Tags

Type your tag names separated by a space and hit enter

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 Jan; 52(1):55-9.JP

Abstract

OBJECTIVES

The aim of the study was to evaluate, over 24 months, the intake of dietary fiber (DF) and the bowel habit (BH) of constipated children advised a DF-rich diet containing wheat bran.

PATIENTS AND METHODS

BH and dietary data of 28 children with functional constipation defined by the "Boston criteria" were obtained at visit 1 (V1, n = 28) and at 4 follow-up visits (V2-V5, n = 80). At each visit the BH was rated BAD (worse/unaltered; improved but still complications) or RECOVERY (REC) (improved, no complications; asymptomatic), and a food intake questionnaire was applied. DF intake was calculated according to age (year) + 5 to 10 g/day and bran intake according to international tables. Nonparametric statistics were used.

RESULTS

Median age (range) was 7.25 years (0.25-15.6 years); 21 children underwent bowel washout (most before V1/V2), and 14 had the last visit at V3/V4. DF intake, bran intake, and the BH rate significantly increased at V2 and remained higher than at V1 through V2 to V5. At V1, median DF intake was 29.9% below the minimum recommended and at the last visit 49.9% above it. Twenty-four children accepted bran at 60 visits, at which median bran intake was 20 g/day and median proportion of DF due to bran 26.9%. Children had significantly higher DF and higher bran intake at V2 to V5 at which they had REC than at those at which they presented BAD BH. DF intake > age +10 g/day was associated with bran acceptance and REC. At the last visit 21 children presented REC (75%); 20 of them were asymptomatic and 18 were off washout/laxatives.

CONCLUSIONS

High DF and bran intake are feasible in constipated children and contribute to amelioration of constipation.

Authors+Show Affiliations

Pediatric Gastroenterology, Department of Pediatrics, Botucatu Medical School, UNESP-São Paulo State University, Botucatu, SP-Brazil. vlmaffei@uol.com.brNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

20975583

Citation

Maffei, Helga Verena Leoni, and Andréa Pereira Vicentini. "Prospective Evaluation of Dietary Treatment in Childhood Constipation: High Dietary Fiber and Wheat Bran Intake Are Associated With Constipation Amelioration." Journal of Pediatric Gastroenterology and Nutrition, vol. 52, no. 1, 2011, pp. 55-9.
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(1):55-9.
Maffei, H. V., & Vicentini, A. P. (2011). Prospective evaluation of dietary treatment in childhood constipation: high dietary fiber and wheat bran intake are associated with constipation amelioration. Journal of Pediatric Gastroenterology and Nutrition, 52(1), 55-9. https://doi.org/10.1097/MPG.0b013e3181e2c6e2
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(1):55-9. PubMed PMID: 20975583.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective evaluation of dietary treatment in childhood constipation: high dietary fiber and wheat bran intake are associated with constipation amelioration. AU - Maffei,Helga Verena Leoni, AU - Vicentini,Andréa Pereira, PY - 2010/10/27/entrez PY - 2010/10/27/pubmed PY - 2011/4/5/medline SP - 55 EP - 9 JF - Journal of pediatric gastroenterology and nutrition JO - J Pediatr Gastroenterol Nutr VL - 52 IS - 1 N2 - OBJECTIVES: The aim of the study was to evaluate, over 24 months, the intake of dietary fiber (DF) and the bowel habit (BH) of constipated children advised a DF-rich diet containing wheat bran. PATIENTS AND METHODS: BH and dietary data of 28 children with functional constipation defined by the "Boston criteria" were obtained at visit 1 (V1, n = 28) and at 4 follow-up visits (V2-V5, n = 80). At each visit the BH was rated BAD (worse/unaltered; improved but still complications) or RECOVERY (REC) (improved, no complications; asymptomatic), and a food intake questionnaire was applied. DF intake was calculated according to age (year) + 5 to 10 g/day and bran intake according to international tables. Nonparametric statistics were used. RESULTS: Median age (range) was 7.25 years (0.25-15.6 years); 21 children underwent bowel washout (most before V1/V2), and 14 had the last visit at V3/V4. DF intake, bran intake, and the BH rate significantly increased at V2 and remained higher than at V1 through V2 to V5. At V1, median DF intake was 29.9% below the minimum recommended and at the last visit 49.9% above it. Twenty-four children accepted bran at 60 visits, at which median bran intake was 20 g/day and median proportion of DF due to bran 26.9%. Children had significantly higher DF and higher bran intake at V2 to V5 at which they had REC than at those at which they presented BAD BH. DF intake > age +10 g/day was associated with bran acceptance and REC. At the last visit 21 children presented REC (75%); 20 of them were asymptomatic and 18 were off washout/laxatives. CONCLUSIONS: High DF and bran intake are feasible in constipated children and contribute to amelioration of constipation. SN - 1536-4801 UR - https://www.unboundmedicine.com/medline/citation/20975583/Prospective_evaluation_of_dietary_treatment_in_childhood_constipation:_high_dietary_fiber_and_wheat_bran_intake_are_associated_with_constipation_amelioration_ L2 - https://doi.org/10.1097/MPG.0b013e3181e2c6e2 DB - PRIME DP - Unbound Medicine ER -