Water and fluid intake in the prevention and treatment of functional constipation in children and adolescents: is there evidence?
Journal Title: Jornal de Pediatria - Year 2017, Vol 93, Issue 4
Abstract
Objective To study the evidence on the role of water and fluid intake in the prevention and treatment of functional intestinal constipation in children and adolescents. Source of data A search was carried out in the Medline database (between 1966 and 2016) for all published articles containing the following words: constipation, water, and fluids, published in Portuguese, English, and Spanish. All original articles that assessed children and adolescents were selected by title and abstract. The references of these articles were also evaluated. Synthesis of data A total of 1040 articles were retrieved. Of these, 24 were selected for reading. The study included 11 articles that assessed children and adolescents. The articles were divided into two categories, those that evaluated water and fluid intake as a risk factor for intestinal constipation and those that evaluated their role in the treatment of intestinal constipation. Five articles were included in the first category. The criteria for assessing fluid intake and bowel rhythm were different in each study. Three studies demonstrated an association between low fluid intake and intestinal constipation. Regarding treatment, five articles with heterogeneous methodologies were found. None of them clearly identified the favorable role of fluid intake in the treatment of intestinal constipation. Conclusion There are few articles on the association between fluid intake and intestinal constipation. Epidemiological evidence indicates an association between lower fluid intake and intestinal constipation. Further clinical trials and epidemiological studies that consider the international recommendations for fluid intake by children and adolescents are required.
Authors and Affiliations
Mauro Batista de Morais
Keywords
Related Articles
- EP ID EP503557
- DOI 10.1016/j.jped.2017.01.005
- Views 58
- Downloads 0
Undersedation is a risk factor for the development of subglottic stenosis in intubated children
Objective To analyze the level of sedation in intubated children as a risk factor for the development of subglottic stenosis. Methods All patients between 30 days and 5 years of age who required endotracheal intubation...
β-defensin-2 in breast milk displays a broad antimicrobial activity against pathogenic bacteria
Objective To describe the antimicrobial activity of β-defensin-2 produced in the mammary gland and secreted in human breast milk. Methods The peptide production was performed by DNA cloning. β-defensin-2 levels were qua...
Blood lead levels in a group of children: the potential risk factors and health problems
Objective To investigate blood lead levels in schoolchildren in two areas of Egypt to understand the current lead pollution exposure and its risk factors, aiming to improve prevention politicies. Subjects and method Thi...
Pneumococcal conjugate vaccine and changing epidemiology of childhood bacterial meningitis
Since the inclusion of Haemophilus influenza type b (Hib) conjugate vaccine (HibCV) into childhood immunization programs, there has been virtual elimination of Hib meningitis in high- and low-income countries.1,2 This re...
Prevalence and factors associated with stunting and excess weight in children aged 0-5 years from the Brazilian semi-arid region
Objective To analyze the prevalence of excess weight and low height, and identify associated factors among children younger than five years. Methods Cross-census study. A total of 1,640 children from two municipalities...