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Evaluation of bowel function in healthy children : Untreated constipation is common

Lindgren, Helena; Carvalho Nejstgaard, Malin; Salö, Martin LU and Stenström, Pernilla LU (2018) In Acta Paediatrica, International Journal of Paediatrics
Abstract

Aim: We evaluated bowel function in healthy children with regard to gender and age. Methods: The study was carried out in 2016 at a tertiary children's hospital. Healthy children aged 3.5 years to 15 years who were admitted to the hospital, siblings to patients or offspring of staff members were included. Validated self-report questionnaires and internally developed questions regarding obstructive outlet- and gas-related symptoms were used. Results: A total of 310 participants (50% girls) were included, which corresponded to a 94% answer frequency. Respondents were divided into a younger age group (3.5 years to seven years), consisting of 135 children, and an older age group (eight years to 15 years), consisting of 175 children. Younger... (More)

Aim: We evaluated bowel function in healthy children with regard to gender and age. Methods: The study was carried out in 2016 at a tertiary children's hospital. Healthy children aged 3.5 years to 15 years who were admitted to the hospital, siblings to patients or offspring of staff members were included. Validated self-report questionnaires and internally developed questions regarding obstructive outlet- and gas-related symptoms were used. Results: A total of 310 participants (50% girls) were included, which corresponded to a 94% answer frequency. Respondents were divided into a younger age group (3.5 years to seven years), consisting of 135 children, and an older age group (eight years to 15 years), consisting of 175 children. Younger children reported more foul odours than older children (50% vs. 29%, p = 0.001) and more obstructive symptoms (21% vs. 10%, p = 0.01). There was no difference between the age groups regarding constipation (19% vs 16%, NS). Overall, 55% of those with constipation had no treatment for the condition, although they reported abdominal pain (51%) and problems with foul odours (57%). Conclusion: Healthy children frequently reported constipation, abdominal pain and gas-related problems, but treatment was rare. Overall, bowel function seemed to improve during childhood, although constipation remained largely untreated.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
Abdominal pain, Bowel function, Constipation, Gas-related symptoms, Healthy children
in
Acta Paediatrica, International Journal of Paediatrics
publisher
Wiley-Blackwell Publishing Ltd
external identifiers
  • scopus:85041696269
ISSN
0803-5253
DOI
10.1111/apa.14225
language
English
LU publication?
yes
id
acfd0713-3ac3-4d5b-9661-a008d47d562a
date added to LUP
2018-02-21 13:45:03
date last changed
2018-05-29 11:45:29
@article{acfd0713-3ac3-4d5b-9661-a008d47d562a,
  abstract     = {<p>Aim: We evaluated bowel function in healthy children with regard to gender and age. Methods: The study was carried out in 2016 at a tertiary children's hospital. Healthy children aged 3.5 years to 15 years who were admitted to the hospital, siblings to patients or offspring of staff members were included. Validated self-report questionnaires and internally developed questions regarding obstructive outlet- and gas-related symptoms were used. Results: A total of 310 participants (50% girls) were included, which corresponded to a 94% answer frequency. Respondents were divided into a younger age group (3.5 years to seven years), consisting of 135 children, and an older age group (eight years to 15 years), consisting of 175 children. Younger children reported more foul odours than older children (50% vs. 29%, p = 0.001) and more obstructive symptoms (21% vs. 10%, p = 0.01). There was no difference between the age groups regarding constipation (19% vs 16%, NS). Overall, 55% of those with constipation had no treatment for the condition, although they reported abdominal pain (51%) and problems with foul odours (57%). Conclusion: Healthy children frequently reported constipation, abdominal pain and gas-related problems, but treatment was rare. Overall, bowel function seemed to improve during childhood, although constipation remained largely untreated.</p>},
  author       = {Lindgren, Helena and Carvalho Nejstgaard, Malin and Salö, Martin and Stenström, Pernilla},
  issn         = {0803-5253},
  keyword      = {Abdominal pain,Bowel function,Constipation,Gas-related symptoms,Healthy children},
  language     = {eng},
  publisher    = {Wiley-Blackwell Publishing Ltd},
  series       = {Acta Paediatrica, International Journal of Paediatrics},
  title        = {Evaluation of bowel function in healthy children : Untreated constipation is common},
  url          = {http://dx.doi.org/10.1111/apa.14225},
  year         = {2018},
}