O que comem as crianças constipadas/What constipated children eat
DOI:
https://doi.org/10.34119/bjhrv3n6-353Keywords:
Constipação Intestinal, Criança, Nutrição da criança.Abstract
Introdução: A constipação intestinal em pacientes pediátricos é um problema de saúde em todo o mundo. Objetivo: Avaliar o perfil alimentar de crianças e adolescentes com diagnóstico de constipação intestinal funcional. Métodos: Estudo transversal em que foram incluídos indivíduos com idade entre 3 - 18 anos e diagnóstico de constipação intestinal funcional pelos critérios de Roma IV. O hábito alimentar foi avaliado pelo Registro de Consumo Alimentar. O nível de significância adotado para este estudo foi de 5%. Resultados: Das 32 crianças e adolescentes, 19/32 eram do sexo masculino, média de idade de 8,8 anos e uma média de tempo de acompanhamento de 12,8 meses. Quanto ao estado nutricional, 22/32 estavam eutróficas. Em 31/32 pacientes foi identificado uma ingestão de água abaixo do recomendado e 53,1% do grupo estudado não atingiu a recomendação quanto à quantidade mínima de fibra. Conclusões: A adesão ao consumo de água e fibras foi insuficiente, em relação às recomendações entre crianças e adolescentes constipadas durante acompanhamento em clínica especializada.
References
Koppen IJN, Vriesman MH, Saps M, Rajindrajith S, Shi X, van Etten-Jamaludin FS, et al. Prevalence of Functional Defecation Disorders in Children: A Systematic Review and Meta-Analysis. J Pediatr. 2018; 198:121-30. https://doi.org/10.1016/j.jpeds.2018.02.029.
Peralta-Palmezano JJ, Guerrero-Lozano R. Prevalence of Functional Gastrointestinal Disorders in School Children and Adolescents. Korean J Gastroenterol. 2019;73(4): 207–12. https://doi.org/10.4166/kjg.2019.73.4.207.
Sampaio C, Sousa AS, Fraga LGA, Veiga ML, Bastos Netto JM, Barroso U. Constipation and Lower Urinary Tract Dysfunction in Children and Adolescents: A Population-Based Study. Front Pediatr. 2016;4(October):1–6. https://doi.org/10.3389/fped.2016.00101.
Oswari H, Alatas FS, Hegar B, Cheng W, Pramadyani A, Benninga MA, et al. Epidemiology of Paediatric constipation in Indonesia and its association with exposure to stressful life events. BMC Gastroenterol. 2018; 1–8. https://doi.org/10.1186/s12876-018-0873-0.
Boilesen SN, Tahan S, Dias FC, Melli LCFL, Morais MB. Ingestão de água e líquidos na prevenção e no tratamento da constipação intestinal funcional em crianças e adolescentes: existem evidências?. J Pediatr (Rio J). 2017;93(4):320-27. https://doi.org/10.1016/j.jped.2017.01.005.
Drossman DA, Chang L, Chey WD, Kellow J, Tack J, Whitehead WE. Functional Gastrointestinal Disorders: Disorders of Gut-Brain Interaction. 4th ed; 2016. 1.500 p.
Institute of Medicine. Dietary Reference Intakes Research Synthesis: Workshop Summary. Washington, DC: The National Academies Press 2007. https://doi.org/10.17226/11767.
Williams CL, Bollella M, Wynder EL. A new recommendation for dietary fiber in childhood. Pediatrics, nov. 1995, p.985-88.
Sociedade Brasileira de Pediatria. Manual de orientação para a alimentação do lactente, do pré-escolar, do escolar, do adolescente e na escola/ Sociedade Brasileira de Pediatria. 3. ed. Rio de Janeiro: Departamento de Nutrologia, 2012. 148 p.
World of Health Organization. WHO Child Growth Standards. Geneva: World Health Organization, 2006.
World of Health Organization. Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization 2007; 85: p. 660-67. https://doi.org/10.2471/BLT.07.043497.
Appak YÇ, Karakoyun M, Koru NT, Baran M. Dietary properties and anthropometric findings of children with functional constipation: A cross-sectional study. Arch Argent Pediatr. 2019; 224–31. https://doi.org/ 10.5546/aap.2019.eng.e224.
Korczak R, Kamil A, Fleige L, Donovan SM, Slavin JL. Dietary fiber and digestive health in children. Nutr Rev. 2017; 241–59. https://doi.org/10.1093/nutrit/nuw068.
Agakidis C, Kotzakioulafi E, Petridis D, Apostolidou K, Karagiozoglou-Lampoudi T. Mediterranean diet adherence is associated with lower prevalence of functional gastrointestinal disorders in children and adolescents. Nutrients. 2019; 1–11. https://doi.org/10.3390/nu11061283.
Instituto Brasileiro de Geografia e Estatística. Pesquisa de orçamentos familiares 2017-2018: análise do consumo alimentar pessoal no Brasil/ IBGE, Coordenação de Trabalho e Rendimento. Rio de Janeiro: IBGE, 2020. 124p.
Meira RCF, Barros Filho AA, Barros MBA, Assumpção D. Baixo Consumo de Fibras Alimentares e a Contribuição dos Ultraprocessados: Evidências do ISACamp-Nutr. [tese]. Campinas: Universidade Estadual de Campinas; 2019.
Okuda M, Kunitsugu I, Yoshitake N, Sasaki S. The relationship between functional constipation and dietary habits in school-age Japanese children. J Nutr Sci Vitaminol (Tokyo). 2019; 38–44. https://doi.org/10.3177/jnsv.65.38.
Wegh CAM, Schoterman MHC, Vaughan EE, Belzer C, Benninga MA. The effect of fiber and prebiotics on children’s gastrointestinal disorders and microbiome. Expert Review of Gastroenterology and Hepatology. 2017; 1031–1045.https://doi.org/10.1080/17474124.2017.1359539.
Mello PP, Eifer DA, Mello ED. Use of fibers in childhood constipation treatment: systematic review with meta-analysis. J Pediatr. 2018; 94(5):460–70. https://doi.org/10.1016/j.jped.2017.10.014.
Fifi AC, Saps M. Diet and functional gastrointestinal disorders in children. Is the focus on food exaggerated? Nutrients. 2019;11(2): 10–2. https://doi.org/10.3390/nu11020250.
Yang CH, Punati J. Practice patterns of pediatricians and trainees for the management of functional constipation compared with 2006 NASPGHAN guidelines. J Pediatr Gastroenterol Nutr. 2015; 60(3):308–11. https://doi.org/10.1097/MPG.0000000000000591.
Mosi?ska P, Martín-Ruiz M, González A, López-Miranda V, Herradón E, Uranga JA, et al. Changes in the diet composition of fatty acids and fiber affect the lower gastrointestinal motility but have no impact on cardiovascular parameters: In vivo and in vitro studies. Neurogastroenterol Motil. 2019; 1–18. https://doi.org/10.1111/nmo.13651.
Seid MA, Abdela OA, Zeleke EG. Adherence to self-care recommendations and associated factors among adult heart failure patients. From the patients’ point of view. PLoS One. 2019;14(2):1–13. https://doi.org/10.1371/journal.pone.0211768.
Andreoli CS, Vieira-Ribeiro SA, Fonseca PCA, Moreira AVB, Ribeiro SMR, Morais MB, et al. Eating habits, lifestyle and intestinal constipation in children aged four to seven years. Nutr Hosp 2019;36 (1):25-31. https://doi.org/10.20960/nh.02059.
Ackland ML, Michalczyk AA. Zinc and infant nutrition. Arch Biochem Biophys. 2016;51–7. https://doi.org/10.1016/j.abb.2016.06.011.
Bloch KV, Cardoso MA, Sichieri R. Estudo dos Riscos Cardiovasculares em Adolescentes (ERICA): resultados e potencialidade. Rev Saude Publica. 2016; 1-3. https://doi.org/10.1590/S01518-8787.201605000SUPL1AP.
Agakidis C, Kotzakioulafi E, Petridis D, Apostolidou K, Karagiozoglou-Lampoudi T. Mediterranean diet adherence is associated with lower prevalence of functional gastrointestinal disorders in children and adolescents. Nutrients. 2019; 1–11. https://doi.org/10.3390/nu11061283.
Taylor CM, Northstone K, Wernimont SM, Emmett PM. Picky eating in preschool children: Associations with dietary fibre intakes and stool hardness. Appetite. 2016; 100:263–71. https://doi.org/10.1016/j.appet.2016.02.021.
Tharner A, Jansen PW, Kiefte-de Jong JC, Moll HA, Hofman A, Jaddoe VWV, et al. Bidirectional associations between fussy eating and functional constipation in preschool children. J Pediatr. 2015;166(1):91-6. https://doi.org/10.1016/j.jpeds.2014.09.028.


