Evaluation of constipation and its related risk factors in preschool children aged 3 to 5 years in Children’s medical center Hospital from September 2019 to September 2021
بررسی یبوست و عوامل خطر مرتبط با آن در کودکان پیش دبستانی 3 تا 5 سال در بیمارستان مرکز طبی کودکان از سپتامبر 2019 تا سپتامبر2021
[Dissertation]
Mohammad Yaseen
محمد یاسین
Tehran University of Medical Sciences, Faculty of Medicine
2022
48p
Doctor of Medicine(MD)
Introduction: Chronic constipation is defined as a rare/difficult passage of stools. The prevalence of constipation in children has been estimated at 1 to 30 % in the general population worldwide. The majority of the children do not exhibit an obvious cause and are classified under functional constipation (FC). The most common pathogenesis of FC is a vicious cycle, which starts with painful defecation and then leads to stool-withholding behavior. The present study will evaluate constipation and its related risk factors in preschool children in Tehran.Method: This research is a cross-sectional descriptive study, subjects were pre-school-aged children (3 - 5 years) who were referred to children’s medical center Hospital from September 2019 to September 2021, and data was collected using a self-administered questionnaire for mothers. The analysis was performed by SPSS.Results: A total of 220 constipated children were included in our study, of which 112(50.9%) were boys and 108(49.1%) were girls. The mean age of our sample was found to be 3.96 years. We found that in constipated children, only 30.9% had a history of fruit and vegetable consumption. We also noted that 52.7% of the constipated children had 0 hours of outdoor playtime while 46.4% had outdoor playtime of 2 hours or less. It was found that 55.9% had 0 hours spent at a daycare facility, while 40.9% spent a total of 2 hours at the daycare facility. It was found that 37.3% were breastfed for 6 months or less. Also, we found that 74.1% of the children consumed a high-fat diet, 56.8% had a family history of constipation, and 53.6% had a history of formula feeding. We also found that the patients who had BMI over 25 suffered more from constipation.Conclusion:According to this study, Major risk factors for constipation included the children who had less intake of fruits and vegetables, high fat diet or fast food consumption, History of formula feeding, family history of constipation, history of fewer than 6 months of breastfeeding, and 0 hours of playing outdoor per day. Our study found that constipation was more prevalent in children with 0 hours of daycare attendance. Also, our study found that those children who had an age group of 3-4 years and who had BMI >25 were at increased risk for constipation.
مقدمه (Introduction): یبوست مزمن به عنوان یک دفع نادر / دشوار مدفوع تعریف می شود. شیوع یبوست در کودکان بین 1 تا 30 درصد در جمعیت عمومی در سراسر جهان برآورد شده است. اکثریت کودکان علت آشکاری از خود نشان نمی دهند و تحت عنوان یبوست عملکردی (FC) طبقه بندی می شوند. شایع ترین پاتوژنز FC یک چرخه معیوب است که با اجابت مزاج دردناک شروع می شود و سپس منجر به رفتار دفع مدفوع می شود. مطالعه حاضر به بررسی یبوست و عوامل خطر مرتبط با آن در کودکان پیش دبستانی شهر تهران می پردازد.روش (Methodology): این پژوهش یک مطالعه توصیفی مقطعی است، آزمودنیها کودکان پیش دبستانی (3 تا 5 سال) بودند که از September 2019 تا September 2021 به بیمارستان مرکز طبی کودکان مراجعه کرده بودند و اطلاعات با استفاده از پرسشنامه خود ایفا برای مادران جمع آوری شد. تجزیه و تحلیل آماری با استفاده از نرم افزار SPSSانجام شد.یافته ها (Results): به طور کلی, ما 220 کودک مبتلا به یبوست وارد مطالعه شدند که از این تعداد 112 نفر (9/50%) پسر و 108 نفر (1/49%) دختر بودند. میانگین سنی در نمونه ما 96/3 سال به دست آمد. ما دریافت کردیم که در کودکان یبوست دارند، تنها 30.9 درصد سابقه مصرف میوه و سبزی داشتند. ما همچنین دریافتیم که 52.7 درصد از کودکان با 0 ساعت بازی در فضای باز یبوست داشتند و در حالی که 46.4 درصد در فضای باز 2 ساعت یا کمتر زمان بازی داشتند. مشخص شد که 55.9 درصد 0 ساعت را در مهدکودک سپری کرده اند، در حالی که 40.9 درصد در مجموع 2 ساعت را در مهدکودک گذرانده اند که یبوست داشته اند. مشخص شد که 37.3 درصد به مدت 6 ماه یا کمتر از شیر مادر تغذیه می کردند که یبوست داشتند.
Constipation
یبوست
risk factors
عوامل خطر
preschool children
کودکان پیش دبستانی
, Author
, Author
Yaseen, Mohammad
یاسین، محمد
, Thesis advisor
, Thesis advisor
, Thesis advisor
, Thesis advisor
, Consulting advisor
, Consulting advisor
, Consulting advisor
, Consulting advisor
Ghazi Zadeh Esslami, Golnaz
قاضی زاده اسلامی، گلناز
Rahmani, Parisa
رحمانی، پریسا
Ruhani, Pajman
روحانی، پژمان
Allahverdi, Bahareh
اله وردی، بهاره
Tehran University of Medical Sciences, Faculty of Medicine