Characteristics of Functional Constipation among Kindergarten Students in Kecamatan Jatinangor, West Java, Indonesia

Livia Giovanni, Yudith Setiati Ermaya, Tisnasari Hafsah

Abstract


Background: Functional constipation can occur in children and affect their quality of life, but there is still lack of awareness and inability to provide proper management. Therefore, early detection is important. The aim of this study was to identify the prevalence of functional constipation among kindergarten students and its risks.

Methods: A quantitative descriptive study was conducted from April to May 2017 on kindergarten students in Kecamatan Jatinangor, West Java, Indonesia by using questionnaires for their parents. In total, 149 parents joined the study.  The questionnaire was made based on the Rome IV Criteria with additional questions for the student’s characteristics comprised of sex, prematurity, allergy, family history of constipation, dietary fiber consumption, and parents’ education level. Descriptive analyses were conducted.

Results: The prevalence of functional constipation among the students was 8.7% with the most frequent complaints were retentive posturing (76.9%), hard stool consistency (38.5%), and history of obstructing toilet by stool (38.5%). Characteristics of children with functional constipation were prematurity (15.4%), history of allergy (15.4%), low dietary fiber intake (from fruits, 69.2%, vegetables 84.6%, seeds 100%), and non-university educated parents (father 76.9%, mother 84.6%).

Conclusions: Constipation among kindergarten students in Jatinangor is 8.7%, while the most apparent characteristics in constipated children is low dietary fiber intake.

 


Keywords


Functional constipation, kindergarten students, prevalence

Full Text:

PDF

References


Mugie SM, Benninga MA, Di Lorenzo C. Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol. 2011;25(1):3–18.

Eva F. Prevalensi konstipasi dan faktor risiko konstipasi pada anak [thesis]. Denpasar: Universitas Udayana; 2015.

Rajindrajith S, Devanarayana NM, Crispus Perera BJ, Benninga MA. Childhood constipation as an emerging public health problem. World J Gastroenterol. 2016;22(30):6864–75.

Wald ER, Di Lorenzo C, Cipriani L, Colborn DK, Burgers R, Wald A. Bowel habits and toilet training in a diverse population of children. J Pediatr Gastroenterol Nutr. 2009;48(3):294–8.

Kiefte-de Jong J, Escher J, Arends L, Jaddoe V, Hofman A, Raat H, et al. Infant nutritional factors and functional constipation in childhood: the Generation R study. Am J Gastroenterol. 2010;105(4):940–5.

Wu T-C, Chen L-K, Pan W-H, Tang R-B, Hwang S-J, Wu L, et al. Constipation in Taiwan elementary school students: a nationwide survey. J Chin Med Assoc. 2011;74(2):57–61.

Tam YH, Li AM, So HK, Shit KY, Pang KK, Wong YS, et al. Socioenvironmental factors associated with constipation in Hong Kong children and Rome III criteria. J Pediatr Gastroenterol Nutr. 2012;55(1):56–61.

Lee WT, Ip KS, Chan JS, Lui NW, Young BW. Increased prevalence of constipation in pre‐school children is attributable to under‐consumption of plant foods: A community‐based study. J Paediatr Child Health. 2008;44(4):170–5.

Rajindrajith S, Devanarayana N, Adhikari C, Pannala W, Benninga M. Constipation in children: an epidemiological study in Sri Lanka using Rome III criteria. Arch Dis Child. 2012;97(1):43–5.

Chang SH, Park KY, Kang SK, Kang KS, Na SY, Yang HR, et al. Prevalence, clinical characteristics, and management of functional constipation at pediatric gastroenterology clinics. J Korean Med Sci. 2013;28(9):1356–61.

Park M, Bang YG, Cho KY. Risk factors for functional constipation in young children attending daycare centers. J Korean Med Sci. 2016;31(8):1262–5.

Kocaay P, Eğrıtaş O, Dalgic B. Normal defecation pattern, frequency of constipation and factors related to constipation in Turkish children 0-6 years old. Turkish J Gastroenterol. 2011;22(4):369–75.

Rajindrajith S, Devanarayana NM. Constipation in children: novel insight into epidemiology, pathophysiology and management. J Neurogastroenterol Motil. 2011;17(1):35–47.




DOI: https://doi.org/10.15850/amj.v5n1.1128

Article Metrics

Abstract view : 946 times
PDF - 415 times



 This Journal indexed by

                  

          

 

Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 


View My Stats