Year 2020 / Volume 112 / Number 1
Original
Factors associated with the stool characteristics of children with cerebral palsy and chronic constipation

41-46

DOI: 10.17235/reed.2019.6313/2019

Andrea A. García Contreras, Edgar Manuel Vásquez Garibay, Carmen Alicia Sánchez Ramírez, Mary Fafutis Morris, Vidal Delgado Rizo,

Abstract
Background: chronic constipation is a common gastrointestinal problem in children with cerebral palsy and several factors can influence the stool frequency, consistency and pH in these cases. Aim: to identify the association of dietary factors, use of anticonvulsants and family history of constipation with the stool characteristics of children with cerebral palsy and chronic constipation. Methods: an analytical cross-sectional study was performed of 45 children with cerebral palsy and chronic constipation that included 19 females and 26 males, aged 37 ± 13 months. Dietary factors, the use of anticonvulsants and family history were analyzed. Stool frequency, consistency (Bristol Stool Form Scale) and pH (using a pH-meter) were also determined. Results: there was a positive correlation between stool frequency and the consumption of oilseeds (r = 0.339, p = 0.023). There was a negative correlation between hard stools and fluid intake (r = -0.336, p = 0.042) and between stool pH and the consumption of cereals rich in insoluble fiber, high soluble fiber vegetables, carrots and potatoes (r = -0.339, p = 0.030; r = -0.308, p = 0.044; r = -0.336, p = 0.027; r = -0.307, p = 0.045, respectively). An association was also identified between the use of anticonvulsant polytherapy and hard stools (OR = 14.2 [95% CI 1.16-174], p = 0.038). There was no association between family history and constipation. Conclusions: rich-fiber food consumption, fluids intake and anticonvulsant polytherapy were associated with the stool characteristics of children with cerebral palsy and chronic constipation.
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García Contreras A, Vásquez Garibay E, Sánchez Ramírez C, Fafutis Morris M, Delgado Rizo V. Factors associated with the stool characteristics of children with cerebral palsy and chronic constipation . 6313/2019


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Publication history

Received: 01/04/2019

Accepted: 09/07/2019

Online First: 13/12/2019

Published: 10/01/2020

Article revision time: 91 days

Article Online First time: 256 days

Article editing time: 284 days


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