Faktor dominan kejadian konstipasi fungsional pada remaja di Jakarta

https://doi.org/10.22146/ijcn.47987

Felicia Thea(1), Trini Sudiarti(2*), Kusharisupeni Djokosujono(3)

(1) Prodi Gizi, Fakultas Kesehatan Masyarakat, Universitas Indonesia
(2) Prodi Gizi, Fakultas Kesehatan Masyarakat, Universitas Indonesia
(3) Prodi Gizi, Fakultas Kesehatan Masyarakat, Universitas Indonesia
(*) Corresponding Author

Abstract


Dominant factors of functional constipation among adolescent in Jakarta

Background: The impact of functional constipation, including the quality of life decreases, increase the additional health costs that must be incurred, and reduce productivity. Previous research in various places in Indonesia shows that functional constipation is experienced among adolescents, percentages between 24.6-68.5%.

Objective: Determine the relationship and dominant factor between gender, fiber intake, fluids intake, consumption of probiotic drinks, physical activity, nutritional status, stress, and nutritional knowledge on the incidence of functional constipation.

Methods: The study design was cross-sectional. The number of respondents studied was 150 high-school students from class X and XI. The sample selected by using a total sampling system. Data collected using the Roma III questionnaire of functional constipation, physical activity using the Physical Activity Questionnaire for Adolescent, and stress level using the Holmes and Rahe Stress Scale for students.  Nutritional knowledge was obtained by filling out a questionnaire. Food recall 2x24 hours to assess fiber intake, fluid, and probiotic drinks. Measure body weight and height of students to determine nutritional status. Data analyzed using univariate, Chi-Square test for bivariate, and multiple logistic regression tests for multivariate.

Results: 75.3% of students had functional constipation, 64.0% less fiber intake,54.0% less fluid intake, 91.3% less physical activity, 62.0% did not consume probiotic drinks, 38.7% were obese and 30.0% lacking in nutrition knowledge. Dominant factor of functional constipation was physical activity (p-value 0.035; OR 3.57; CI 1.09-11.66).

Conclusions: Low physical activity can increase the incidence of functional constipation in adolescents at Jakarta.


Keywords


adolescent; functional constipation; physical activity

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References

  1. Drost J, Harris LA. Diagnosis and management of chronic constipation. J Am Acad Physician Assist. (JAAPA). 2006;19(11):24–9. doi: 10.1097/01720610-200611000-00005
  2. Ferrel BR, Coyne N, Paice J. Oxford textbook of palliative nursing, 5th ed. New York: Oxford University Press; 2015.
  3. Markland AD, Palsson O, Goode PS, Burgio KL, Busby-Whitehead J, Whitehead WE. Association of low dietary intake of fiber and liquids with constipation: evidence from the national health and nutrition examination survey. Am J Gastroenterol. 2013;108(5):796–803. doi: 10.1038/ajg.2013.73
  4. Costa ML, Oliveira JN, Tahan S, Morais MB. Overweight and constipation in adolescents. BMC Gastroenterol. 2011;11:40. doi: 10.1186/1471-230X-11-40
  5. Lu PL, Velasco-Benítez CA, Saps M. Sex, age, and prevalence of pediatric irritable bowel syndrome and constipation in Colombia: a population-based study. J Pediatr Gastroenterol Nutr. 2017;64(6):e137–41. doi: 10.1097/MPG.0000000000001391
  6. Huang R, Ho SY, Lo WS, Lam TH. Physical activity and constipation in Hongkong adolescents. PLoS One. 2014;9(2): e90193. doi: 10.1371/journal.pone.0090193
  7. Claudina I, Rahayuning DP, Kartini A. Hubungan asupan serat makanan dan cairan dengan kejadian konstipasi fungsional pada remaja di SMA Kesatrian 1 Semarang. Jurnal Kesehatan Masyarakat [series online] 2018 [cited 8 March 2019];6(1):486-95. Available from: URL: https://ejournal3.undip.ac.id/index.php/jkm/article/view/19950
  8. Dhias S. Faktor dominan terhadap kejadian konstipasi fungsional pada siswa SMA Islam Al-Azhar Pejaten Jakarta Selatan tahun 2015 [Skripsi]. Jakarta: Universitas Indonesia; 2015.
  9. Sizer FS, Whitney EN. Nutrition concepts &controversies, 15thedition. Toronto: Cengage Learning; 2019.
  10. Jangid V, Godhia M, Sanwalka N, Shukla A. Water intake, dietary fibre, defecatory habits and its association with chronic functional constipation. Curr Res Nutr Food Sci. 2016;4(2):90–5. doi: 10.12944/CRNFSJ.4.2.02
  11. Trandafir L, Diaconescu S, Olaru C, Ciubotariu G, Gimiga N, Stefanescu G, et al. Some risk factors of chronic functional constipation identified in a pediatric population sample from Romania. Gastroenterol Res Pract. 2016;2016:3989721. doi: 10.1155/2016/3989721
  12. Chien LY, Liou YM, Chang P. Low defaecation frequency in Taiwanese adolesencents: association with dietary intake, physical activity and sedentary behavior. J Paediatr Child Health. 2011;47(6):381–6. doi: 10.1111/j.1440-1754.2010.01990.x
  13. Chen Z. The patterns and correlates of bowel habits in Hongkong adolescents [Theses]. Hongkong: University of Hongkong; 2008.
  14. Lemeshow. S. Adequacy of sample size in health sudies. Chicester UK: Wiley; 1990.
  15. Rome/Foundation. Rome III. Diagnostic criteria for functional gastrointestinal disorders. [series online] 2006 [cited 8 March 2019]. Available from: URL: https://www.theromefoundation.org/assets/pdf/19_RomeIII_apA_885-898.pdf
  16. Jangid V, Godhia M, Sanwalka N, Shukla A. Water intake, dietary fibre, defecatory habits and its association with chronic functional constipation. Curr Res Nutr Food Sci. 2016;4(2). doi: 10.12944/CRNFSJ.4.2.02
  17. Kowalski KC, Croker PRE, Donen RM. The pyhsical activity questionnaire for older children (PAQ-C) and adolescents (PAQ-A) manual. Canada: College of Kinesiology University of Saakatchewan; 2014.
  18. Inan Z. Stress scale for adult and youth. [series online] 2015 [cited 9 March 2019]. Available from: URL: http://zabrininanmd.com/user/Adult&Child_AdolescentStressScale.pdf
  19. Oktaviana ES. Hubungan asupan serat dan faktor-faktor lain dengan konstipasi fungsional mahasiswa reguler Gizi Fakultas Kesehatan Masyarakat Universitas Indonesia tahun 2013 [Skripsi]. Jakarta: Universitas Indonesia; 2013.
  20. Dehghani SM, Moravej H, Rajaei E, Javaherizadeh H. Evaluation of familial aggregation, vegetable consumption, legumes consumption, and physical activity on functional constipation in families of children with functional constipation versus children without constipation. Prz Gastroenterol. 2015;10(2):89-93. doi: 10.5114/pg.2015.48996
  21. Murakami K, Sasaki S, Okubo H, Takahashi Y, Hosoi Y, Itabashi M. Association between dietary fiber, water and magnesium intake and functional constipation among youn Japanese women. Eur J Clin Nutr. 2007;61(5):616-22. doi: 10.1038/sj.ejcn.1602573
  22. Kementerian Kesehatan RI Peraturan Menteri Kesehatan RI Nomor 28 Tahun 2018 tentang Angka Kecukupan Gizi yang Dianjurkan untuk masyarakat Indonesia. Jakarta: Kemenkes RI; 2018.
  23. Dukas L, Willett WC, Giovannucci EL. Association between physical activity, fiber intake, and other lifestyle variables and constipation in a study of women. Am J Gastroenterol. 2003;98(8):1790-6. doi: 10.1111/j.1572-0241.2003.07591.x
  24. Asakura K, Masayasu S, Sasaki S. Dietary intake, physical activity , and time management are associated with constipation in preschool children in Japan. Asia Pac J Clin Nutr. 2017;26(1):118–29. doi: 10.6133/apjcn.112015.02
  25. Folden SL. Practice guideliness for the management of constipation in adults. Rehabil Nurs. 2002;27(5):169-75. doi: 10.1002/j.2048-7940.2002.tb02005.x
  26. Corwin EJ. Buku saku patofisiologi. Jakarta: EGC; 2009.
  27. Oberoi A, Anggarwal A, Sing N. Probiotics in health - a bug for what is bugging you. [series online] 2007 [cited 8 March 2019];9(3):116-9. Available from: URL: https://www.jkscience.org/archive/volume93/Review%20Article/probiotics.pdf
  28. Sitoayu L, Pertiwi DA, Mulyani EY. Kecukupan zat gizi makro, status gizi, stres, dan siklus menstruasi pada remaja. Jurnal Gizi Klinik Indonesia. 2017;13(3):121–8. doi: 10.22146/ijcn.17867
  29. Pourhoseingholi MA, Kaboli SA, Pourhoseingholi A, Moghimi-dehkordi B, Safaee A, Zali MR, et al. Obesity and functional constipation; a community-based study in Iran. J Gastrointestin Liver Dos. 2009;18(2):151-5.
  30. Devanarayana NM, Rajindrajith S. Association between constipation and stressful life events in a cohort of Sri Lankan children and adolescents. J Trop Pediatr. 2010;56(3):144-8. doi: 10.1093/tropej/fmp077
  31. Shalmani HM et. al. Direct and indirect medical costs of functional constipation: a population based-study. Int J Colorectal Dis. 2011;26(4):515–22. doi: 10.1007/s00384-010-1077-4
  32. de Carvalho EB, Vitolo MR, Gama CM, Lopez FA, Taddei JA, de Morais MB. Fiber intake, constipation, and overweight among adolescents in Sao Paulo City. Nutrition. 2006;22(7-8):744-9. doi: 10.1016/j.nut.2006.05.001



DOI: https://doi.org/10.22146/ijcn.47987

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