Measurement of Low Dietary Fiber Intake As a Risk Factor for Chronic Constipation in Children

Morais, Mauro Batista de; Vítolo, Márcia Regina; Aguirre, Andrea N. C.; Fagundes-Neto, Ulysses

doi:10.1097/00005176-199908000-00007

Cited by 148 publications

(137 citation statements)

References 10 publications

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“…In this current work, the use of the Brazilian table as well as the AOAC also revealed distinct values for total fiber, respectively 18.2 and 10.6 g for the abdominal pain group (no constipation); 16.6 and 9.9 g for the constipated group and 23.7 and 13.4 g for the control group. These results are similar to those found in the evaluation of dietary fiber intake by constipated children using the same tables (Morais et al, 1999).…”

Section: Discussionsupporting

confidence: 89%

“…The inclusion criteria were to be without any abdominal pain or constipation, evaluated by a pediatric gastroenterologist. Lack of constipation was determined by daily painless evacuation of soft feces (Morais et al, 1999).…”

Section: Methodsmentioning

confidence: 99%

“…Nonetheless authors point out that there are few studies assessing the effectiveness of a dietary prescription for the treatment of recurrent abdominal pain (Huertas-Ceballos et al, 2002). On the other hand, there are no researches carried out to correlate insufficient dietary fiber intake and abdominal pain, whereas there are works that established the connection between inadequate dietary fiber intake and constipation (Morais et al, 1999;Rome et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

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Low-dietary fiber intake as a risk factor for recurrent abdominal pain in children

et al. 2006

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Objective: To evaluate dietary fiber intake in children with recurrent abdominal pain. Design: Cross-sectional study with control group. Setting: Outpatients of the Pediatric Gastroenterology public health clinic of the Darcy Vargas Children's Hospital, Brazil. Subjects: Forty-one patients with recurrent abdominal pain were evaluated and 41 children, as a control group. Interventions: Macronutrients and fiber intake evaluation by the Daily Food Intake method. Two tables of fiber composition in foods were used. Results: According to the Brazilian table the mean intake of fiber (g/day) by the children of the recurrent abdominal pain groups with chronic constipation or not, and the control group was, respectively, 18.2, 16.6 and 23.7 for total fiber (P ¼ 0.001), 7.5, 6.9 and 9.5 for soluble fiber (P ¼ 0.001) and 10.7, 9.7 and 14.1 for insoluble fiber (P ¼ 0.002). According to the AOAC table, the recurrent abdominal pain group with chronic constipation or not (10.6 and 9.9 g/day) also had lower intake of total fiber than the control group (13.4 g/day) (P ¼ 0.008). The intake of fiber was lower than the minimum recommended value (age þ 5 g) and statistically associated (P ¼ 0.021) with the recurrent abdominal pain group (78%) in comparison with the control one (51.2%). The odds ratio was 3.39 (95% CI, 1.18-9.95). Conclusion: fiber intake below the minimum recommended value is a risk factor for recurrent abdominal pain in children.

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Section: Discussionsupporting

confidence: 89%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Low-dietary fiber intake as a risk factor for recurrent abdominal pain in children

et al. 2006

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Section: Introductionmentioning

confidence: 99%

“…One of the reasons behind unexplained GI symptoms may also be undiagnosed milk hypersensitivity (Kokkonen et al, 2001) or carbohydrate malabsorption (Hyams et al, 1988;Lifshitz et al, 1992). Undigested food may lead to food avoidance through nausea and other uncomfortable symptoms, and dyspeptic children with impaired gastric emptying have lower body weight for age (Papadopoulou et al, 2002), those with RAP a loss of appetite (Alfven, 1993a, b), and children with chronic constipation lower fibre and nutrient intakes than the control children (Morais et al, 1999;Roma et al, 1999).We postulate that children with FGIDs modify their food habits in manner, which may produce adverse nutritional effects and therefore food habits and health state of the children with FGIDs need to be evaluated in order to prevent nutritional disturbances and to establish a proper treatment of this entity. To our knowledge, it is not known whether these children have regular meal patterns and/or sufficient nutrient intake.…”

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confidence: 99%

Food habits in 10–11-year-old children with functional gastrointestinal disorders

et al. 2004

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Objective: To evaluate the role of food habits and nutrient intake in children with functional gastrointestinal disorders (FGIDs) considering their association with psychosocial factors. Design: Cross-sectional. Setting: A rural town in Mid-Western Finland. Subjects: After excluding organic gastrointestinal (GI) disorders, a total of 49 children with FGID and 78 control children without GI symptoms from a cohort of 422 children were studied. Methods: Food frequency questionnaire, GI-symptoms questionnaire and the Child Behaviour Check List (CBCL) filled in by parents together with their child, and 24-h dietary recall and anthropometric and haematological measurements. Results: Compared to control children, fewer children with FGID had daily family dinner (77 vs 91%, P ¼ 0.030) and they used less often vegetables (P ¼ 0.023), fruits (P ¼ 0.027) and berries (P ¼ 0.011), but more often ice cream (P ¼ 0.018) and soft drinks (P ¼ 0.027) and had a higher sucrose intake (9 vs 7E%, P ¼ 0.032) and lower lactose intake (27 vs 36 g, P ¼ 0.001). Reported food-related symptoms were more common among FGID group (69 vs 11%), as well as restricted milk use (31 vs 0%). Children with FGID had higher total problem scores in CBCL (P ¼ 0.002), and the behavioural/emotional problems associated with occurrence of FGID (OR 1.04, 95% CI 1.07-1.076) as did the sugar intake (OR 1.1, 95% CI 1.004-1.215).Conclusions: This population-based study suggests that school-aged children with FGIDs have less-organized food habits and higher milk avoidance, and they display internalizing psychological characteristics. IntroductionFunctional gastrointestinal disorders (FGIDs) are defined as a combination of chronic or recurrent gastrointestinal (GI) symptoms in the absence of diagnosed disease. A number of common paediatric disorders falls into this category, for example, infant regurgitation, chronic nonspecific diarrhoea, irritable bowel syndrome (IBS), nonulcer dyspepsia, infant dyschezia, and functional constipation (Hyams, 1999;Rasquin-Weber et al, 1999;Thompson et al, 1999).It is well known that psychopathology plays an important role in FGIDs. Gut function is controlled by a complex neural network and the current understanding is that FGIDs result from dysregulation of the bidirectional communication between the brain and the gut (ie the brain-gut axis), modulated by various psychosocial factors. Recently, instead of searching unidirectional relationship between psychosocial events and GI function, research has shifted to evaluate the reciprocal interaction between physiologic and psychosocial processes in these disorders Ringel and Drossman, 1999). More psychological problems and stressors have been found in children with recurrent abdominal pain (RAP) and in those with organic GI disorder as compared to GI patients without symptoms or healthy control children (Sawyer et al, 1987;Walker and Greene, 1989;Robinson et al, 1990;Walker et al, 2001). There is also some evidence that FGIDs may be more common in children coming from low social class ...

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Psychological and educational interventions for childhood constipation

Dovey

Sinopoulou

Gordon

2023

Cochrane Database of Systematic Reviews

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Measurement of Low Dietary Fiber Intake As a Risk Factor for Chronic Constipation in Children

Abstract: Intake of fiber below the minimum recommendation is a risk factor for chronic constipation in children.

Cited by 148 publications

References 10 publications

Low-dietary fiber intake as a risk factor for recurrent abdominal pain in children

Low-dietary fiber intake as a risk factor for recurrent abdominal pain in children

Food habits in 10–11-year-old children with functional gastrointestinal disorders

Psychological and educational interventions for childhood constipation

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