Bidirectional Associations between Fussy Eating and Functional Constipation in Preschool Children - 29/10/14
Abstract |
Objective |
To examine bidirectional associations between a child's fussy eating behavior and functional constipation.
Study design |
Participants were 4823 children enrolled in a prospective cohort study from pregnancy onward. We assessed fussy eating at age 4 years with the Child Eating Behavior Questionnaire, and assessed functional constipation using ROME II and III criteria with parental questionnaires at age 2, 3, 4, and 6 years.
Results |
Higher food fussiness at age 4 years was associated with a greater risk of functional constipation at both 4 years (OR, 1.30; 95% CI, 1.20-1.42; P < .001 per 1 SD increase) and 6 years (OR, 1.12; 95% CI, 1.03-1.23; P < .05 per 1 SD increase). The converse was also observed; previous constipation predicted a greater risk of being a fussy eater at age 4 years (constipation at 2 years: OR, 2.05; 95% CI 1.43-2.94; P < .001; constipation at 3 years: OR, 1.72; 95% CI, 1.26-2.35, P < .001). Path analyses confirmed that the association between fussy eating and functional constipation was indeed bidirectional, showing that functional constipation at age 3 years predicted fussy eater classification at age 4 years (β = 0.06; P < .001), which in turn predicted functional constipation at age 6 years (β = 0.08: P < .001) independent of each other.
Conclusion |
A vicious cycle might develop in which children with functional constipation develop unhealthy eating behavior, which in turn increases the risk of functional gastrointestinal disease.
Le texte complet de cet article est disponible en PDF.Keyword : CBCL, CEBQ
Plan
A.T., J.K.-de-J., and O.F. work at ErasmusAGE, a center funded by Nestlé Nutrition (Nestec Ltd), Metagenics Inc, and AXA. The other authors declare no conflicts of interest. |
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