Prevalence of Defecation Disorders and their Symptoms is Comparable in Children and Young Adults: Cross-Sectional Study
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: We aimed to compare the prevalence rates and associated symptoms of constipation and fecal incontinence in children and young adults and evaluate how these patient groups cope with these disorders. Methods: A cross-sectional study was performed in which 212 children (8–17 years) and 149 young adults (18–29 years) from the general Dutch population completed a questionnaire about defecation disorders. Results: Constipation occurred in 15.6% of children and 22.8% of young adults (p=0.55), while the prevalence of fecal incontinence was comparable between groups (7%, p=0.91). The symptoms associated with constipation occurred as often in children as in young adults, while most fecal incontinence symptoms occurred more often in young adults. Approximately 43% of children had constipation for more than 5 years, while 26% of young adults experienced constipation since childhood. Only 27% of constipated children and 21% of constipated young adults received treatment (mostly laxatives). For fecal incontinence, 13% of children and 36% of young adults received treatment (mostly antidiarrheal medications or incontinence pads). Conclusion: In contrast to the general belief, the prevalence of defecation disorders and associated symptoms seem to be comparable in children and young adults. Only a few people with defecation disorders receive adequate treatment.
Abstract
Purpose: We aimed to compare the prevalence rates and associated symptoms of constipation and fecal incontinence in children and young adults and evaluate how these patient groups cope with these disorders. Methods: A cross-sectional study was performed in which 212 children (8–17 years) and 149 young adults (18–29 years) from the general Dutch population completed a questionnaire about defecation disorders. Results: Constipation occurred in 15.6% of children and 22.8% of young adults (p=0.55), while the prevalence of fecal incontinence was comparable between groups (7%, p=0.91). The symptoms associated with constipation occurred as often in children as in young adults, while most fecal incontinence symptoms occurred more often in young adults. Approximately 43% of children had constipation for more than 5 years, while 26% of young adults experienced constipation since childhood. Only 27% of constipated children and 21% of constipated young adults received treatment (mostly laxatives). For fecal incontinence, 13% of children and 36% of young adults received treatment (mostly antidiarrheal medications or incontinence pads). Conclusion: In contrast to the general belief, the prevalence of defecation disorders and associated symptoms seem to be comparable in children and young adults. Only a few people with defecation disorders receive adequate treatment.
참고문헌 (27)
- Rajindrajith S, "Childhood constipation as an emerging public health problem", World J Gastroenterol, 22, pp.6864~6875 (2016)
- Rouster AS, "Functional gastrointestinal disorders dominate pediatric gastroenterology outpatient practice", J Pediatr Gastroenterol Nutr, 62, pp.847~851 (2016)
- Bellman M, "Studies on encopresis", Acta Paediatr Scand, 170(Suppl), pp.1~ (1966)
- Abrahamian FP, "Chronic constipation in childhood : a longitudinal study of 186 patients", J Pediatr Gastroenterol Nutr, 3, pp.460~467 (1984)
- Procter E, "A 6-year follow-up study of chronic constipation and soiling in a specialist paediatric service", Child Care Health Dev, 29, pp.103~109 (2008)
- Michaud L, "Outcome of functional constipation in childhood : a 10-year follow-up study", Clin Pediatr(Phila), 48, pp.26~31 (2009)
- Bongers ME, "Long-term follow-up and course of life in children with constipation", J Pediatr Gastroenterol Nutr, 53(Suppl 2), pp.S55~S56 (2011)
- van Ginkel R, "Childhood constipation : longitudinal follow-up beyond puberty", Gastroenterology, 125, pp.357~363 (2003)
- Filho HS, "Quality-of-life assessment in children with fecal incontinence", Dis Colon Rectum, 58, pp.463~468 (2015)
- Kovacic K, "A multicenter study on childhood constipation and fecal incontinence : effects on quality of life", J Pediatr, 166, pp.1482~1487 (2015)
- Ranasinghe N, "Psychological maladjustment and quality of life in adolescents with constipation", Arch Dis Child, 102, pp.268~273 (2017)
- McKenna C, "Fecal incontinence reduces quality of life more than you may think", Dis Colon Rectum, 60, pp.e597~e598 (2017)
- Vriesman MH, "Quality of life in children with functional constipation : a systematic review and meta-analysis", J Pediatr, 214, pp.141~150 (2019)
- Park R, "Inpatient burden of childhood functional GI disorders in the USA : an analysis of national trends in the USA from 1997 to 2009", Neurogastroenterol Motil, 27, pp.684~692 (2015)
- Sommers T, "Emergency department burden of constipation in the United States from 2006 to 2011", Am J Gastroenterol, 110, pp.572~579 (2015)
- Timmerman MEW, "The problem of defecation disorders in children is underestimated and easily goes unrecognized : a cross-sectional study", Eur J Pediatr, 178, pp.33~39 (2019)
- Meinds RJ, "feasibility and validity of the Groningen Defecation and Fecal Continence questionnaires", Scand J Gastroenterol, 53, pp.790~796 (2018)
- Hyams JS, "Functional disorders : children and adolescents", Gastroenterology, 150, pp.1456~1468.e2 (2016)
- Mearin F, "Bowel disorders", Gastroenterology, 150, pp.1393~1407.e5 (2016)
- Rao SS, "Functional anorectal disorders", Gastroenterology, 150, pp.1430~1442 (2016)
- Koppen IJN, "Prevalence of functional defecation disorders in children : a systematic review and meta-analysis", J Pediatr, 198, pp.121~130 (2018)
- Nelson RL, "Epidemiology of fecal incontinence", Gastroenterology, 126(Suppl 1), pp.S3~S7 (2004)
- Atchariya Chanpong, "Laxative Choice and Treatment Outcomes in Childhood Constipation: Clinical Data in a Longitudinal Retrospective Study", Pediatric Gastroenterology, Hepatology & Nutrition, 21(2), pp.101~110 (2018), 대한소아소화기영양학회
- Gyung Lee, "Clinical Features of Severely Constipated Children: Comparison of Infrequent Bowel Movement and Fecal Soiling Groups", Pediatric Gastroenterology, Hepatology & Nutrition, 23(1), pp.26~34 (2020), 대한소아소화기영양학회[DOI]
- Nurko S, "Coexistence of constipation and incontinence in children and adults", Best Pract Res Clin Gastroenterol, 25, pp.29~41 (2011)
- Rajindrajith S, "Children and adolescents with chronic constipation: how many seek healthcare and what determines it?", J Trop Pediatr, 58, pp.280~285 (2012)
- Choung RS, "A low response rate does not necessarily indicate non-response bias in gastroenterology survey research : a population-based study", J Public Health, 21, pp.87~95 (2013)