Age of Onset of Functional Constipation

J Pediatr Gastroenterol Nutr. 2016 Apr;62(4):600-2. doi: 10.1097/MPG.0000000000001011.

Abstract

In a review of 538 children with functional constipation, we analyzed ages of presentation and onset, symptom duration, and behavioral/developmental problems. We divided the subjects into quartiles (Q1-Q4) based on age of onset. Median onset age was 2.3 years. The oldest group had the shortest symptom duration before referral at 1.8 ± 1.8 years (compared with Q3 to Q1, P = 0.039, P = 0.001, P < 0.001, respectively). Of the Q4 subjects, 22% had a behavioral/developmental problem (P < 0.001 compared with Q1-Q3). We conclude that most children develop functional constipation as infants and toddlers, but those with later onset are more likely to have behavioral/developmental issues and see a specialist sooner.

MeSH terms

  • Age of Onset
  • Child Behavior Disorders / epidemiology
  • Child Development*
  • Child, Preschool
  • Comorbidity
  • Constipation / epidemiology
  • Constipation / physiopathology*
  • Constipation / therapy
  • Developmental Disabilities / epidemiology
  • Digestive System / physiopathology*
  • Female
  • Hospitals, Pediatric
  • Humans
  • Infant
  • Male
  • New Orleans / epidemiology
  • Outpatient Clinics, Hospital
  • Prevalence
  • Referral and Consultation
  • Retrospective Studies
  • Sex Factors
  • Time Factors