Year 2020 / Volume 112 / Number 1
Original
Factors associated with the stool characteristics of children with cerebral palsy and chronic constipation

41-46

DOI: 10.17235/reed.2019.6313/2019

Andrea A. García Contreras, Edgar Manuel Vásquez Garibay, Carmen Alicia Sánchez Ramírez, Mary Fafutis Morris, Vidal Delgado Rizo,

Abstract
Background: chronic constipation is a common gastrointestinal problem in children with cerebral palsy and several factors can influence the stool frequency, consistency and pH in these cases. Aim: to identify the association of dietary factors, use of anticonvulsants and family history of constipation with the stool characteristics of children with cerebral palsy and chronic constipation. Methods: an analytical cross-sectional study was performed of 45 children with cerebral palsy and chronic constipation that included 19 females and 26 males, aged 37 ± 13 months. Dietary factors, the use of anticonvulsants and family history were analyzed. Stool frequency, consistency (Bristol Stool Form Scale) and pH (using a pH-meter) were also determined. Results: there was a positive correlation between stool frequency and the consumption of oilseeds (r = 0.339, p = 0.023). There was a negative correlation between hard stools and fluid intake (r = -0.336, p = 0.042) and between stool pH and the consumption of cereals rich in insoluble fiber, high soluble fiber vegetables, carrots and potatoes (r = -0.339, p = 0.030; r = -0.308, p = 0.044; r = -0.336, p = 0.027; r = -0.307, p = 0.045, respectively). An association was also identified between the use of anticonvulsant polytherapy and hard stools (OR = 14.2 [95% CI 1.16-174], p = 0.038). There was no association between family history and constipation. Conclusions: rich-fiber food consumption, fluids intake and anticonvulsant polytherapy were associated with the stool characteristics of children with cerebral palsy and chronic constipation.
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References
1. Tse PW, Leung SS, Chan T, et al. Dietary fibre intake and constipation in children with severe developmental disabilities. J Paediatr Child Health. 2000;36:236–9.
2. Elawad MA, Sullivan PB. Management of constipation in children with disabilities. Dev Med Child Neurol. 2001;43:829–32.
3. Del Guidice E, Staiano A, Capano G, et al. Gastrointestinal manifestations in children with cerebral palsy. Brain Development 1999;21:307-11.
4. Park ES, Park CI, Cho SR, et al. Colonic transit time and consitpation in children with spastic cerebral palsy. Arch Phys Med Rehabil 2004;85(3): 453-6.
5. Veugelers R, Benninga MA, Calis EA, et al. Prevalence and clinical presentation of constipation in children with severe generalized cerebral palsy. Dev Med Child Neurol 2010;52(9):e216–21.
6. Awan WA, Masood T. Role of stretching exercises in the management of constipation in spastic cerebral palsy. J Ayub Med Coll Abbottabad 2016;28(4):789-801.
7. Sullivan PB. Gastrointestinal disorders in children with neurodevelopmental disabilities. Dev Disabil Res Rev 2008;14(2):128-36.
8. Jahromi SR, Togha M, Fesharaki SH, et al. Gastrointestinal adverse effects of antiepileptic drugs inintractable epileptic patients. Seizure 2011; 20(4):343-346.
9. González-Jiménez D, Marin-Díaz JJ, Bousoño-García C, et al. Patología gastrointestinal en niños con parálisis cerebral infantil y otras discapacidades neurológicas. An Pediatr (Barc) 2010;73(6):361.
10. Staiano A, Simeone D, Del Giudice E, et al. Effect of the dietary fiber glucomannan on chornic constipation in neurologically impaired children. J Pediatr 2000;136(1):41-5.
11. Rajindrajith S, Devanarayana NM. Constipation in children: a novel insight into epidemiology, pathophysiology and management. J Neurogastroenterol Motil 2011;17(1):35-47.
12. Robson KM, Kiely DK, Lembo T. Development of constipation in nursing home residents. Dis Colon Rectum 2000;43(7):940-3.
13. Reilly S, Skuse D, Poblete X. Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: a communnity survey. J Pediatr 1996;129(6):877-82.
14. Caramico-Favero DCO, Guedes ZCF, Morais MB. Food intake, nutritional status and gastrointestinal symptoms in children with cerebral palsy. Arq Gastroenterol 2018;55(4):352-257.
15. Mooren GC, can der Plas RN, Bossuyt PM, et al. The relationship between intake of dietary fiber and chronic constipation in children. Ned Tijdschr Geneeskd 1996;140(41):2036-9.
16. Grammatikopoulou MG, Daskalou E, Tsigga M. Diet, feeding practices, and anthropometry of children and adolescents with cerebral palsy and their siblings. Nutrition 2009;25(6):620-6. DOI: 10.1016/j.nut.2008.11.025
17. Indrio F, Di Mauro A, Riezzo G, et al. Prohylactic use of a probiotic in the prevention of colic, regurgitation, and functional constipation: a randomized clinical trial. JAMA Pediatrics 2014;168(3):228-233. DOI: 10.1001/jamapediatrics.2014.368.
18. Stevenson R. Use of segmental measures to estimate stature in children with cerebral palsy. Arch Pediatr Adolesc Med 1995;149: 658–662.
19. Brooks J, Day S, Shavelle R, et al. Low weight, mor- bidity and mortality in children with cerebral palsy: new clinical growth charts. Pediatrics 2011;128:299–307. DOI: 10.1542/peds.2010-2801
20. Sierra C, Bernal MJ, Blasco J, et al. Prebiotic effect during the first year of life in healthy infants fed formula containing GOS as the only prebiotic: a multicentre, randomised, double-blind and placebo-controlled trial. Eur J Nutr 2015;54:88-89. DOI: 10.1007/s00394-014-0689-9
21. Benninga M, Candy DC, Catto-Smith AG, et al. The Paris Consensus on Childhood Constipation Terminology (PAC-CT) Group. J Pediatr Gastroenterol Nutr 2005;40:273-5.
22. Gomes de Moraes J, Farias de Almeida Motta MA, Ferraz de Sá Beltrâo M, et al. Fecal microbiota and diet of children with chronic constipation. Int J Pediatr 2016; 6787269. DOI: 10.1155/2016/6787269
23. Sanders KM, Ward SM, Henning GW. Problems with extracellular recording of electrical activity in gastrointestinal muscle. Nat Rev Gastroenterol Hepatol 2016;13:731-741. DOI: 10.1038/nrgastro.2016.161
24. Pimentel M, Chatterjee S, Chow EJ, Park S, Kong Y. Neomycin impreves constipation-predominant irritable bowel syndrome in a fashion that is dependent on the presence of methane gas: subanalysis of a double-blind randomized controlled study. Dig Dis Sci 2006;51:1297-1301. DOI: 10.1007/s10620-006-9104-6
25. Caselli TB, Lomazi EA, Montenegro MAS, et al. Comparative study on gastrostomy and orally nutrition of children and adolescents with tetraparesis cerebral palsy. Arq Gastroenterol 2017;54(4):292-296. DOI: 10.1590/S0004-2803.201700000-48
26. Walia R, Mahajan L, Steffen R. Recent advances in chronic constipation. Curr Opin Pediatr. 2009;21:661–6. DOI: 10.1097/MOP.0b013e32832ff241
27. Loening-Baucke V, Miele E, Staiano A. Fiber (glucomannan) is beneficial in the treatment of childhood constipation. Pediatrics. 2004;113:e259–64.
28. Tabbers MM, Boluyt N, Berger MY, et al. Constipation in children. Clin Evid (Online) 2010; pii:0303.
29. Tabbers MM, DiLorenzo C, Berger MY, et al. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. JPGN 2014;58(2): 258-274. DOI: 10.1097/MPG.0000000000000266
30. A summary of conference recommendations on dietary fiber in childhood. Conference on dietary fiber in childhood, New York, May 24, 1994. American Academy of Pediatrics. Pediatrics 1995;96(5 Pt 2):1023-8.
31. Maffei HV, Vicentini AP. Prospective evaluation of dietary treatment in childhood constipation: high dietary fiber and wheat bran intake are associated with constipation amelioration. J Pediatr Gastroenterol Nutr. 2011;52:55-9. DOI: 10.1097/MPG.0b013e3181e2c6e2.
32. USDA. Dietary reference intakes (DRIs). Washington (DC): The National Academy Press; 2000.
33. Ferriera ACFM, Mayer MPA, Kawamoto D, et al. Constipation, antiepileptic drugs, and gingivitis in children and adolescents with cerebral palsy. Int J Paediatr Dent. 2019;Feb 28: DOI: 10.1111/ipd.12488.
34. Tabbers MM, Boluyt N, Berger MY, et al. Nonpharmacologic treatments for childhood constipation: systematic review. Pediatrics 2011; 128(4):753-61. DOI: 10.1542/peds.2011-0179
35. Lee WT, Ip KS, Chan JS, et al. 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. DOI: 10.1111/j.1440-1754.2007.01212.x
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García Contreras A, Vásquez Garibay E, Sánchez Ramírez C, Fafutis Morris M, Delgado Rizo V. Factors associated with the stool characteristics of children with cerebral palsy and chronic constipation . 6313/2019


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Publication history

Received: 01/04/2019

Accepted: 09/07/2019

Online First: 13/12/2019

Published: 10/01/2020

Article revision time: 91 days

Article Online First time: 256 days

Article editing time: 284 days


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