Functional constipation and posture in defecation

Main Article Content

Fahrul Azmi Tanjung
Supriatmo Supriatmo
Atan Baas Sinuhaji
Hakimi Hakimi

Abstract

Background Functional constipation is often a consequence of
habitual bowel elimination while sitting on common toilet seats.
A considerable proportion of the population with n ormal bowel
movement frequency has difficulty emptying their bowels. The
principal cause of this problem may be the obstructive nature of
the rectoanal angle and its relationship to the posture normally
used in defecation.
Objective To assess the relationship between functional constipation
with the posture (sitting vs squatting) during defecation
in children.
Methods We conducted a cross-sectional study in November
2010. Participants aged 12- 15 years were selected consecutively
from a junior high school in Medan . Parents and children filled
questionnaires and were interviewed. Functional constipation was
assessed based on the Rome III criteria.
Results Sixty-five students enrolled in the study. There was no
statistically significant diffe rences in subjects' characteristics.
T here was a significant correlation between functional constipation
with posture during defecation in children (RR= 0.06, 95%CI
0.02 to 0.25; P=0.0001). Functional constipation was more likely
occured in children with sitting (12/20) th an squatting posture
(4/45) during defecation.
Conclusion We found th at posture in defecation is correlated
to functional con stipation in children.

Article Details

How to Cite
1.
Tanjung F, Supriatmo S, Sinuhaji A, Hakimi H. Functional constipation and posture in defecation. PI [Internet]. 30Apr.2013 [cited 18Oct.2019];53(2):104-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/262
Section
Articles
Received 2016-08-19
Accepted 2016-08-19
Published 2013-04-30

References

1. Sikirov D. Comparison of straining during defecation in three
positions: results and implications for human health. Dig Dis
Sci. 2003;48: 1201-5.
2. Singh A. Do we really need to shift to pedestal type oflatrines
in India . Indian} Community Med. 2007;32:239-307.
3. Sikirov BA . Primary constipation : an underlying mechanism.
Med Hypotheses. 1989;28:71-3.
4. Firmansyah A. Konstipasi pada anak. In: Juffrie M, Soenarto
SSY, Oswari H, AriefS, Rosalina I, Mulyani NS, editors. Buku
ajar gastroenterologi-hepatologi. Jakarta: Badan penerbit
IDAI; 2010. p. 201-14.
5. Wyllie R. Constipation. In: Kliegman RM, Behrman
RE, Jenson HB, Stanton BF, editors. Nelson textbook of
pediatrics. 18th ed. Philadelphia: Saun ders Elsevier; 2007.
p. 1525-65.6. Brennan LK. Constipation. In: Zaotis LB, Chiang VW, editors.
Comprehensive pediatric hospital medicine. Philadelphia:
Mosby; 2007. p. 612-16.
7. Sakakibara R, Tsunoyama K, Hosoi H, Takahashi 0,
Sugiyama M, Kishi M, et al. Influence of body position on
defecation in humans. LUTS. 2010;2:16-21.
8. Croffie JM. Constipation in children. Indian J Pediatr.
2006;73:697-701.
9. Bongers MEJ, Benninga MA, Maurice-Stam H, Grootenhuis
MA. Health-related quality of life in young adults with
symptoms of constipation continuing from childhood into
adulthood. Biomed Central. 2009; 7: 1-9.
10. World Gastroenterology Organization. World gastroenterology
organization practice guidelines: constipation. WGO. 2007. p.
1-10. Available from: http://www.worldgastroenterology.org/
assets/downloads/en/pdf/guidelines/05 _ constipation.pdf
11. Loening-Baucke V. Prevalence rates for constipation
and faecal and urinary incontinence. Arch Dis Child.
2007;92:486-9.
12. Elberg J, McDuffie JR, Sebring NG, Salaita C, Keil M,
Robotham D, et al. Comparison of methods to assess change
in children's body composition. AmJ Clin Nutr. 2004;80:64-
9.
13. Demerath EW, Schubert CM, Maynard LM, Sun SS,
Chumlea WC, Pickoff A, et al. Do changes in body mass
index percentile reflect changes in body composition in
children? Data from the Fels Longitudinal Study. Pediatrics.
2006;117:487-95.