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Comparison of the Frequency of Functional Constipation among Syrian and Turkish Primary School Children Living in Turkey’s Southeast

Year 2020, Volume: 4 Issue: 2, 35 - 40, 19.08.2020
https://doi.org/10.46332/aemj.782662

Abstract

Purpose: Functional constipation is a frequent gastrointestinal problem in childhood. Although the etiology is multifactorial, stres plays a major role in primary school children. The objective of this study is to compare the frequency of functional constipation among Syrian children who were exposed to stressful experiences and Turkish children. Material and Methods: The sociodemographic data of children between the ages of 6 and 10 who admitted to pediatric surgery and child health clinics of our hospital between September 2017 and August 2019 were retrospectively analyzed. A total of 332 Syrian and 413 Turkish children was included. Data collection forms consisting of three parts were created. In the first part, age, gender, height, weight, eating habits, maternal education level, economic status of the family, and family history of constipation were evaluated. In the second and third sections, the criteria of Rome IV and using school toilet were questioned. Families were personally contacted via phone by two nurses independent of the study, and data collection forms were filled. Results: The frequencies of functional constipation in Syrian and Turkish children were 23.7%, and 18.8%, respectively. There were no statistically significant differences between the Syrian and Turkish children in terms of age, gender, body mass index, family history of constipation and eating habits. Statistically significant differences were determined between Turkish and Syrian children with regard to parent education level (p<0.05). Conclusion: Syrian children who were exposed to stressful events and Turkish children showed no differences in terms of the frequency of functional constipation.

References

  • 1. Levy EI, Lemmens R, Vandenplas Y, Devreker T. Functional constipation in children: challenges and solutions. Pediatric Health Med and Ther. 2017;8(14):19–27.
  • 2. Gibas-Dorna M, Piątek J. Functional constipation in children-evaluation and management. Prz Gastroenterol. 2014;9(4):194-199.
  • 3. Ma Y, Shen Y, Liu X. Functional constipation and bladder capacity and severity of enuresis in children: a correlation study. Int J Clin Exp Med. 2018;11(2):806-811
  • 4. Rowan-Legg A. Managing functional constipation in children. Paediatr Child Health. 2011;16(10):661–670.
  • 5. Xinias I, Mavroudi A. Constipation in childhood. An update on evaluation and management. Hıppokratıa. 2015;19(1):11-19
  • 6. Froon-Torenstra D, Beket E, Khader AM, et al. Prevalence of functional constipation among Palestinian preschool children and the relation to stressful life events. PLoS ONE. 2018;13(12): e0208571.
  • 7. Soylu OB. Clinical findings of functional and secondary constipation in children. Iran J Pediatr. 2013;23(3):353-356.
  • 8. Erturk EY, Yalcın O. Patients with constipation and related factors. MBSJHS. 2019;5(1):1-5.
  • 9. Philips EM, Peeters B, Teeuw AH, et al. Stressful life events in children with functional defecation disorders. J Pediatr Gastroenterol Nutr. 2015;61(4):384–392.
  • 10. Devanarayana NM, Rajindrajith S. Association between constipation and stressful life events in a cohort of Sri Lankan children and adolescents. J Trop Pedıatr. 2010;56(3):144-148.
  • 11. Appak YC, Sapmaz SY, Doğan G, Herdem A, Ozyurt BC, Kasırga E. Clinical findings, child and mother psychosocial status in functional constipation. Turk J Gastroenterol. 2017;28(6):465-70.
  • 12. Drossman DA. Abuse, Trauma, and GI Ilness: Is there a link? Am J Gastroenterol. 2011;106(1):14-25.
  • 13. Rajindrajith S, Devanarayana NM, Benninga MA. Constipation-associated and nonretentive fecal incontinence in children and adolescents: an epidemiological survey in Sri Lanka. J Pediatr Gastroenterol Nutr. 2010;51(4):472–476.
  • 14. Inan M, Aydiner CY, Tokuc B, et al. Factors associated with childhood constipation.J Paediatr Child Health. 2007;43(10):700–706.
  • 15. Koppen IJN, Vriesman MH, Saps M, Rajindrajith S, et al. Prevalence of functional defecation disorders in children: a systematic review and meta-Analysis. J Pediatr. 2018;198:121-130.e6.
  • 16. Altamimi E, Al-Safadi M. Bowel movement patterns and constipation prevalence in school children of South Jordan. Int J Clin Pediatr.2018;7(4):47-50.
  • 17. Andreoli CS, Vieira-Ribeiro SA, Fonseca PCA, et al. Eatıng habits, lifestyle and intestinal constipation in children aged four to seven years. Nutr Hosp. 2019;36(1):25-31.
  • 18. Lim SL, Teoh C, Zhao X, et al. Attitudes &beliefs that influence healthy eating behaviors among mothers of young children in Singapore: a cross-sectional study. Appetite. 2020:148:104555.
  • 19. Khalil AF, Alkot M. Study of functional constipation among children attending the gastroenterology clinic at Alexandria University Children’s Hospital. Alex J Pediatr. 2018;31(3):120–127.
  • 20. Sujatha B, Velayutham DR, Deivamani N, Bavanandam S. Normal bowel pattern in children and dietary and other precipitating factors in functional constipation. J Clin Diagn Res. 2015;9(6):12-15.
  • 21. Koppen IJN, Lammers LA, Benninga MA, Tabbers MM. Management of functional constipation in children: therapy in practice. Paediatr Drugs. 2015;17(5):349–360.
  • 22. Haghighat M, Amiri Z, Dehghani SM, et al. Investigation of demographic and clinical characteristics of children with constipation referring to the pediatric gastrointestinal clinic, Shiraz in 2014-2016. Shiraz E-Med J. 2018;19(2):e13669.
  • 23. Meyer JC, Mashaba T, Makhele L, et al. Functional constipation in children. S Afr Pharm J. 2017;84(5):51-57.
  • 24. Yuwanita N, Sinuhaji AB, Sembiring T, et al. Obesity and functional constipation in children. Paediatr Indones. 2018;58(1):1-4.
  • 25. Pashankar DS, Loening-Baucke V. Increased Prevalence of obesity in children with functional constipation evaluated in an academic medical center. Pediatrics. 2005;116(3):e377–380.
  • 26. Koppen IJ, Velasco-Benítez CA, Benninga MA, et al. Is there an association between functional constipation and excessive bodyweight in children? J Pediatr. 2016;171:178-182.e1.

Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması

Year 2020, Volume: 4 Issue: 2, 35 - 40, 19.08.2020
https://doi.org/10.46332/aemj.782662

Abstract

Amaç: Fonksiyonel kabızlık çocuklarda en sık görülen gastrointestinal patolojilerden biridir. Etiyolojisi multifaktöriyel olmasına rağmen ilkokul çocuklarında stresin rolü büyüktür. Bu çalışmanın amacı stresli yaşam olaylarına maruz kalmış Suriyeli göçmen ve Türkiyeli çocuklarda fonksiyonel kabızlık sıklığını karşılaştırmaktır. Araçlar ve Yöntem: Çalışmada Eylül 2017 – Ağustos 2019 tarihleri arasında hastanemizin çocuk cerrahisi ve çocuk sağlığı polikliniğine başvuran 6-10 yaş aralığındaki çocukların sosyodemografik verileri retrospektif olarak incelendi. Çalışmaya 332 Suriyeli ve 413 Türkiyeli çocuk dahil edildi. Üç bölümden oluşan veri toplama formları oluşturuldu. İlk bölümde yaş, cinsiyet, boy, kilo, beslenme alışkanlığı, anne eğitim düzeyi, ailenin ekonomik durumu, ailede kabızlık varlığı değerlendirildi. İkinci ve üçüncü bölümde Roma IV kriterleri ve okul tuvaletinin kullanılması sorgulandı. Veri toplama formları çalışmadan bağımsız iki hemşire tarafından ailelere telefonla ulaşılarak dolduruldu. Bulgular: Fonksiyonel kabızlık sıklığı Suriyeli göçmen çocuklarda %23,7, Türkiyeli çocuklarda ise %18,8 idi (p>0,05). Suriyeli ve Türkiyeli çocuklar arasında yaş, cinsiyet, vücut kitle indeksi, ailede kabızlık öyküsü, beslenme alışkanlıkları açısından istatistiksel anlamlı farklılık yoktu (p>0,05). Suriyeli ve Türkiyeli çocuklar arasında ebeveyn eğitim düzeyi açısından istatistiksel anlamlı farklık saptandı (p<0,05). Sonuç: Stresli yaşam olaylarına maruz kalmış Suriyeli çocuklar ile Türkiyeli çocuklar arasında fonksiyonel kabızlık sıklığı açısından farklılık yoktur.

References

  • 1. Levy EI, Lemmens R, Vandenplas Y, Devreker T. Functional constipation in children: challenges and solutions. Pediatric Health Med and Ther. 2017;8(14):19–27.
  • 2. Gibas-Dorna M, Piątek J. Functional constipation in children-evaluation and management. Prz Gastroenterol. 2014;9(4):194-199.
  • 3. Ma Y, Shen Y, Liu X. Functional constipation and bladder capacity and severity of enuresis in children: a correlation study. Int J Clin Exp Med. 2018;11(2):806-811
  • 4. Rowan-Legg A. Managing functional constipation in children. Paediatr Child Health. 2011;16(10):661–670.
  • 5. Xinias I, Mavroudi A. Constipation in childhood. An update on evaluation and management. Hıppokratıa. 2015;19(1):11-19
  • 6. Froon-Torenstra D, Beket E, Khader AM, et al. Prevalence of functional constipation among Palestinian preschool children and the relation to stressful life events. PLoS ONE. 2018;13(12): e0208571.
  • 7. Soylu OB. Clinical findings of functional and secondary constipation in children. Iran J Pediatr. 2013;23(3):353-356.
  • 8. Erturk EY, Yalcın O. Patients with constipation and related factors. MBSJHS. 2019;5(1):1-5.
  • 9. Philips EM, Peeters B, Teeuw AH, et al. Stressful life events in children with functional defecation disorders. J Pediatr Gastroenterol Nutr. 2015;61(4):384–392.
  • 10. Devanarayana NM, Rajindrajith S. Association between constipation and stressful life events in a cohort of Sri Lankan children and adolescents. J Trop Pedıatr. 2010;56(3):144-148.
  • 11. Appak YC, Sapmaz SY, Doğan G, Herdem A, Ozyurt BC, Kasırga E. Clinical findings, child and mother psychosocial status in functional constipation. Turk J Gastroenterol. 2017;28(6):465-70.
  • 12. Drossman DA. Abuse, Trauma, and GI Ilness: Is there a link? Am J Gastroenterol. 2011;106(1):14-25.
  • 13. Rajindrajith S, Devanarayana NM, Benninga MA. Constipation-associated and nonretentive fecal incontinence in children and adolescents: an epidemiological survey in Sri Lanka. J Pediatr Gastroenterol Nutr. 2010;51(4):472–476.
  • 14. Inan M, Aydiner CY, Tokuc B, et al. Factors associated with childhood constipation.J Paediatr Child Health. 2007;43(10):700–706.
  • 15. Koppen IJN, Vriesman MH, Saps M, Rajindrajith S, et al. Prevalence of functional defecation disorders in children: a systematic review and meta-Analysis. J Pediatr. 2018;198:121-130.e6.
  • 16. Altamimi E, Al-Safadi M. Bowel movement patterns and constipation prevalence in school children of South Jordan. Int J Clin Pediatr.2018;7(4):47-50.
  • 17. Andreoli CS, Vieira-Ribeiro SA, Fonseca PCA, et al. Eatıng habits, lifestyle and intestinal constipation in children aged four to seven years. Nutr Hosp. 2019;36(1):25-31.
  • 18. Lim SL, Teoh C, Zhao X, et al. Attitudes &beliefs that influence healthy eating behaviors among mothers of young children in Singapore: a cross-sectional study. Appetite. 2020:148:104555.
  • 19. Khalil AF, Alkot M. Study of functional constipation among children attending the gastroenterology clinic at Alexandria University Children’s Hospital. Alex J Pediatr. 2018;31(3):120–127.
  • 20. Sujatha B, Velayutham DR, Deivamani N, Bavanandam S. Normal bowel pattern in children and dietary and other precipitating factors in functional constipation. J Clin Diagn Res. 2015;9(6):12-15.
  • 21. Koppen IJN, Lammers LA, Benninga MA, Tabbers MM. Management of functional constipation in children: therapy in practice. Paediatr Drugs. 2015;17(5):349–360.
  • 22. Haghighat M, Amiri Z, Dehghani SM, et al. Investigation of demographic and clinical characteristics of children with constipation referring to the pediatric gastrointestinal clinic, Shiraz in 2014-2016. Shiraz E-Med J. 2018;19(2):e13669.
  • 23. Meyer JC, Mashaba T, Makhele L, et al. Functional constipation in children. S Afr Pharm J. 2017;84(5):51-57.
  • 24. Yuwanita N, Sinuhaji AB, Sembiring T, et al. Obesity and functional constipation in children. Paediatr Indones. 2018;58(1):1-4.
  • 25. Pashankar DS, Loening-Baucke V. Increased Prevalence of obesity in children with functional constipation evaluated in an academic medical center. Pediatrics. 2005;116(3):e377–380.
  • 26. Koppen IJ, Velasco-Benítez CA, Benninga MA, et al. Is there an association between functional constipation and excessive bodyweight in children? J Pediatr. 2016;171:178-182.e1.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Muhammet Asena This is me 0000-0002-0033-8672

Tülin Öztaş 0000-0002-1010-3324

Publication Date August 19, 2020
Published in Issue Year 2020 Volume: 4 Issue: 2

Cite

APA Asena, M., & Öztaş, T. (2020). Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması. Ahi Evran Medical Journal, 4(2), 35-40. https://doi.org/10.46332/aemj.782662
AMA Asena M, Öztaş T. Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması. Ahi Evran Med J. August 2020;4(2):35-40. doi:10.46332/aemj.782662
Chicago Asena, Muhammet, and Tülin Öztaş. “Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli Ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması”. Ahi Evran Medical Journal 4, no. 2 (August 2020): 35-40. https://doi.org/10.46332/aemj.782662.
EndNote Asena M, Öztaş T (August 1, 2020) Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması. Ahi Evran Medical Journal 4 2 35–40.
IEEE M. Asena and T. Öztaş, “Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması”, Ahi Evran Med J, vol. 4, no. 2, pp. 35–40, 2020, doi: 10.46332/aemj.782662.
ISNAD Asena, Muhammet - Öztaş, Tülin. “Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli Ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması”. Ahi Evran Medical Journal 4/2 (August 2020), 35-40. https://doi.org/10.46332/aemj.782662.
JAMA Asena M, Öztaş T. Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması. Ahi Evran Med J. 2020;4:35–40.
MLA Asena, Muhammet and Tülin Öztaş. “Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli Ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması”. Ahi Evran Medical Journal, vol. 4, no. 2, 2020, pp. 35-40, doi:10.46332/aemj.782662.
Vancouver Asena M, Öztaş T. Türkiye’nin Güneydoğu Anadolu Bölgesinde Yaşayan Suriyeli ve Türkiyeli İlkokul Çocuklarında Fonksiyonel Kabızlık Sıklığının Karşılaştırılması. Ahi Evran Med J. 2020;4(2):35-40.

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