Abstract
OBJETIVO: Avaliar a influência da mãe ou da cuidadora sobre o consumo de fibra alimentar por crianças e adolescentes com constipação crônica bem como sua relação com a ocorrência de excesso de peso. MÉTODOS: Estudo transversal com 38 crianças e adolescentes com constipação funcional e suas respectivas cuidadoras. Para análise do consumo de fibra alimentar, foi utilizado o registro alimentar de três dias. Peso e estatura foram aferidos para verificar o estado nutricional. A história familiar de constipação foi investigada. RESULTADOS: A maioria dos pacientes com constipação (89,5%; 34/38) apresentava consumo insuficiente de fibra (inferior à idade +5g). Das 38 cuidadoras, apenas uma (2,6%) apresentou ingestão de fibra superior à recomendação mínima (20g/dia). Excesso de peso foi encontrado em 28,9% (11/38) dos pacientes e em 60,5% (23/38) das suas responsáveis. Associação entre excesso de peso e presença de constipação foi verificada entre as cuidadoras (p=0,046). As crianças e adolescentes do sexo feminino com excesso de peso apresentaram menor ingestão de fibra, comparadas às sem excesso de peso (p=0,011). Nos pacientes do sexo masculino, essa associação não foi observada. O consumo de fibra pelas cuidadoras com excesso de peso foi inferior ao das demais (p=0,027). Observou-se correlação entre consumo de fibra pelas crianças com constipação e suas cuidadoras, nos sexos masculino (r=+0,561; p=0,005) e feminino (r=+0,782; p<0,001). CONCLUSÕES: Observou-se relação entre o consumo de fibra alimentar por crianças e adolescentes com constipação crônica e suas respectivas cuidadoras. O consumo insuficiente de fibra associou-se ao excesso de peso e à presença de constipação no gênero feminino.
Highlights
The role of dietary fiber in the prevention and treatment of constipation is discussed with frequency by a number of authors
The association between diets with low dietary fiber content and the incidence of overweight and obesity has been the subject of recent studies[5,6,7], with results highlighting the fact that this dietary profile generally goes hand-in-hand with other undesirable dietary habits
On the basis of this possible parental influence on the dietary habits of their children[8,9] and in the light of the possibility of a relationship between insufficient dietary fiber intake and both intestinal constipation[2,4] and overweight[5,6,7], the objective of this study was to investigate the influence of the dietary habits of mothers or carers on the dietary fiber intake of children and adolescents with chronic constipation and the relationship between fiber intake and the incidence of overweight
Summary
The role of dietary fiber in the prevention and treatment of constipation is discussed with frequency by a number of authors. Few studies have been published that assess the relationship between low dietary fiber intake and constipation within the pediatric population and those that do exist are relatively recent and their results are conflicting[1,2,3,4,5]. The association between diets with low dietary fiber content and the incidence of overweight and obesity has been the subject of recent studies[5,6,7], with results highlighting the fact that this dietary profile generally goes hand-in-hand with other undesirable dietary habits. The home environment, parents’ lifestyle and inter-family relationships can have a major influence on defining the food preferences of children and adolescents[8,9,10]. On the basis of this possible parental influence on the dietary habits of their children[8,9] and in the light of the possibility of a relationship between insufficient dietary fiber intake and both intestinal constipation[2,4] and overweight[5,6,7], the objective of this study was to investigate the influence of the dietary habits of mothers or carers on the dietary fiber intake of children and adolescents with chronic constipation and the relationship between fiber intake and the incidence of overweight
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