Early-Life Gut Health Indicators and Reported Prevalence of Infant Functional Constipation by Healthcare Professionals

A healthy gut during early childhood is important. However, it seems that there are no standard indicators used to assess it. Healthcare professionals (HCPs) were asked via an electronic survey question about gut health indicators (GHIs) for infants and toddlers, in addition to an estimated prevalen...

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Main Authors: Leilani Muhardi, Dianne J. M. Delsing, Irina Zakharova, Koen Huysentruyt, Sze-Yee Chong, Ruey Terng Ng, Andy Darma, Badriul Hegar, Mohammed Hasosah, Erick Toro-Monjaraz, Merih Cetinkaya, Chung-Mo Chow, Marion M. Aw, Urszula Kudla, Louise Naz West, Yvan Vandenplas
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/2/298
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author Leilani Muhardi
Dianne J. M. Delsing
Irina Zakharova
Koen Huysentruyt
Sze-Yee Chong
Ruey Terng Ng
Andy Darma
Badriul Hegar
Mohammed Hasosah
Erick Toro-Monjaraz
Merih Cetinkaya
Chung-Mo Chow
Marion M. Aw
Urszula Kudla
Louise Naz West
Yvan Vandenplas
author_facet Leilani Muhardi
Dianne J. M. Delsing
Irina Zakharova
Koen Huysentruyt
Sze-Yee Chong
Ruey Terng Ng
Andy Darma
Badriul Hegar
Mohammed Hasosah
Erick Toro-Monjaraz
Merih Cetinkaya
Chung-Mo Chow
Marion M. Aw
Urszula Kudla
Louise Naz West
Yvan Vandenplas
author_sort Leilani Muhardi
collection DOAJ
description A healthy gut during early childhood is important. However, it seems that there are no standard indicators used to assess it. Healthcare professionals (HCPs) were asked via an electronic survey question about gut health indicators (GHIs) for infants and toddlers, in addition to an estimated prevalence of infant’s functional constipation (FC) and its management. HCPs from eight countries participated in the survey (Russia (66.0%, 1449), Indonesia (11.0%, 242), Malaysia (6.0%, 132), Mexico (5.7%, 125), KSA (5.1%, 113), Turkey (3.0%, 66), Hong Kong (2.2%, 49), and Singapore (1.0%, 23)). The 2199 participating respondents were further classified into three continents (Asia (20.2%), Europe (68.8%), and others (11.0%)). Most of them were pediatricians (80.3%), followed by pediatric gastroenterologists (7.0%), general practitioners (6.4%), and others (6.3%). The top three preferred GHIs were similar for infants and toddlers: an absence of gastrointestinal (GI) symptoms, effective digestion/absorption as assessed by normal growth, and a general feeling of well-being. The absence of GI-related infection was the least preferred indicator. Most of the respondents reported the prevalence of FC among infants was less than 5%, with the peak incidence between the ages of 3 and 6 months. The reported choices of intervention to manage FC in infants were a change to a specific nutritional solution from a standard formula (40.2%), parental reassurance (31.7%), and lactulose (17.0%). Conclusion: The HCPs in the eight countries preferred the absence of GI symptoms, normal growth for effective digestion and absorption, and general well-being as the gut health indicators in infants and toddlers. The reported prevalence of FC in infants was less than 5%.
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spelling doaj.art-382ab1d2df2c4f71807142904a6a1ba72023-11-30T23:49:38ZengMDPI AGNutrients2072-66432023-01-0115229810.3390/nu15020298Early-Life Gut Health Indicators and Reported Prevalence of Infant Functional Constipation by Healthcare ProfessionalsLeilani Muhardi0Dianne J. M. Delsing1Irina Zakharova2Koen Huysentruyt3Sze-Yee Chong4Ruey Terng Ng5Andy Darma6Badriul Hegar7Mohammed Hasosah8Erick Toro-Monjaraz9Merih Cetinkaya10Chung-Mo Chow11Marion M. Aw12Urszula Kudla13Louise Naz West14Yvan Vandenplas15FrieslandCampina AMEA, Singapore 039190, SingaporeFrieslandCampina, 3818 LE Amersfoort, The NetherlandsDepartment of Pediatrics, Russian Medical Academy Continuous Professional Education of the Ministry of Health of Russian Federation, Moscow 125993, RussiaKidZ Health Castle, Department of Pediatric Gastroenterology, UZ Brussel, Vrije Universiteit Brussel (VUB), 1090 Brussels, BelgiumDepartment of Pediatrics, Hospital Raja Permaisuri Bainun, Ipoh 30450, MalaysiaDepartment of Pediatrics, University of Malaya, Kuala Lumpur 50603, MalaysiaDepartment of Pediatrics, Faculty of Medicine, Universitas Airlangga, Surabaya 60131, IndonesiaDepartment of Pediatrics, Faculty of Medicine, Universitas Indonesia, Jakarta 10430, IndonesiaDepartment of Pediatric, King Saud Bin Abdulaziz University for Health Sciences, Jeddah 14611, Saudi ArabiaUnit of Physiology and Gastrointestinal Motility, Gastroenterology and Nutrition Department, National Institute of Pediatrics, Mexico City 04530, MexicoDepartment of Neonatology, Health Sciences University, Basaksehir Cam and Sakura City Hospital, Istanbul 34480, TurkeyVirtus Medical Group, Hong KongDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, SingaporeFrieslandCampina, 3818 LE Amersfoort, The NetherlandsFrieslandCampina, 3818 LE Amersfoort, The NetherlandsKidZ Health Castle, Department of Pediatric Gastroenterology, UZ Brussel, Vrije Universiteit Brussel (VUB), 1090 Brussels, BelgiumA healthy gut during early childhood is important. However, it seems that there are no standard indicators used to assess it. Healthcare professionals (HCPs) were asked via an electronic survey question about gut health indicators (GHIs) for infants and toddlers, in addition to an estimated prevalence of infant’s functional constipation (FC) and its management. HCPs from eight countries participated in the survey (Russia (66.0%, 1449), Indonesia (11.0%, 242), Malaysia (6.0%, 132), Mexico (5.7%, 125), KSA (5.1%, 113), Turkey (3.0%, 66), Hong Kong (2.2%, 49), and Singapore (1.0%, 23)). The 2199 participating respondents were further classified into three continents (Asia (20.2%), Europe (68.8%), and others (11.0%)). Most of them were pediatricians (80.3%), followed by pediatric gastroenterologists (7.0%), general practitioners (6.4%), and others (6.3%). The top three preferred GHIs were similar for infants and toddlers: an absence of gastrointestinal (GI) symptoms, effective digestion/absorption as assessed by normal growth, and a general feeling of well-being. The absence of GI-related infection was the least preferred indicator. Most of the respondents reported the prevalence of FC among infants was less than 5%, with the peak incidence between the ages of 3 and 6 months. The reported choices of intervention to manage FC in infants were a change to a specific nutritional solution from a standard formula (40.2%), parental reassurance (31.7%), and lactulose (17.0%). Conclusion: The HCPs in the eight countries preferred the absence of GI symptoms, normal growth for effective digestion and absorption, and general well-being as the gut health indicators in infants and toddlers. The reported prevalence of FC in infants was less than 5%.https://www.mdpi.com/2072-6643/15/2/298gut health indicatorsinfanttoddlershealthcare professionalse-survey
spellingShingle Leilani Muhardi
Dianne J. M. Delsing
Irina Zakharova
Koen Huysentruyt
Sze-Yee Chong
Ruey Terng Ng
Andy Darma
Badriul Hegar
Mohammed Hasosah
Erick Toro-Monjaraz
Merih Cetinkaya
Chung-Mo Chow
Marion M. Aw
Urszula Kudla
Louise Naz West
Yvan Vandenplas
Early-Life Gut Health Indicators and Reported Prevalence of Infant Functional Constipation by Healthcare Professionals
Nutrients
gut health indicators
infant
toddlers
healthcare professionals
e-survey
title Early-Life Gut Health Indicators and Reported Prevalence of Infant Functional Constipation by Healthcare Professionals
title_full Early-Life Gut Health Indicators and Reported Prevalence of Infant Functional Constipation by Healthcare Professionals
title_fullStr Early-Life Gut Health Indicators and Reported Prevalence of Infant Functional Constipation by Healthcare Professionals
title_full_unstemmed Early-Life Gut Health Indicators and Reported Prevalence of Infant Functional Constipation by Healthcare Professionals
title_short Early-Life Gut Health Indicators and Reported Prevalence of Infant Functional Constipation by Healthcare Professionals
title_sort early life gut health indicators and reported prevalence of infant functional constipation by healthcare professionals
topic gut health indicators
infant
toddlers
healthcare professionals
e-survey
url https://www.mdpi.com/2072-6643/15/2/298
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