Obesity and functional constipation in children

  • Natasha Yuwanita Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Atan Baas Sinuhaji Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Tiangsa Sembiring Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Supriatmo Supriatmo Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Ade Rachmat Yudiyanto Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
Keywords: obesity, functional constipation, prevalence, children, developing country

Abstract

Background Functional constipation is a common pediatric problem in both developed and developing countries.  In the past two decades, the prevalence of obesity has increased worldwide. Obesity itself leads to many health problems, including functional constipation. Studies correlating obesity to functional constipation have thus far mostly originated from developed countries.

Objective To assess for a possible correlation between obesity and functional constipation in children in a developing country.

Methods This cross-sectional study was conducted in Al-Mukhlisin Islamic Boarding School, Batu Bara District, North Sumatera Province, Indonesia, between July and August 2015. The subjects were 150 students aged 12 to 17 years. Questionnaires were used to determine functional constipation and filled by direct interview. Obesity was determined by body mass index. Data were analyzed using Chi-square test.

Results Of 150 children, 49 had functional constipation; and 18 of the 49 were obese. The mean age of children with constipation was 14.7 (SD 1.07) years (95%CI 14.1 to 14.7) and their mean body weight was 53.8 (SD 15.10) kg (95%CI 49.4 to 58.1). The prevalence for functional constipation in obese children was  58% There was a statistically significant correlation between obesity and functional constipation (prevalence ratio=4; 95%CI 1.72 to 8.94; P=0.001), indicating that obese children had 4 times higher risk of having functional constipation.

Conclusion There is a significant correlation between obesity and functional constipation in children.

References

1. Bongers ME, van Wijk MP, Reitsma JB, Benninga MA. Long-term prognosis for childhood constipation: clinical outcomes in adulthood. Pediatrics. 2010;126:156-62.
2. Costa ML, Oliviera JN, Tahan S, Morais MB. Overweight and constipation in adolescent. BMC Gastroenterol. 2011;11:40-5.
3. Biggs WS, Dery WH. Evaluation and treatment of constipation in infants and children. Am Fam Physician. 2006;73:469-77.
4. Fishman L, Lenders C, Fortunato C, Noonan C, Nurko S. Increased prevalence of constipation and fecal soiling in a population of obese children. J Pediatr. 2004;145:253-4
5. Loening-Baucke V. Prevalence rates for constipation and faecal and urinary incontinence. Arch Dis Child. 2007;92:486-9.
6. Ellis KJ, Abrams SA, Wong WW. Monitoring childhood obesity: Assessment of the weight/height index. Am J Epidemiol. 1999;150:939–46.
7. Franklin MF. Comparison of weight and height relations in boys from 4 countries. Am J Clin Nutr. 1999;70:157–62.
8. Krebs NF, Jacobson MS, American Academy of Pediatrics Committee on Nutrition. Prevention of pediatric overweight and obesity. Pediatrics. 2003;112:424–30.
9. Richmond JP, Wright ME. Development of a constipation risk assessment scale. Clinical Effectiveness in Nursing. 2005;9::37-4.
10. Johanson J, Sonnenberg A, Koch TR. Clinical epidemiology of chronic constipation. J Clin Gastroenterol. 1989;11:525-36.
11. van der Berg M, Benninga M, Di Lorenzo C. Epidemiology of childhood constipation: a systematic review. Am J Gastroenterol. 2006:101:2401-9.
12. Pashankar DS, Loening-Baucke V. Increased prevalence of obesity in children with functional constipation evaluated in an academic medical center. Pediatrics. 2005;116:377-80.
Published
2018-03-20
How to Cite
1.
Yuwanita N, Sinuhaji A, Sembiring T, Supriatmo S, Yudiyanto A. Obesity and functional constipation in children. PI [Internet]. 20Mar.2018 [cited 14Oct.2024];58(1):1-. Available from: https://www.paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/636
Section
Pediatric Gastrohepatology
Received 2016-09-16
Accepted 2018-01-30
Published 2018-03-20