Prospective Evaluation of Dietary Treatment in Childhood Constipation: High Dietary Fiber and Wheat Bran Intake Are Associated With Constipation Amelioration

Maffei, Helga Verena L.; Vicentini, Andréa Pereira

doi:10.1097/mpg.0b013e3181e2c6e2

Cited by 40 publications

(46 citation statements)

References 30 publications

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“…Besides, studies have shown that constipation in children was associated with low dietary fibre intake (Jennings et al . 2009; Maffei & Vicentini 2011) and low consumption of fruit and vegetables (Lee et al . 2008).…”

Section: Discussionmentioning

confidence: 99%

“…In adults and schoolchildren, it is known that increasing dietary fibre and fluid intake can be effective in amelioration of symptoms of constipation (Kokke et al . 2008; Maffei & Vicentini 2011). However, in pre‐school children, this approach has been controversial as the results of studies regarding dietary fibre and constipation in very young children are inconsistent (Roma et al .…”

Section: Introductionmentioning

confidence: 99%

“…As dietary fibre intake and physical activity can be important determinants of both constipation and overweight (Zanovec et al . 2010; Maffei & Vicentini 2011) but unhealthy eating patterns also cluster with sedentary behaviour (Gubbels et al . 2009), the association between diet and constipation can be easily mediated by overweight or with the level of physical activity.…”

Section: Introductionmentioning

confidence: 99%

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Role of dietary patterns, sedentary behaviour and overweight on the longitudinal development of childhood constipation: the Generation R study

Jong

Vries

Escher

et al. 2012

Maternal & Child Nutrition

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The influence of childhood nutrition on the development of constipation beyond the period of weaning and breastfeeding is relatively understudied. In addition, eating patterns in childhood can be highly correlated with overweight and sedentary behaviour, which may also have an influence on constipation. The aim of this study was to assess whether common dietary patterns, sedentary behaviour and childhood overweight are associated with constipation in childhood. The study was embedded in a population-based prospective birth cohort. Information on dietary intake was obtained by a food frequency questionnaire at the child's age of 14 months (n = 2420). The adherence scores on a 'Health conscious' and 'Western-like' diet were extracted from principal component analysis. At the age of 24, 36 and 48 months, information on constipation and sedentary behaviour, and weight and height was obtained by parental-derived questionnaires and from the child health centres, respectively. Adherence to a 'Western-like' dietary pattern was associated with a higher prevalence of constipation up to 48 months [adjusted odds ratio (aOR); 95% confidence interval (CI): 1.39; 1.02-1.87], which was not mediated by overweight or sedentary behaviour. Adherence to a 'Health Conscious' dietary pattern was only associated at short term, with a lower prevalence of constipation at 24 months (aOR; 95%CI: 0.65; 0.44-0.96). No association was found between overweight, sedentary behaviour and constipation. Our results suggest that specific dietary patterns in early childhood could be associated with higher or lower risks for constipation, but these effects are time-dependent. Overweight and sedentary behaviour seem to not have a major role on constipation in childhood.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Role of dietary patterns, sedentary behaviour and overweight on the longitudinal development of childhood constipation: the Generation R study

Jong

Vries

Escher

et al. 2012

Maternal & Child Nutrition

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“…Constipation involves painful physical symptoms that result in a lower quality of life [7,8]. Affected children have lower fiber intake than healthy children [5,9] and increasing bran and fiber intake can ameliorate symptoms [10]. The evidence for the association between fiber intake and constipation is robust and increasing dietary fiber is accepted as one of the first treatment recommendations [11].…”

Section: Introductionmentioning

confidence: 99%

The effect of high fiber snacks on digestive function and diet quality in a sample of school-age children

Brauchla

McCabe

Miller

et al. 2013

Nutr J

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BackgroundDietary fiber (DF) intake in American children is suboptimal, increasing the risk of GI distress and contributing to poor diet quality. The objective of this study was to determine the effect of introducing two high-fiber snacks per day on gastrointestinal function as well as nutrient and food group intake in healthy children ages 7–11 years old.MethodsThis study was a randomized controlled prospective intervention study of children 7–11 years of age (n = 81) attending a rural Midwestern elementary school. Children were randomized by classroom to consume two high-fiber snacks per day (total of 10-12 g DF) or their usual snacks for 8 weeks. Participants completed two 24-hour dietary recalls and a questionnaire about their GI health at baseline, mid-intervention (week 4), and post-intervention. Dietary data was entered into NDSR 2011 and t-tests utilized to assess changes. Analyses were completed in SAS 9.2.ResultsChildren consumed at least half their snack 94% of the time when a snack was chosen (89% of time). Participants in both the intervention and control group had healthy scores on the GI health questionnaire at all time points. The intervention group increased DF (P = 0.0138) and whole grain (WG) intake (P = 0.0010) at mid-intervention but after the intervention returned to their baseline DF intake (P = 0.2205) and decreased their WG intake (P = 0.0420) compared to baseline. Eating high-fiber snacks increased DF intake by 2.5 g per day (21% increase), suggesting displacement of other fiber-rich foods.ConclusionsStudy results indicate that children accept high-fiber foods, thus making these high-fiber foods and snacks consistently available will increase DF intake.

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“…Constipation is a highly prevalent functional gastrointestinal disorder, affecting the quality of life in constipated persons [7], and the use of dietary fiber in the prevention and treatment of constipation is a common practice in many countries of the world [16,28]. The present study has evaluated laxative effects of Salecan on normal as well as on loperamide- and clonidine-induced constipation mice.…”

Section: Discussionmentioning

confidence: 99%

Laxative effects of Salecan on normal and two models of experimental constipated mice

et al. 2013

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BackgroundConstipation is one of the most common gastrointestinal complaints with a highly prevalent and often chronic functional gastrointestinal disorder affecting health-related quality of life. The aim of the present study was to evaluate the effects of Salecan on fecal output and small intestinal transit in normal and two models of drug-induced constipation mice.MethodsICR mice were administrated intragastrically (i.g.) by gavage with 100, 200 and 300 mg/kg body weight (BW) of Salecan while the control mice were received saline. The constipated mice were induced by two types of drugs, loperamide (5 mg/kg BW, i.g.) and clonidine (200 μg/kg BW, i.g.), after Salecan treatment while the control mice were received saline. Number, weight and water content of feces were subsequently measured. Small intestinal transit was monitored by phenol red marker meal.ResultsSalecan (300 mg/kg BW) significantly increased the number and weight of feces in normal mice. In two models of drug-induced constipation, Salecan dose-dependently restored the fecal number and fecal weight. The water content of feces was markedly affected by loperamide, but not by clonidine. Treatment with Salecan significantly raised the fecal water content in loperamide-induced constipation mice. Moreover, Salecan markedly stimulated the small intestinal transit in both loperamide- and clonidine-induced constipation model mice.ConclusionsThese results suggest that Salecan has a potential to be used as a hydrophilic laxative for constipation.

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Prospective Evaluation of Dietary Treatment in Childhood Constipation: High Dietary Fiber and Wheat Bran Intake Are Associated With Constipation Amelioration

Abstract: High DF and bran intake are feasible in constipated children and contribute to amelioration of constipation.

Cited by 40 publications

References 30 publications

Role of dietary patterns, sedentary behaviour and overweight on the longitudinal development of childhood constipation: the Generation R study

Role of dietary patterns, sedentary behaviour and overweight on the longitudinal development of childhood constipation: the Generation R study

The effect of high fiber snacks on digestive function and diet quality in a sample of school-age children

Laxative effects of Salecan on normal and two models of experimental constipated mice

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