EFFECT OF PURPLE SWEET POTATO FIBER INTAKE ON BOWEL HABIT IMPROVEMENT IN PRESCHOOL CHILDREN
DOI:
https://doi.org/10.30994/jqwh.v9i1.331Keywords:
Childhood Constipation, Dietary Fiber, Purple Sweet PotatoAbstract
Functional constipation and irregular bowel habits in preschool children are often linked to low dietary fiber intake and are difficult to manage with practical, family-friendly strategies. This study evaluated a locally available, child-acceptable fiber source—purple sweet potato—as a feasible alternative to commercial fiber supplements. We used a quasi-experimental one-group pretest–posttest design over 14 days among 36 preschool children. Primary outcomes were bowel movement frequency, stool consistency, and constipation symptom score. Bowel movement frequency increased from 4.0±1.6 to 5.6±1.7 times/week (Δ=+1.6; p<0.001), stool consistency improved from 2.5±0.5 to 3.1±0.6 (Δ=+0.6; p<0.001), and constipation symptoms decreased from 3.2±1.1 to 1.9±1.2 (Δ=−1.3; p<0.001), with large effect sizes across outcomes. In conclusion, a two-week purple sweet potato–based fiber intervention was associated with meaningful improvements in bowel regularity, stool quality, and constipation-related symptoms. Daily monitoring supports its practical use in community and early childhood settings.
References
Benninga, M. A., Faure, C., Hyman, P. E., St James Roberts, I., Schechter, N. L., & Nurko, S. (2016). Childhood functional gastrointestinal disorders: Neonate/toddler. Gastroenterology, 150(6), 1443–1455.e2. https://doi.org/10.1053/j.gastro.2016.02.016
de Geus, A., Koppen, I. J. N., Flint, R. B., & Tabbers, M. M. (2023). An update of pharmacological management in children with functional constipation. Pediatric Drugs, 25, 343–358. https://doi.org/10.1007/s40272-023-00563-0
de Mello, P. P., Ewald, D. A., & Morais, M. B. (2018). Use of fibers in childhood constipation treatment: Systematic review with meta-analysis. Jornal de Pediatria (Rio J), 94(5), 460–470. https://doi.org/10.1016/j.jped.2017.10.014
Djurijanto, F., Lin, S.-H., Vo, N.-P., Le, N. Q. K., Nguyen-Hoang, A., Shen, S.-C., et al. (2024). Prevalence and determinants of constipation in children in Asia: A systematic review and meta-analysis. EClinicalMedicine, 71, 102578. https://doi.org/10.1016/j.eclinm.2024.102578
Hojsak, I., Benninga, M. A., Hauser, B., et al. (2022). Benefits of dietary fibre for children in health and disease. Archives of Disease in Childhood. https://doi.org/10.1136/archdischild-2021-323571
Huysentruyt, K., Koppen, I. J. N., Benninga, M. A., et al. (2019). The Brussels Infant and Toddler Stool Scale: A study on interobserver reliability. Journal of Pediatric Gastroenterology and Nutrition, 68(2), 207–213. https://doi.org/10.1097/MPG.0000000000002153
Kementerian Kesehatan Republik Indonesia. (2019). Pedoman gizi seimbang. Kementerian Kesehatan RI.
Koppen, I. J. N., Vriesman, M. H., Saps, M., Rajindrajith, S., Shi, X., van Etten-Jamaludin, F. S., Di Lorenzo, C., & Benninga, M. A. (2018). Prevalence of functional defecation disorders in children: A systematic review and meta-analysis. The Journal of Pediatrics, 198, 121–130.e6. https://doi.org/10.1016/j.jpeds.2018.02.029
Mulhem, E., Khondoker, F., & Kandiah, S. (2022). Constipation in children and adolescents: Evaluation and treatment. American Family Physician, 105(5), 469–478.
Rajindrajith, S., Gordon, M., Dovey, T. M., Benninga, M. A., et al. (2024). Dietary interventions for the management of chronic constipation in children (Protocol). Cochrane Database of Systematic Reviews, 2024(2), CD014865. https://doi.org/10.1002/14651858.CD014865
Tabbers, M. M., DiLorenzo, C., Berger, M. Y., Faure, C., Langendam, M. W., Nurko, S., Staiano, A., Vandenplas, Y., & Benninga, M. A. (2014). Evaluation and treatment of functional constipation in infants and children: Evidence-based recommendations from ESPGHAN and NASPGHAN. Journal of Pediatric Gastroenterology and Nutrition, 58(2), 258–274. https://doi.org/10.1097/MPG.0000000000000266
Vriesman, M. H., Koppen, I. J. N., Camilleri, M., Di Lorenzo, C., & Benninga, M. A. (2020). Management of functional constipation in children and adults. Nature Reviews Gastroenterology & Hepatology, 17(1), 21–39. https://doi.org/10.1038/s41575-019-0222-y
Wang, Z., Gao, M., Kan, J., Cheng, Q., Chen, X., Tang, C., Chen, D., Zong, S., & Jin, C. (2024). Resistant starch from purple sweet potatoes alleviates dextran sulfate sodium-induced colitis through modulating the homeostasis of the gut microbiota. Foods, 13(7), 1028. https://doi.org/10.3390/foods13071028
Zeevenhooven, J., Koppen, I. J. N., & Benninga, M. A. (2017). The new Rome IV criteria for functional gastrointestinal disorders in infants and toddlers. Pediatric Gastroenterology, Hepatology & Nutrition, 20(1), 1–13. https://doi.org/10.5223/pghn.2017.20.1.1
