Evidence map›Paper›PMID 39645235›Full record

SynthesisBMJ paediatrics open2024

Impact of physical inactivity and sedentary behaviour on functional constipation in children and adolescents: a systematic review.

Shanaz Adil, Morris Gordon, Wathsala Hathagoda, Chandrani Kuruppu, Marc A Benninga, Shaman Rajindrajith

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shanaz AdilPediatrics, Lady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Morris GordonUniversity of Central Lancashire, Preston, UK Mgordon@uclan.ac.uk.ORCID 0000-0002-1216-5158
Wathsala HathagodaLady Ridgeway Hospital for Children, Colombo, Sri Lanka.
Chandrani KuruppuUniversity of Colombo Faculty of Medicine, Colombo, Sri Lanka.
Marc A BenningaPediatrics, Emma Children's Hospital UMC, Amsterdam, The Netherlands.
Shaman RajindrajithLady Ridgeway Hospital for Children, Colombo, Sri Lanka.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLack of physical activity (PA) and sedentary behaviour (SB) have emerged as critical global health concerns in children and are believed to be associated with functional constipation (FC). The present study aims to explore this potential association.

designA comprehensive search of PubMed, Scopus, Web of Science, Embase, Cochrane Library and PsycInfo databases was conducted through 2023 using terms related to constipation and PA and SB in ages 0-18 years. Titles and abstracts were screened against eligibility criteria. Constipation was diagnosed using Rome (II-IV) criteria. Full-text reviews were reviewed, and data were extracted. Risk of Bias in Non-randomized Follow-up Studies of Exposure quality assessment tool was used to evaluate the risk of bias of studies.

main outcome measuresWe assessed the association between lack of PA/SB and FC.

resultsA total of 2170 titles were screened. Nine studies encompassing 3849 children from six countries were included. Of these, four were community/school-based studies, one was a birth cohort, three were case series and two were hospital-based case-controlled studies. All 10 studies assessed the association between PA and FC. Only three showed an association between lack of PA and FC. Five studies evaluated the effects of SB on FC, and only two reported a positive association. The methods used to assess PA/SB differed across the studies. All nine studies included in the systematic review were rated as having high risk of bias.

conclusionsDespite numerous studies suggesting a link between insufficient PA/SB and FC, this systematic review did not uncover compelling evidence supporting such an association.

Indexed as

ConstipationExerciseSedentary BehaviorAdolescentChildChild, PreschoolHumansChild HealthEpidemiologyGastroenterology

Identifiers

PMID39645235
PMCPMC11624699

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.