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KMID : 0816120020050010026
Korean Journal of Pediatric Gastroenterolology and Nutrition
2002 Volume.5 No. 1 p.26 ~ p.32
The Prevalence and Associated Factors of Constipation in the School-aged Children
Cho Sung-Jong

Ahn Young-Jun
Kim Eun-Young
Rho Young-Il
Yang Eun-Seok
Park Yeong-Bong
Moon Kyung-Rye
Abstract
Purpose: Constipation in childhood is a significant problem, however, understanding of its epidemiology has been limited in Korea. The aim of this study was to investigate the prevalence and risk factors of constipation in school-aged children, helping to manage and prevent it.

Methods: This cross-sectional, descripsive observational prevalence study included children (2 grade, 1st and 6th grade) who were attending two elementary schools in Gwangju. The prevalence of constipation, associated symptoms, and risk factors were evaluated by questionnaire. A child was considered to be constipated when he or she defecated two or less times per week.

Results: The prevalence of constipation was 15.4%. There is no significant difference between both sexes and grades. Of the causes of constipation, there was statistically significant difference in exercise deficiency, frequent intake of convenience food, long-time watching TV, unbalanced diet and enuresis history between constipation and normal group. Especially, long-time watching TV, exercise deficiency, and enuresis history were risk factors for development of constipation. Only 27.1% of children with constipation were treated by laxative and enema.

Conclusion: Even though the prevalence of constipation was high, more than half of them was not treated at all. We should endeavor to educate the children and their parents to prevent constipation by evaluating the feeding and behavioral habit completely, and treating them properly.
KEYWORD
Constipation, Risk factors
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