Pediatric Gastroenterology, Hepatology & Nutrition

  • 제23권6호
  • /
  • Pages.567-576
  • /
  • 2020
  • /
  • 2234-8646(pISSN)
  • /
  • 2234-8840(eISSN)
대한소아소화기영양학회 (The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition)
권호 표지
DOI QR코드

DOI QR Code

Lifestyle Habits Associated with Poor Defecation Habit among Pupils in Japan

  • Kohyama, Jun (Department of Pediatrics, Tokyo Bay Urayasu Ichikawa Medical Centre)
  • 투고 : 2020.02.28
  • 심사 : 2020.06.23
  • 발행 : 2020.11.15
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: Not enough attention has been paid to defecation habits in Japan. This study aimed to emphasize the importance of defecation habits on health and function in Japanese pupils. Methods: Using multiple regression analysis, 2,722 questionnaires obtained from pupils in grades 5 to 12 were analyzed to determine lifestyle habits associated with defecation frequency. Results: Significant regression formulae for defecation scores were obtained for all school types: elementary school (ES) (adjusted R2=0.08, p<0.001), junior high school (JHS) (0.09, p<0.001), and senior high school (SHS) (0.15, p<0.001). The following factors were associated with poorer defecation scores, according to school type: female gender (all 3 school types), breakfast skipping (elementary and JHSs), lower physical activity (JHSs and SHSs), and longer school-day screen time (elementary and SHSs). In addition, poorer self-reported academic performance scores in ES, less standardized body mass index (BMI) in JHS, and shorter non-school- day screen time scores in SHS, were associated with poorer defecation scores. Conclusion: Poor defecation frequency showed significant associations with various lifestyle habits, such as breakfast skipping, physical activity, and screen time, among pupils. Academic performance and standardized BMI were also associated with defecation frequency. More attention should be paid to defecation frequency to sustain health and function in pupils.

키워드

참고문헌

  1. Japan Ministry of Health, Labour and Welfare. Annual health, labour and welfare report 2013-2014 (summary) [Internet]. Tokyo: Japan Ministry of Health, Labour and Welfare; 2019 [cited 2020 Feb 21]. Available from: https://www.mhlw.go.jp/wp/hakusyo/kousei/14/
  2. Kohyama J, Ide R, Miyajima N, Kato A, Nakamura K, Takii H. Recommendation of four kinds of pleasant; sleep, eat, defecate and exercise. Tokyo: Shinyosha, 2011.
  3. Liem O, Harman J, Benninga M, Kelleher K, Mousa H, Di Lorenzo C. Health utilization and cost impact of childhood constipation in the United States. J Pediatr 2009;154:258-62. https://doi.org/10.1016/j.jpeds.2008.07.060
  4. Olaru C, Diaconescu S, Trandafir L, Gimiga N, Stefanescu G, Ciubotariu G, et al. Some risk factors of chronic functional constipation identified in a pediatric population sample from Romania. Gastroenterol Res Pract 2016;2016:3989721. https://doi.org/10.1155/2016/3989721
  5. Mugie SM, Benninga MA, Di Lorenzo C. Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol 2011;25:3-18. https://doi.org/10.1016/j.bpg.2010.12.010
  6. Lewis ML, Palsson OS, Whitehead WE, van Tilburg MAL. Prevalence of functional gastrointestinal disorders in children and adolescents. J Pediatr 2016;177:39-43.e3. https://doi.org/10.1016/j.jpeds.2016.04.008
  7. Japan Toilet Labo. A report on the defecation and lifestyle among elementary school children [Internet]. Tokyo: Japan Toilet Labo; 2017 Jun [cited 2020 Feb 21]. Available from: https://www.toilet.or.jp/wp/wp-content/uploads/2017/11/activities03.pdf. Japanese.
  8. Fujitani A, Sogo T, Inui A, Kawakubo K. Prevalence of functional constipation and relationship with dietary habits in 3- to 8-year-old children in Japan. Gastroenterol Res Pract 2018;2018:3108021.
  9. Koppen IJN, Vriesman MH, Saps M, Rajindrajith S, Shi X, van Etten-Jamaludin FS, et al. Prevalence of functional defecation disorders in children: a systematic review and meta-analysis. J Pediatr 2018;198:121-30.e6. https://doi.org/10.1016/j.jpeds.2018.02.029
  10. Hyams JS, Di Lorenzo C, Saps M, Shulman RJ, Staiano A, van Tilburg M. Functional disorders: children and adolescents. Gastroenterology 2016;150:1456-68.e2. https://doi.org/10.1053/j.gastro.2016.02.015
  11. Huang R, Ho SY, Lo WS, Lam TH. Physical activity and constipation in Hong Kong adolescents. PLoS One 2014;9:e90193. https://doi.org/10.1371/journal.pone.0090193
  12. Tam YH, Li AM, So HK, Shit KY, Pang KK, Wong YS, et al. Socioenvironmental factors associated with constipation in Hong Kong children and Rome III criteria. J Pediatr Gastroenterol Nutr 2012;55:56-61. https://doi.org/10.1097/MPG.0b013e31824741ce
  13. Gonzalez Canete N, Pena D'ardaillon F, Candia Johns P, Duran Aguero S. [Relationship between sleep and constipation in the elderly Chileans]. Nutr Hosp 2014;31:357-62. Spanish.
  14. Perveen I, Rahman MM, Saha M, Parvin R, Chowdhury M. Functional constipation - prevalence and life style factors in a district of bangladesh. Mymensingh Med J 2015;24:295-304.
  15. Rajindrajith S, Devanarayana NM, Crispus Perera BJ, Benninga MA. Childhood constipation as an emerging public health problem. World J Gastroenterol 2016;22:6864-75. https://doi.org/10.3748/wjg.v22.i30.6864
  16. Pashankar DS, Loening-Baucke V. Increased prevalence of obesity in children with functional constipation evaluated in an academic medical center. Pediatrics 2005;116:e377-80. https://doi.org/10.1542/peds.2005-0490
  17. Sujatha B, Velayutham DR, Deivamani N, Bavanandam S. Normal bowel pattern in children and dietary and other precipitating factors in functional constipation. J Clin Diagn Res 2015;9:SC12-5.
  18. Yamada M, Sekine M, Tatsuse T. Lifestyle and bowel movements in school children: results from the Toyama Birth Cohort Study. Pediatr Int 2017;59:604-13. https://doi.org/10.1111/ped.13206
  19. Chien LY, Liou YM, Chang P. Low defaecation frequency in Taiwanese adolescents: association with dietary intake, physical activity and sedentary behaviour. J Paediatr Child Health 2011;47:381-6. https://doi.org/10.1111/j.1440-1754.2010.01990.x
  20. Talley NJ. Definitions, epidemiology, and impact of chronic constipation. Rev Gastroenterol Disord 2004;4 Suppl 2:S3-10.
  21. Sbahi H, Cash BD. Chronic constipation: a review of current literature. Curr Gastroenterol Rep 2015;17:47. https://doi.org/10.1007/s11894-015-0471-z
  22. Kovacic K, Sood MR, Mugie S, Di Lorenzo C, Nurko S, Heinz N, et al. A multicenter study on childhood constipation and fecal incontinence: effects on quality of life. J Pediatr 2015;166:1482-7.e1. https://doi.org/10.1016/j.jpeds.2015.03.016
  23. Kohyama J. Associations of adolescents' lifestyle habits with their daytime functioning in Japan. Sleep Sci 2020. doi: 10.5935/1984-0063.20190151. [Epub ahead of print].
  24. Kohyama J, Ono M, Anzai Y, Kishino A, Tamanuki K, Moriyama K, et al. Factors associated with sleep duration among pupils. Pediatr Int 2020;62:716-24. https://doi.org/10.1111/ped.14178
  25. Japan Society of School Health. Annual reports on health of children attending elementary schools and junior high schools in 2015-17. Tokyo: Japan Society of School Health, 2018.
  26. American Psychological Association. Publication manual of the American Psychological Association. 5th ed. Washington, DC: American Psychological Association, 2002.
  27. Coe R. It's the effect size, stupid. What effect size is and why it is important [Internet]. Leeds: Educationline; 2002 [cited 2020 Feb 12]. Available from: https://www.leeds.ac.uk/educol/documents/00002182.htm.
  28. Mizumoto A, Takeuchi O. Basics and considerations for reporting effect sizes in research papers. Stud Engl Lang Teach 2008;31:57-66. Japanese.
  29. Chu H, Zhong L, Li H, Zhang X, Zhang J, Hou X. Epidemiology characteristics of constipation for general population, pediatric population, and elderly population in china. Gastroenterol Res Pract 2014;2014:532734.
  30. Devanarayana NM, Adhikari C, Pannala W, Rajindrajith S. Prevalence of functional gastrointestinal diseases in a cohort of Sri Lankan adolescents: comparison between Rome II and Rome III criteria. J Trop Pediatr 2011;57:34-9. https://doi.org/10.1093/tropej/fmq039
  31. Suares NC, Ford AC. Prevalence of, and risk factors for, chronic idiopathic constipation in the community: systematic review and meta-analysis. Am J Gastroenterol 2011;106:1582-91; quiz 1581, 1592. https://doi.org/10.1038/ajg.2011.164
  32. Hiratsuka H. Women and constipation. Nihon Daicho Komonbyo Gakkai Zasshi 1990;43:1070-6. https://doi.org/10.3862/jcoloproctology.43.1070
  33. Jung HK, Kim DY, Moon IH. Effects of gender and menstrual cycle on colonic transit time in healthy subjects. Korean J Intern Med 2003;18:181-6. https://doi.org/10.3904/kjim.2003.18.3.181
  34. Vriesman MH, Koppen IJN, Camilleri M, Di Lorenzo C, Benninga MA. Management of functional constipation in children and adults. Nat Rev Gastroenterol Hepatol 2020;17:21-39. https://doi.org/10.1038/s41575-019-0222-y
  35. Mayer EA, Tillisch K, Gupta A. Gut/brain axis and the microbiota. J Clin Invest 2015;125:926-38. https://doi.org/10.1172/JCI76304
  36. Carabotti M, Scirocco A, Maselli MA, Severi C. The gut-brain axis: interactions between enteric microbiota, central and enteric nervous systems. Ann Gastroenterol 2015;28:203-9.
  37. Mugie SM, Koppen IJN, van den Berg MM, Groot PFC, Reneman L, de Ruiter MB, et al. Brain processing of rectal sensation in adolescents with functional defecation disorders and healthy controls. Neurogastroenterol Motil 2018;30:e13228. https://doi.org/10.1111/nmo.13228
  38. Zhu Q, Cai W, Zheng J, Li G, Meng Q, Liu Q, et al. Distinct resting-state brain activity in patients with functional constipation. Neurosci Lett 2016;632:141-6. https://doi.org/10.1016/j.neulet.2016.08.042
  39. Lynch SV, Pedersen O. The human intestinal microbiome in health and disease. N Engl J Med 2016;375:2369-79. https://doi.org/10.1056/NEJMra1600266
  40. Hume MP, Nicolucci AC, Reimer RA. Prebiotic supplementation improves appetite control in children with overweight and obesity: a randomized controlled trial. Am J Clin Nutr 2017;105:790-9. https://doi.org/10.3945/ajcn.116.140947
  41. Kuncel NR, Crede M, Thomas LL. The validity of self-reported grade point averages, class ranks, and test scores: a meta-analysis and review of the literature. Rev Educ Res 2005;75:63-82. https://doi.org/10.3102/00346543075001063
  42. Sticca F, Goetz T, Bieg M, Hall NC, Eberle F, Haag L. Examining the accuracy of students' self-reported academic grades from a correlational and a discrepancy perspective: evidence from a longitudinal study. PLoS One 2017;12:e0187367. https://doi.org/10.1371/journal.pone.0187367
  43. Rosen JA, Porter SR, Rogers J. Understanding student self-reports of academic performance and course-taking behavior. AERA Open 2017. doi: 10.1177/2332858417711427. [Epub ahead of print].
  44. Troseid M, Andersen GO, Broch K, Hov JR. The gut microbiome in coronary artery disease and heart failure: current knowledge and future directions. EBioMedicine 2020;52:102649. https://doi.org/10.1016/j.ebiom.2020.102649