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Early childhood risk factors for constipation and soiling at school age.

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eMediNexus    02 May 2018

A new study published in the BMJ Pediatrics Open examined the comorbidity between childhood constipation and soiling, and early childhood risk factors for both. This longitudinal study enrolled 8435 participants from the Avon Longitudinal Study of Parents and Children, with maternally reported measures of constipation – six time points between 4 and 10 years, and soiling – five time points between 4 and 9 years. Herein, four latent classes were extracted; vis, normative (74.5%: very low probability of constipation or soiling); constipation alone (13.2%); soiling alone (7.5%); and constipation with soiling (4.8%). The findings revealed that hard stools at 2½ years were associated with increased odds of constipation alone. While developmental delay at 18 months was associated soiling alone and constipation with soiling, but not with constipation alone. On the other hand, limited evidence of associations with socioeconomic background could be determined. Whereas, there was no evidence of associations with age at initiation of toilet training, breast feeding, gestational age or birth weight. From the results, it was inferred that constipation alone was the most prevalent pattern in this cohort. It was stated that treatment for hard stools in early childhood is necessary to prevent chronic constipation in school- going children. Furthermore, it was observed that constipation with soiling was less prevalent than soiling alone.

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