Obese children seem to be more likely to experience constipation and lack of bowel control, according to research released this month.
Researchers found that nearly one in four obese kids, ages 1-18, are constipated. That is about 10 percent higher than previous statistics on 2-year-old children. Only 3 percent of older children have the same problem. Obese children also are more likely to have bowel control issues. The study found that 15 percent of obese kids experience fecal soiling, a problem that usually affects only 1 to 3 percent of all children.
Researchers from the study stressed the difficulty of identifying why the rate of constipation and control issues were so much higher in obese children. They did agree that the bowel problems might be caused by low-fiber diets or intestinal troubles.
The research team interviewed 80 children, ages 1-18, about their bowels during a visit to an obesity clinic. Constipation was defined as having specific symptoms -- such as infrequent stools, straining or painful defecation -- at least 25 percent of the time for at least three months. Fecal soiling was defined as finding stool on underwear or pajamas in children older than the age of 4 for at least three months.
According to researchers, many pediatricians are unaware that their obese patients have bowel problems. Doctors tend to focus on more high profile health problems associated with obesity. It is not a routine practice for doctors to ask children about their bowels.
In addition, children may not tell their parents about symptoms, and parents may not notice signs of constipation and soiled laundry.
One doctor said the study identified a big problem and it is up to researchers to find out what's behind it. Despite the findings, he stressed that obese children and their parents should not blame themselves. Especially since constipation and fecal soiling can be embarrassing and make life more difficult for a child already struggling with other weight issues.
Both conditions can be treated.
To identify if their child has a problem, parents should first talk to them and try to be more observant. Researchers advised that parents should ask their obese kids how often they have bowel movements; they also could check the laundry for signs of fecal soiling.
If there are signs of problems, parents should see a doctor.
Yahoo! News, September 2, 2004
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