Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Department of Pediatric Surgery, Queen Silvia Children's Hospital, Gothenburg, Sweden.
Acta Paediatr. 2023 Jun;112(6):1341-1350. doi: 10.1111/apa.16736. Epub 2023 Mar 10.
During infancy bowel habits change. Most infants with gastrointestinal problems have a functional gastrointestinal disorder (FGID), a major reason for visiting paediatricians. This study aims to provide data on stool frequency and consistency during the first year, prevalence rates for functional constipation (FC) and to establish associations with relevant demographic data. The occurrence of infant colic (IC) and infant dyschezia (ID) was also reported.
This prospective observational birth-cohort study enrolled 122 healthy full-term infants. Questionnaires were completed at 2 weeks and 2, 6 and 12 months.
Stool frequency decreased with age and consistency changed, with fewer runny stools. At 2 weeks, 24.3% had at least one of the studied FGID. FC was found in 2.6%-14.3% (up to 12 months), IC was found in 4.9%-3.4% (up to 2 months) and ID in 22.1%-3.9% (up to 6 months). Infants with an FGID had a lower weight and more healthcare visits than infants without. Breastfeeding and a high percentage of runny stools at 2 weeks of age decreased the odds of developing FC.
Data on bowel habits and the prevalence of FC, IC and ID are presented. FGID during infancy is common and affects children's well-being, while their families need support and advice.
婴儿期的肠道习惯会发生变化。大多数有胃肠道问题的婴儿都患有功能性胃肠疾病（FGID），这是儿科医生就诊的主要原因。本研究旨在提供婴儿期第一年粪便频率和稠度的数据、功能性便秘（FC）的患病率，并确定与相关人口统计学数据的关联。还报告了婴儿绞痛（IC）和婴儿排便困难（ID）的发生情况。
这是一项前瞻性观察性出生队列研究，纳入了 122 名健康的足月婴儿。在 2 周、2、6 和 12 个月时完成问卷调查。
粪便频率随年龄而减少，稠度也发生变化，稀便减少。在 2 周时，24.3%的婴儿至少有一种研究中的 FGID。FC 的发生率为 2.6%-14.3%（直至 12 个月），IC 的发生率为 4.9%-3.4%（直至 2 个月），ID 的发生率为 22.1%-3.9%（直至 6 个月）。患有 FGID 的婴儿体重较低，就诊次数多于无 FGID 的婴儿。母乳喂养和 2 周时稀便比例较高可降低 FC 的发病几率。
本研究提供了有关婴儿肠道习惯和 FC、IC 和 ID 患病率的数据。婴儿期 FGID 很常见，会影响儿童的健康，而其家庭需要支持和建议。
