{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:00:25Z","timestamp":1787508025714,"version":"build-2736575974"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T00:00:00Z","timestamp":1638489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2022,7]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n There are conflicting reports on the association between children with increased body mass index (BMI), and constipation. This retrospective chart review of two groups of children from a primary care clinic was designed to address the controversy.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Group\u20101<\/jats:italic>\n : Charts of all children seen in a year for general pediatric care were reviewed for incidences of increased BMI (>85th percentile) and constipation as well as overweight recognition in the final diagnosis; Group\u20102: Children diagnosed with constipation at the same primary care setting for 5 years were identified by ICD\u20109 code. These charts were reviewed for prevalence of increased BMI and incidences of referral to subspecialty clinic.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Group\u20101: Three hundred nineteen (33.4%) of the 955 children had increased BMI and 28 (2.93%) had constipation. The prevalence of constipation was not increased among children with increased BMI. Group\u20102: 24 of the 66 children with constipation were referred to the pediatric gastroenterology clinic. children with increased BMI were three times more likely to be referred (n = 20,\n p<\/jats:italic>\n = 0.04). The two groups had a similar prevalence of children with increased BMI (Group 1 = 33.4%; Group 2 = 30.3%).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n In the general pediatric population, children with an increased BMI were not at an increased risk of developing constipation. However, children with increased BMI and constipation were three times more likely to be referred, presumably for treatment failure, to the pediatric gastroenterology clinic .Hence children with increased BMI were more likely to develop treatment resistant constipation.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jpen.2300","type":"journal-article","created":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T02:19:06Z","timestamp":1635992346000},"page":"1031-1035","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Controversies on the relationship between increased body mass index and treatment\u2010resistant chronic constipation in children"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0363-6958","authenticated-orcid":false,"given":"Sudipta","family":"Misra","sequence":"first","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics UIC College of Medicine at Peoria and Children's Hospital Of Illinois at OSF St Francis Medical Center Peoria Illinois USA"},{"name":"Summerville Medical Center Summerville South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Liaw","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics UIC College of Medicine at Peoria and Children's Hospital Of Illinois at OSF St Francis Medical Center Peoria Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/014860710603000281"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2004.04.022"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0490"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2004.30388.x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2004.30887.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-230X-11-40"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e3181ef8e3c"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.09.053"},{"key":"e_1_2_10_10_1","doi-asserted-by":"crossref","first-page":"S452","DOI":"10.14309\/00000434-201610001-01039","article-title":"Is 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