The Relationship between Functional Constipation and Dietary Habits in School-Age Japanese Children
The Relationship between Functional Constipation and Dietary Habits in School-Age Japanese Children
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DOI：
10.3177/jnsv.65.38
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发表时间：
2019-01-01
影响因子：
1.6
通讯作者：
Sasaki, Satoshi
中科院分区：
文献类型：
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作者：
Okuda, Masayuki;Kunitsugu, Ichiro;Sasaki, Satoshi
功能性便秘对儿童和青少年与学校相关的生活质量有负面影响。我们调查了根据罗马标准第三版定义的功能性便秘与饮食习惯之间的联系。这项横断面研究的对象是2012年在日本蜀南市上学的1140名5年级学生和1054名8年级学生。功能性便秘被定义为有两种或两种以上便秘症状。饮食习惯通过一份简短的问卷进行评估。获得了自我报告的生物学、人口统计学和生活方式信息。使用多个Logistic模型，检查了按营养和食物摄入量的五分位数分层的亚组之间的剂量依赖关系。不同年级功能性便秘的患病率从3.7%到8.3%不等。最常见的症状是疼痛或大便变硬。较高的功能性便秘发生率与较低的膳食纤维摄入量、蔬菜和水果水平之间存在联系(p(趋势)=0.010-0.030)。在控制膳食纤维摄入量时，与蔬菜和水果的关联性减弱(p(趋势)=0.074-0.150)。当分别对5年级和8年级学生进行分析时，膳食纤维、食物中的水和蔬菜的摄入对8年级学生的功能性便秘有好处(p(趋势)=0.005-0.038)，水果的摄入对5年级学生的功能性便秘有好处(p(趋势)=0.012)。改变饮食习惯可能对减少学龄儿童的功能性便秘有积极作用。富含纤维、蔬菜和水果的饮食有可能改善日本儿童和青少年的功能性便秘。
Functional constipation negatively affects school-related quality of life for children and adolescents. We investigated the association between functional constipation, defined according to the Rome criteria version III, and dietary habits. The subjects of this cross-sectional study were 1,140 5th graders and 1,054 8th graders attending schools in Shunan City, Japan in 2012. Functional constipation was defined as having two or more symptoms of constipation. Dietary habits were assessed using a brief questionnaire. Self-reported biological, demographic and lifestyle information was obtained. Using multiple logistic models, dose-dependent associations among subgroups stratified with quintiles of nutrient and food intake were examined. The prevalence of functional constipation ranged from 3.7% to 8.3% across the grades. The most prevalent symptom was pain or hard stools. There was a link between higher rates of functional constipation and lower levels of dietary fiber intake, vegetables, and fruits (p(trend) = 0.010-0.030). Associations with vegetables and fruits attenuated when controlling for dietary fiber intake (p(trend) = 0.074-0.150). When 5th and 8th graders were separately analyzed, intake of dietary fiber, water from foods, and vegetables had beneficial effects on functional constipation in 8th graders (p(trend) = 0.005-0.038), and fruit intake had a beneficial effect in 5th graders (p(trend) = 0.012). Modification of dietary habits may have a positive effect in reducing functional constipation in school-age children. Diets rich in fiber, vegetables, and fruits, have the potential to improve functional constipation in Japanese children and adolescents.