, educational measures and mineral oil in addition to dietary intervention.…”

Section: Introductionmentioning

confidence: 99%

Efeito da fibra do polissacarídeo de soja no peso e na umidade das fezes de ratos em fase de crescimento

Freitas¹,

Motta²,

Amâncio³

et al. 2004

J. Pediatr. (Rio J.)

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Objective: To compare the effect of soy polysaccharide on fecal weight and humidity in growing rats in relation to cellulose and a soy formula without dietary fiber.Methods: Twelve, 21-day-old, Wistar male rats, were distributed into three groups and fed AIN-93G ration with varying amounts of dietary fiber: Polysaccharide Group, 5% fiber in the form of soy polysaccharide; Soy Formula Group, 5% soy formula without fiber; and Cellulose Group, 5% fiber in cellulose form. Feces were collected for three 72-hour periods beginning on days 7, 17 and 27. They were weighed while humid and then dried at 105 o C until a constant weight. The humidity was calculated using the formula [(humid fecal weight -dry fecal weight)/humid fecal weight] X 100.

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“…em ensaios clínicos com planejamento adequado 3,5 . Na infância, são poucos os estudos destinados à avaliação da fibra alimentar no tratamento da constipação crônica.…”

Section: Introductionunclassified

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The effect of soy polysaccharide fiber on fecal weight and humidity in growing rats

Freitas¹,

Motta²,

Amâncio³

et al. 2004

J Pediatr (Rio J)

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IntroduçãoO aumento do consumo de fibra alimentar é recomendado por praticamente todos os autores como parte do tratamento da constipação crônica funcional em pediatria [1][2][3][4][5][6][7] . Alguns estudos mostraram, também, que consumo insuficiente de fibra alimentar associa-se com maior risco de constipação em crianças [8][9] . Por outro lado, revisões sistemáticas da literatura publicadas nos últimos anos ressaltam que muitas condutas recomendadas no tratamento da constipação baseiam-se na opinião de especialistas, não sendo fundamentadas em evidências originadas Abstract Objective: To compare the effect of soy polysaccharide on fecal weight and humidity in growing rats in relation to cellulose and a soy formula without dietary fiber.Methods: Twelve, 21-day-old, Wistar male rats, were distributed into three groups and fed AIN-93G ration with varying amounts of dietary fiber: Polysaccharide Group, 5% fiber in the form of soy polysaccharide; Soy Formula Group, 5% soy formula without fiber; and Cellulose Group, 5% fiber in cellulose form. Feces were collected for three 72-hour periods beginning on days 7, 17 and 27. They were weighed while humid and then dried at 105 o C until a constant weight. The humidity was calculated using the formula [(humid fecal weightdry fecal weight)/humid fecal weight] X 100.

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Guideline for the Management of Pediatric Idiopathic Constipation and Soiling

Cited by 89 publications

References 19 publications

Mild dehydration: a risk factor of constipation?

Mild dehydration: a risk factor of constipation?

Efeito da fibra do polissacarídeo de soja no peso e na umidade das fezes de ratos em fase de crescimento

The effect of soy polysaccharide fiber on fecal weight and humidity in growing rats

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