{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:25:41Z","timestamp":1753889141467,"version":"3.41.2"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T00:00:00Z","timestamp":1724457600000},"content-version":"vor","delay-in-days":236,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Pediatrics"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Aim:<\/jats:bold> To determine the frequency and possible associated dietary and environmental factors of functional constipation (FC) among children in Lebanon followed at a single pediatric health system.<\/jats:p><jats:p><jats:bold>Method:<\/jats:bold> A prospective cross\u2010sectional study was conducted in all pediatrics clinics at the American University of Beirut Medical Center (AUBMC). Children aged 2\u20137 years presenting for a well\u2010child visit were recruited. Data relating to the child\u2019s bowel habits and other history items were obtained from parental questionnaires.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The mean age of the 172 recruited participants was 4.94 years with 56.4% being males. FC was present in 32.6% of the participants. Although there was no difference in the frequency of FC based on age and gender, the peak frequency of FC was at 5 years. The daily frequency of withholding stools was 64.3%, and 46.6% of the children with FC always experienced straining while stooling for the past 2 months. Decreased physical activity and diet were not significantly associated with FC.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> The present study shows that 32.6% of children aged 2\u20137 years in Lebanon suffer from constipation while only 51.7% of the recruited children\u2019s physicians inquire about the child\u2019s bowel movement during the well check visit. These numbers highlight the need to raise more awareness among pediatricians on the need to screen for constipation during clinic visits as a standard of care practice.<\/jats:p>","DOI":"10.1155\/2024\/5183069","type":"journal-article","created":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T07:04:05Z","timestamp":1724483045000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Frequency of Functional Constipation in Lebanese Children: A Cross\u2010Sectional Study Based on Parental Reporting"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6151-3717","authenticated-orcid":false,"given":"Theresia","family":"Tannoury","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0450-4594","authenticated-orcid":false,"given":"Jana","family":"Assy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2325-4113","authenticated-orcid":false,"given":"Nadine","family":"Yazbeck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,24]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jped.2018.02.005"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41575-019-0222-y"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.11.005"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.5223\/pghn.2021.24.4.325"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-022-03536-3"},{"key":"e_1_2_12_6_2","first-page":"383","article-title":"The frequency of celiac disease in children with chronic constipation","volume":"53","author":"Sahin Y.","year":"2021","journal-title":"Kuwait Medical Journal"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2016.04.008"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39007.760174.47"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(93)90166-A"},{"key":"e_1_2_12_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrgastro.2011.130"},{"key":"e_1_2_12_11_2","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2011.94"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00771.x"},{"key":"e_1_2_12_13_2","first-page":"43","article-title":"Direct medical costs of constipation in the United States","volume":"19","author":"Martin B. 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