Consumo de fibra dietaria, por día, en niños con estreñimiento funcional y síndrome de intestino irritable
DOI:
https://doi.org/10.18041/1900-3803/entramado.1.5412Palabras clave:
Estreñimiento, síndrome de colon irritable, enfermedades del sistema digestivo, fibras de la dieta, niñoResumen
Los principales desórdenes gastrointestinales funcionales (DGF) pediátricos son estreñimiento funcional (EF) y síndrome de intestino irritable (SII). Se recomienda en niños, la edad más 5 gramos de fibra dietaria diaria (FDD). El objetivo de la investigación es determinar el consumo de FDD y sus asociaciones. Se trata de un estudio de casos y controles. Fueron incluidos 8 niños con EF y 15 con SII según los Criterios de Roma III y 46 sanos. Por recordatorio de 24 horas se determinó el consumo de FDD. Se incluyeron variables sociodemográficas y antropométricas. El análisis estadístico incluyó medidas de tendencia central; t-student, chi cuadrado, y prueba exacta de Fisher, análisis uni y multivariados, siendo una p<0,05 significativa. Los 69 niños (10,7±1,6 años de edad; 41 masculinos); 56,5% malnutridos; consumieron 1,2±0,8 gr de FDD. No hubo diferencias significativas en niños con EF, SII y variables sociodemográficas, antropométricas y consumo de FDD. Los niños con EF, SII y sanos, tuvieron consumo de FDD subóptimo. A menor cantidad de FDD, mayor oportunidad de presentar DGF (OR=1,31 IC95%=0,32-6,52 p>0,05). En conclusión, el consumo de FDD fue subóptimo en niños con EF, SII y sanos con mayor oportunidad de presentar DGF cuando se consume menor cantidad de FDD.
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BIJKERK, Cornelis; MURIS, Jean; KNOTTNERUS, André; HOES, Arno; DE WIT, Niek. Systematic review: the role of different types of fibre in the treatment of irritable bowel syndrome. In: Alimentary Pharmacology and Therapeutics. March, 2004. vol. 19, no. 3, p. 245–251. DOI: 10.1111/j.0269-2813.2004.01862.x. Available in: https://onlinelibrary.wiley.com/doi/10.1111/j.0269-2813.2004.01862.x
BOJÓRQUEZ-RAMOS, María del Carmen; ROMERO-VELARDE, Enrique; LARROSA-HARO, Alfredo; VÁSQUEZ-GARIBAY, Edgar Manuel; MACÍAS-ROSALES, Rocío; et al. Fiber Ingestion in Children with chronic functional constipation. In: Journal of Pediatric Gastroenterology and Nutrition. October, 2004. Vol. 39, no. 10, p. S237. Available in: https://journals.lww.com/jpgn/Fulltext/2004/06001/P0475_FIBER_INGESTION_IN_CHILDREN_WITH_CHRONIC.599.aspx#epub-link
BORONAT, Alexandre Canon; FERREIRA-MAIA, Ana Paula; MATIJASEVICH, Alicia; WANG, Yuan-Pan. Epidemiology of functional gastrointestinal disorders in children and adolescents: A systematic review. In: World Journal of Gastroenterology. June, 2017. vol. 23, no. 21, p. 3915–3927. DOI: 10.3748/wjg.v23.i21.3915. Available in: https://www.wjgnet.com/1007-9327/journal/v23/i21/index.htm
BOROWITZ, Stephen; COX, Daniel; KOVATCHEV, Boris; RITTERBAND, Lee; SHEEN, Jennifer; SUTPHEN, James. Treatment of childhood constipation by primary care physicians: efficacy and predictors of outcome. In: Pediatrics. April 2005. Vol. 115, no. 4, p. 873-877. Available in: https://pediatrics.aappublications.org/content/115/4/873.abstract
BURGERS, Rosa; BONANNO, Elvira; MADARENA, Elisa; GRAZIANO, Francesca; PENSABENE, Licia; GARDNER, William, et al. The care of constipated children in primary care in different countries. In: Acta Paediatrica. February, 2012. vol. 101, no. 2, p. 677-680. DOI: 10.1111/j.1651-2227-2012.02632.x. Available in: https://onlinelibrary.wiley.com/doi/10.1111/j.1651-2227.2012.02632.x
CHAO, Hsun-Chin; LAI, Ming-Wei; KONG, Man-Shan; CHEN, Shih-Yen; CHEN, Chien-Chang; CHIU, Cheng-Hsun. Cutoff volume of dietary fiber to ameliorate constipation in children. In: The Journal of Pediatrics. July, 2008. vol. 153, no. 7, p. 45-49. DOI: 10.1016/j.jpeds.2007.12.044. Available in: https://www.jpeds.com/article/S0022-3476(07)01186-9/fulltext
DE MELLO, Patricia; EIFER, Diego; DE MELLO, Elza. Use of fibers in childhood constipation treatment: Systematic review with meta-analysis. In: Jornal de Pediatria. October, 2018. vol. 94, no. 10, p. 460-470. DOI: 10.1016/j.jped.2017.10.014. Available in: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572018000500460&lng=en&nrm=iso
FORD, Alexander; TALLEY, Nicholas; SPIEGEL, Brennan. Effect of fibre, antispasmodics, and peppermint oil in the treatment of irritable bowel syndrome: systematic review and meta-analysis. In: British Medical Journal. November, 2008. vol. 337, no. 11, p. 1–20. DOI: 10.1136/bmj.a2313. Available in: https://www.bmj.com/content/337/bmj.a2313
GIRALDO-LORA, Sandra Carolina; VELASCO-BENÍTEZ, Carlos Alberto. Consumo de fibra dietética en lactantes menores de 2 años y estreñimiento funcional. En: Revista de la Facultad de Medicina. Enero, 2014. vol. 62, no. 1, p. 35–40. DOI: 10.15446/revfacmed.v62n3sup.40872. Disponible en: https://revistas.unal.edu.co/index.php/revfacmed/article/view/40872
HAN, Yon; ZHANG, Lei; LIU, Xiang-Qun; ZHAO, Zhi-Jun; LV, Lu-Xian. Effect of glucomannan on functional constipation in children: a systematic review and meta-analysis of randomised controlled trials. In: Asia Pacific Journal of Clinical Nutrition. March, 2017. vol. 26, no. 3, p. 471–477. DOI: 10.6133/apjcn.032016.03. Available in: http://apjcn.nhri.org.tw/server/APJCN/26/3/index.php
HORVATH, Andrea; DZIECHCIARZ, Piotr; SZAJEWSKA, Hania. Glucomannan for abdominal pain-related functional gastrointestinal disorders in children: A randomized trial. In: World Journal of Gastroenterology. May, 2013. vol. 19, no. 20, p. 3062–3068. DOI: 10.3748/wjg.v19.i20.3062. Available in: https://www.wjgnet.com/1007-9327/journal/v19/i20/index.htm
HYAMS, Jeffrey; LORENZO, Carlo; SAPS, Miguel; SHULMAN, Robert; STAIANO, Anamaria; VAN TILBURG, Miranda. Childhood Functional Gastrointestinal Disorders: Child/Adolescent. In: Gastroenterology. May, 2016. vol. 150, no. 5, p. 1456–1468. DOI: 10.1053/j.gastro.2016.02.015. Available in: https://www.gastrojournal.org/article/S0016-5085(16)00181-5/fulltext
KOPPEN, Ilan; VELASCO-BENÍTEZ, Carlos Alberto; BENNINGA, Marc; DI LORENZO, Carlo; SAPS, Miguel. Is There an Association between Functional Constipation and Excessive Bodyweight in Children? In: Journal of Pediatrics. April, 2016 vol. 171, no. 4, p. 178–182. DOI: 10.1016/j.jypeds.2015.12.033. Available in: https://www.jpeds.com/article/S0022-3476(15)01621-2/fulltext
LADINO, Liliana, VELASCO, Carlos, Papel de la fibra dietaria en pediatría. En: Revista Peruana de Pediatría. Enero, 2010. vol. 63, no. 1, p. 24-33. Disponible en: https://docplayer.es/32068375-Revista-peruana-de-pediatria-publicacion-oficial-de-la-sociedad-peruana-de-pediatria.html
LADINO, Liliana; VELASCO, Carlos Alberto; ARAGÓN, Luz Eugenia. Dietetic fiber in 22 children from the Hospital Infantil Club Noel of Cali, Colombia. En: Colombia Médica. Febrero, 2006. vol. 37, no. 2, p. 92–95. Disponible en: http://colombiamedica.univalle.edu.co/index.php/comedica/article/view/418
LEE, Warren; IP, Kin; CHAN, June; LUI, Noel; YOUNG, Betty. Increased prevalence of constipation in pre-school children is attributable to under-consumption of plant foods: A community-based study. In: Journal of Paediatric Childhood and Health. April, 2008. vol. 44, no. 4, p. 170–175. DOI: 10.1111/j.1440-1754.2007.01212.x. Available in: https://onlinelibrary.wiley.com/doi/10.1111/j.1440-1754.2007.01212.x
MCKENZIE, Amy; BOWYER, Richard; LEACH, Jacob; GULIA, Preeti; HOROBIN, Jean; O’SULLIVAN, Noel, et al. British Dietetic Association systematic review and evidence-based practice guidelines for the dietary management of irritable bowel syndrome in adults (2016 update). In: Journal of Human Nutrition and Dietetics. May, 2016. vol. 29, no. 5, p. 549–575. DOI: 10.1111/jhn.12385. Available in: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-277X.2012.01242.x
MOAYYEDI, Paul; QUIGLEY, Eamonn; LACY, Brian; LEMBO, Anthony; SAITO, Yuri; SCHILLER, Lawrence; et al. The Effect of Fiber Supplementation on Irritable Bowel Syndrome: A Systematic Review and Meta-analysis. In: American Journal of Gastroenterology. September, 2014. vol. 109, no. 9, p. 1367–1374. DOI: 10.1038/ajg.2014.195. Available in: https://journals.lww.com/ajg/Abstract/2014/09000/The_Effect_of_Fiber_Supplementation_on_Irritable.12.aspx
MORAIS, Mauro; VITOLO, Marcia Regina; FAGUNDES-NETO, Ullyses. Measurement of low dietary fiber intake as a risk factor for chronic constipation in children. In: Journal of Pediatrics Gastroenterology and Nutrition. February, 1999. vol. 29, no. 2, p. 132–135. Available in: https://journals.lww.com/jpgn/Fulltext/1999/02000/Cisapride_in_Management_of_Chronic_Pediatric.20.aspx
NAGARAJAN, Neeraja; MORDEN, Amanda; BISCHOF, Danielle; KING, Elizabeht; KOSZTOWSKI, Martin. The role of fiber supplementation in the treatment of irritable bowel syndrome : a systematic review and meta-analysis. In: European Journal of Gastroenterology and Hepatology. September, 2015. vol. 27, no. 9, p. 1002–1010. DOI: 10.1097/MEG.0000000000000425. Available in: https://journals.lww.com/eurojgh/Abstract/2015/09000/The_role_of_fiber_supplementation_in_the_treatment.3.aspx
RAJINDRAJITH, Shaman; DEVANARAYANA, Niranga; WEERASOORIYA, Lasanthi; HATHAGODA, Whatsala; BENNINGA, Marc. Quality of life and somatic symptoms in children with constipation: A school-based study. In: Journal of Pediatrics. April, 2013. vol. 163, no. 4, p. 1069–1072. DOI: 10.1016/j.jpeds.2013.05.012. Available in: https://www.jpeds.com/article/S0022-3476(13)00561-1/fulltext
RAJINDRAJITH, Shaman; DEVANARAYANA, Niranga. Constipation in children: novel insight into epidemiology, pathophysiology and management. In: Journal of Neurogastroenterology and Motility. January, 2011. vol. 17, no. 1, p. 35-47. Available in: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3042216/
RAO, Satish; YU, Philip; FEDEWA, Alicia. Alimentary Pharmacology and Therapeutics Systematic review: dietary fi bre and FODMAP-restricted diet in the management of constipation and irritable bowel syndrome. In: Alimentary Pharmacology and Therapeutics. December, 2015. vol. 41, no. 12, p. 1256–1270. DOI: 10.1111/apt.13167. Available in: https://onlinelibrary.wiley.com/doi/full/10.1111/apt.13167
RUEPERT, Lisa; QUARTERO, Otto; DE WIT, Niek; VAN DER HEIJDEN, Geert; RUBIN, Gregory; MURIS, Jean. Bulking agents , antispasmodics and antidepressants for the treatment of irritable bowel syndrome ( Review ). In: Cochrane Database of Systematic Reviews. March, 2011. vol. 8, no. CD003460. DOI: 10.1002/14651858.CD003460.pub3. Available in: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003460.pub3/epdf/abstract
SAPS, Miguel; NICHOLS-VINUEZA, Diana; MINTJENS, Stijn; PUSATCIOGLU, Cenk; VELASCO-BENÍTEZ, Carlos Alberto. Construct validity of the pediatric Rome III criteria. In: Journal of Pediatric Gastroenterology and Nutrition. May, 2014. vol. 59, no. 5, p. 577–581. DOI: 10.1097/MPG.0000000000000482. Available in: https://journals.lww.com/jpgn/Fulltext/2014/11000/Construct_Validity_of_the_Pediatric_Rome_III.8.aspx
TABBERS, Merit; BENNINGA, Marc. Constipation in children : fibre and probiotics. In: ClinicalEvidence. March, 2015. no. 3, p. 1–9. Available in: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356179/
TABBERS, Merit; BOLUYT, Nicole; BERGER, Marjolein, BENNINGA, Marc. Clinical practice: diagnosis and treatment of functional constipation. In: European Journal of Pediatrcis. June, 2011. vol. 170, no. 6, p. 955-963. Available in: https://link.springer.com/article/10.1007/s00431-011-1515-5
TABBERS, Merit; DI LORENZO, Carlo; FAURE, Chistophe; LANGENDAM, Miranda; NURKO, Samuel. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. In: Journal of Pediatric Gastroenterology and Nutrition. February, 2014. vol. 58, no. 2, p. 258-274. Available in: https://journals.lww.com/jpgn/Fulltext/2014/02000/Evaluation_and_Treatment_of_Functional.24.aspx
VELASCO-BENÍTEZ, Carlos Alberto; SAPS, Miguel; CHANIS, Ricardo; JÁTIVA, Edgar; ZABLAH, Roberto; MEJÍA , Milton, et al. La epidemiología de los desórdenes gastrointestinales funcionales en escolares y adolescentes latinoamericanos. Grupo de trabajo de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica (SLAGHNP). En: Acta Gastroenterológica Latinoamericana. Febrero, 2017. vol 47, no. 2, p. 148-158. Disponible en: Disponible en: http://www.actagastro.org/numeros-anteriores/2017/Vol-47-N2/Vol47N2-PDF15.pdf
WILLIAMS, Crhistine; BOLLELLA, Marguerite. A new recommendation for dietary fiber in childhood. In: Pediatrics. May, 1995. vol. 96, no. 5, p. 985–988. Available in: https://pediatrics.aappublications.org/content/96/5/985?sso=1&sso_redirect_count=1&nfstatus=401&nftoken=00000000-0000-0000-0000-000000000000&nfstatusdescription=ERROR%3a+No+local+token
