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在罗马尼亚的一个儿科人群样本中确定的慢性功能性便秘的一些风险因素。

Some Risk Factors of Chronic Functional Constipation Identified in a Pediatric Population Sample from Romania.

作者信息

Olaru Claudia, Diaconescu Smaranda, Trandafir Laura, Gimiga Nicoleta, Stefanescu Gabriela, Ciubotariu Gabriela, Burlea Marin

机构信息

"Gr. T. Popa" University of Medicine and Pharmacy, Iași, Romania; "Sf. Maria" Emergency Hospital for Children, Iași, Romania.

"Gr. T. Popa" University of Medicine and Pharmacy, Iași, Romania; "Sf. Spiridon" Emergency Hospital, Iași, Romania.

出版信息

Gastroenterol Res Pract. 2016;2016:3989721. doi: 10.1155/2016/3989721. Epub 2016 Nov 23.

Abstract

We conducted an observational study over a 1-year period, including 234 children aged 4-18 years and their caregivers and a matching control group. 60.73% of the children from the study group were males. Average age for the onset of constipation was 26.39 months. The frequency of defecation was 1/4.59 days (1/1.13 days in the control group). 38.49% of the patients in the sample group had a positive family history of functional constipation. The majority of children with functional constipation come from single-parent families, are raised by relatives, or come from orphanages. Constipated subjects had their last meal of the day at later hours and consumed fast foods more frequently than the children in the control sample. We found a statistically significant difference between groups regarding obesity/overweight and constipation ( = 104.94, df = 2, < 0.001) and regarding physical activity and constipation ( = 18.419; df = 3; < 0.001). There was a positive correlation between the number of hours spent watching television/using the computer and the occurrence of the disease ( = 92.162, < 0.001, and 95% Cl). Children from broken families, with positive family history, defective dietary habits, obesity and sedentary behavior, are at higher risk to develop chronic functional constipation.

摘要

我们进行了一项为期1年的观察性研究,研究对象包括234名4至18岁的儿童及其照顾者,并设立了一个匹配的对照组。研究组中60.73%的儿童为男性。便秘发病的平均年龄为26.39个月。排便频率为每4.59天1次(对照组为每1.13天1次)。样本组中38.49%的患者有功能性便秘的家族阳性史。大多数功能性便秘儿童来自单亲家庭,由亲属抚养,或来自孤儿院。便秘受试者一天中的最后一餐时间较晚,且比对照样本中的儿童更频繁地食用快餐。我们发现两组在肥胖/超重与便秘方面(=104.94,自由度=2,<0.001)以及身体活动与便秘方面(=18.419;自由度=3;<0.001)存在统计学上的显著差异。看电视/使用电脑的时长与疾病的发生呈正相关(=92.162,<0.001,95%置信区间)。来自破裂家庭、有家族阳性史、饮食习惯不良、肥胖且久坐不动的儿童患慢性功能性便秘的风险更高。

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