Screening of functional constipation among adolescents in Chongming District, Shanghai

ZHUANG Yuxiao; XU Jun; ZHOU Hongyan; XU Huixian; WANG Zhiyong; HU Ying

doi:10.16835/j.cnki.1000-9817.2022.09.027

Volume 43 Issue 9

Sep. 2022

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ZHUANG Yuxiao, XU Jun, ZHOU Hongyan, XU Huixian, WANG Zhiyong, HU Ying. Screening of functional constipation among adolescents in Chongming District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1391-1395. doi: 10.16835/j.cnki.1000-9817.2022.09.027

Citation:

ZHUANG Yuxiao, XU Jun, ZHOU Hongyan, XU Huixian, WANG Zhiyong, HU Ying. Screening of functional constipation among adolescents in Chongming District, Shanghai[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(9): 1391-1395. doi: 10.16835/j.cnki.1000-9817.2022.09.027

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Screening of functional constipation among adolescents in Chongming District, Shanghai

doi: 10.16835/j.cnki.1000-9817.2022.09.027

1.
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai (200021), China

Received Date: 2022-03-09
Rev Recd Date: 2022-05-18

Available Online: 2022-09-23

Publish Date: 2022-09-25

Abstract

Abstract

Objective To understand the prevalence and risk factors for functional constipation (FC) among high school students in Chongming District of Shanghai. Methods A cross-sectional study was conducted in Chongming District of Shanghai from March-June 2019.A total of 4 969 adolescents under the age of 18 were recruited high schools, using a stratified random sampling technique.A validated self-administered questionnaire on Rome Ⅳ criteria for diagnosing FC and predisposing factors was filled by each student in a classroom setting. Results The prevalence of FC among middle school students in Chongming District of Shanghai was 13.95%.There were no significant differences in the prevalence between males and females, middle and high school groups, and urban and rural areas (P>0.05).In senior high schools, students in the graduation year were more likely to suffer from FC (17.36%, 130/749) than other students (13.77%, 201/1 460)(χ²=5.01, P=0.03).The prevalence of FC in the key senior high schools (18.23%, 115/631) was significantly higher than that in ordinary high schools (13.07%, 49/375)(χ²=7.43, P=0.02).Multivariate Logistic regression analysis showed that frequency of physical exercise, and consumption of spicy foods, proportion of spicy foods in the diet, consumption of vegetables, a lower proportion of vegetables in the diet, drinking water, anorexia, quality of sleep and school type were associated with FC in high school students (OR=0.11-7.71, P < 0.05). Conclusion FC is prevalent among high school students on Chongming District of Shanghai, especially among middle school graduates, and many risk factors were significantly associated with the occurrence of FC.
- Constipation,
- Epidemiologic studies,
- Prevalence,
- Regression analysis,
- Students

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References(28)

References

[1]	DROSSMAN D A, HASLER W L. Rome Ⅳ-Functional GI Disorders: Disorders of gut-brain interaction[J]. Gastroenterology, 2016, 150(6): 1257-1261. doi: 10.1053/j.gastro.2016.03.035
[2]	LACY B E, MEARIN F, CHANG L, et al. Bowel disorders[J]. Gastroenterology, 2016, 150(6): 1393-1407. doi: 10.1053/j.gastro.2016.02.031
[3]	DENNISON C, PRASAD M, LLOYD A, et al. The health-related quality of life and economic burden of constipation[J]. Pharmacoeconomics, 2005, 23(5): 461-476. doi: 10.2165/00019053-200523050-00006
[4]	HYAMS J S, DI L C, SAPS M, et al. Functional disorders: children and adolescents[J]. Gastroenterology, 2016, 150: 1456-1468. doi: 10.1053/j.gastro.2016.02.015
[5]	LEE Y J, PARK K S. Understanding the changes in diagnostic criteria for functional constipation in pediatric patients: from Rome Ⅲ to Rome Ⅳ[J]. J Neurogastroenterol Motil, 2019, 25(1): 3-5. doi: 10.5056/jnm18199
[6]	KEARNEY R, EDWARDS T, BRADFORD M, et al. Emergency provider use of plain radiographs in the evaluation of pediatric constipation[J]. Pediatr Emerg Care, 2019, 35(9): 624-629.
[7]	LEWIS M L, PALSSON O S, WHITEHEAD W E, et al. Prevalence of functional gastrointestinal disorders in children and adolescents[J]. J Pediatr, 2016, 177: 39-43. doi: 10.1016/j.jpeds.2016.04.008
[8]	KOPPEN I J, VELASCO-BENITEZ C A, BENNINGA M A, et al. Is there an association between functional constipation and excessive bodyweight in children?[J]. J Pediatr, 2016, 171: 178-182. doi: 10.1016/j.jpeds.2015.12.033
[9]	RAJINDRAJITH S, DEVANARAYANA N M, ADHIKARI C, et al. Constipation in children: an epidemiological study in Sri Lanka using Rome Ⅲ criteria[J]. Arch Dis Child, 2012, 97(1): 43-45. doi: 10.1136/adc.2009.173716
[10]	MIELE E, SIMEONE D, MARINO A, et al. Functional gastrointestinal disorders in children: an Italian prospective survey[J]. Pediatrics, 2004, 114(1): 73-78. doi: 10.1542/peds.114.1.73
[11]	ZABLAH R, VELASCO-BENITEZ C A, MERLOS I, et al. Prevalence of functional gastrointestinal disorders in school-aged children in El Salvador[J]. Rev Gastroenterol Mex, 2015, 80(3): 186-191.
[12]	UDOH E E, RAJINDRAJITH S, DEVANARAYANA N M, et al. Prevalence and risk factors for functional constipation in adolescent Nigerians[J]. Arch Dis Child, 2017, 102(9): 841-844. doi: 10.1136/archdischild-2016-311908
[13]	TAM Y H, LI A M, SO H K, et al. Socioenvironmental factors associated with constipation in Hong Kong children and Rome Ⅲ criteria[J]. J Pediatr Gastroenterol Nutr, 2012, 55(1): 56-61. doi: 10.1097/MPG.0b013e31824741ce
[14]	闫宁, 沈蕙, 徐勇. 苏州市中学生功能性便秘危险因素分析[J]. 中国学校卫生, 2014, 35(8): 1249-1250. http://www.cjsh.org.cn/article/id/zgxxws201408047 YAN N, SHEN H, XU Y. Analysis of risk factors for functional constipation among middle school students in Suzhou[J]. Chin J Sch Health, 2014, 35(8): 1249-1250. http://www.cjsh.org.cn/article/id/zgxxws201408047
[15]	周立平, 邓凌, 黄格丽, 等. 青少年功能性便秘的流行病学调查[J]. 中国儿童保健杂志, 2010, 18(7): 566-568. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201007013.htm ZHOU L P, DENG L, HUANG G L, et al. Epidemiologic study on functional constipation in adolescents[J]. Chin J Child Health Care, 2010, 18(7): 566-568. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201007013.htm
[16]	吕峻峰, 熊勇, 刘玉玲, 等. 儿童及青少年功能性便秘流行病学调查及危险因素分析[J]. 中国妇幼保健, 2012, 27(21): 3301-3303. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201221033.htm LYU J F, XIONG Y, LIU Y L, et al. Epidemiological investigation and analysis of risk factors of functional constipation in children and adolescents[J]. Matern Child Health Care Chin, 2012, 27(21): 3301-3303. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201221033.htm
[17]	周惠清, 李定国, 宋艳艳, 等. 全国城市中小学生功能性便秘危险因素研究[J]. 临床儿科杂志, 2008, 26(2): 113-115. https://www.cnki.com.cn/Article/CJFDTOTAL-LCAK200802014.htm ZHOU H Q, LI D G, SONG Y Y, et al. Risk factors of functional constipation in adolescents in China[J]. J Clin Pediatr, 2008, 26(2): 113-115. https://www.cnki.com.cn/Article/CJFDTOTAL-LCAK200802014.htm
[18]	WU T C, CHEN L K, PAN W H, et al. Constipation in Taiwan elementary school students: a nationwide survey[J]. J Chin Med Assoc, 2011, 74(2): 57-61. doi: 10.1016/j.jcma.2011.01.012
[19]	ZHOU H, YAO M, CHENG G Y, et al. Prevalence and associated factors of functional gastrointestinal disorders and bowel habits in Chinese adolescents: a school-based study[J]. J Pediatr Gastroenterol Nutr, 2011, 53(2): 168-173. doi: 10.1097/MPG.0b013e3182125388
[20]	ASAKURA K, MASAYASU S, SASAKI S. Dietary intake, physical activity, and time management are associated with constipation in preschool children in Japan[J]. Asia Pac J Clin Nutr, 2017, 26(1): 118-129.
[21]	俞汀, 姜柳琴, 林琳. 功能性便秘的新认识: 罗马Ⅳ标准更新点解读[J]. 中华胃肠外科杂志, 2017, 20(12): 1334-1338. YU T, JIANG L Q, LIN L. Update of the Rome criteria for functional constipation[J]. Chin J Gastrointest Surgery, 2017, 20(12): 1334-1338.
[22]	MUGIE S M, BENNINGA M A, DI LORENZO C. Epidemiology of constipation in children and adults: a systematic review[J]. Best Pract Res Clin Gastroenterol, 2011, 25(1): 3-18. doi: 10.1016/j.bpg.2010.12.010
[23]	VAN DEN BERG M M, BENNINGA M A, DI LORENZO C. Epidemiology of childhood constipation: a systematic review[J]. Am J Gastroenterol, 2006, 101(10): 2401-2409. doi: 10.1111/j.1572-0241.2006.00771.x
[24]	叶飞, 王巧民. 慢性便秘的流行病学研究进展[J]. 中国临床保健杂志, 2010, 13(6): 665-667. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ201006051.htm YE F, WANG Q M. Epidemiological research progress of chronic constipation[J]. Chin J Clin Health, 2010, 13(6): 665-667. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ201006051.htm
[25]	KOLOSKI N A, JONES M, WAI R, et al. Impact of persistent constipation on health-related quality of life and mortality in older community-dwelling women[J]. Am J Gastroenterol, 2013, 108(7): 1152-1158. doi: 10.1038/ajg.2013.137
[26]	FATTAHI M R, ALORIZI S M E, NIMROUZI M, et al. A randomized clinical trial on treatment of chronic constipation by traditional Persian medicine recommendations compared to allopathic medicine: a pilot study[J]. Int J Prev Med, 2017, 8(1): 50.
[27]	NELLESEN D, CHAWLA A, OH D L, et al. Comorbidities in patients with irritable bowel syndrome with constipation or chronic idiopathic constipation: a review of the literature from the past decade[J]. Postgrad Med, 2013, 125(2): 40-50. doi: 10.3810/pgm.2013.03.2640
[28]	MASON H J, SERRANO-IKKOS E, KAMM M A. Psychological morbidity in women with idiopathic constipation[J]. Am J Gastroenterol, 2000, 95(10): 2852-2857.