Toilet training and less fiber consumption as risk factors of constipation in preschool children

I Made  Suwananta; Ni Nyoman Metriani  Nesa; I Putu Gede  Karyana; I Gusti Ngurah Sanjaya  Putra

doi:10.29332/ijhs.v4n3.474

Authors

I Made Suwananta Department of Child Health, Medical School of Udayana University, Denpasar, Indonesia
Ni Nyoman Metriani Nesa
metriani_nesa@yahoo.co.id
Department of Child Health, Medical School of Udayana University, Denpasar, Indonesia
I Putu Gede Karyana Department of Child Health, Medical School of Udayana University, Denpasar, Indonesia
I Gusti Ngurah Sanjaya Putra Department of Child Health, Medical School of Udayana University, Denpasar, Indonesia

Keywords:

children, constipation, fiber, risk factor, toilet training

Abstract

This study aimed to determine the prevalence and risk factors for children with constipation. This research was an analytic cross-sectional study. The sampling method was cluster sampling. The research was conducted at some kindergartens in Denpasar, Bali from October to November 2019. Data were obtained based on questionnaires distributed to parents and anthropometric examinations. Constipation was defined according to The Rome IV criteria. There were 215 children included in the study and 43 (20%) children had constipation. Children who started toilet training before the age of 1.5 years or after 2 years had 2,73 times the risk of developing constipation (p = 0.019; 95% CI 1.18-6.3). Children with less fiber consumption in a day had the risk of experiencing constipation 7.25 times (p = 0.001; 95% CI 3.38-15.5). Other risk factors such as sex, physical activity, screen contact, water consumption, nutritional status, birth weight, and mother education did not statistically relate to constipation. Toilet training before the age of 1.5 years or after 2 years and low fiber consumption are risk factors for constipation in preschool children in Denpasar.

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