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The Children’s Faecal Matter Structure Is Built by Their Parents

Open Journal of Epidemiology 2019年第1期9卷 64-74页

作者： Eduard Cueto Rua ricardo Wright Cecilia Zubiri Luciana Guzmán Claudia Losada M. Inés Urrutia María T. Gonzalez ricardo drut Mariela Espósito Norberto Recalde Jorge Fiad Ignacio Goni Natalia Belén María Cristina Arregui Facultad de Ciencias Médicas Universidad Nacional de La Plata La Plata Argentina Comisión de Investigación Científica de la Provincia de Buenos Aires Buenos Aires Argentina Pediatric Hospital “Sor María Ludovica” La Plata Argentina Universidad Nacional de La Plata La Plata Argentina Consultant in Pediatrics Mar del Plata City Argentina Dolores City Argentina

Introduction: Humans have gone through physical changes over the last 4 million years. The mouth, however, has not changed teeth quantity or quality. Eight incisors for fruits, vegetables and tubers;four little canines for little animals;eight premolars and twelve flat molars are used for crushing these foods, especially whole grains and legumes. The teeth crushing foods are the first step in the building of faecal matter. Foods are selected mostly according to cultural guidelines than to biological needs. The patterns of consumption are induced by the publicity of industrialized or processed foods. Material and Methods: This study design was observational, analytical, correlational, transversal and prospective. One thousand children (0 - 12 years old) were questioned in order to learn about the relationship between Weekly Eating Frequency (WEF) and Faecal Matter (FM) characteristics. The FM was classified as soft, normal or hard and the outcome was expressed as Dry Faecal Residue (DFR). The WEF and Weekly Bowel Movement Frequency (WBMF) were determined and tabulated according to times per week. Environmental factors, parents’ education level and children’s birth order were examined. Results: There was a strong association between DFR, WBMF and WEF. Environment and education level did not play a key role although birth order did matter. Conclusions: Fibre-free foods (dairies, meats, flours and sweeties or sodas) increased DFR. Foods containing fibre from vegetables decreased DFR, which in turn contributed to the WBMF. Lowest DFR was observed in children under Exclusive Breastfeeding (EB). Distant last-born children had higher DFR. Comments: Daily examples support these results and it is clear that children’s FM is built by their parents. We encourage parents to follow the “mouth nature” rather than the “advertisements nature”.

关键词： Bowel Movement Frequency Constipation Culture Faecal Matter Foods

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Associated or Concomitant Diseases Influence Significantly the Health-Sickness Concept in Celiacs

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Open Journal of Epidemiology 2017年第2期7卷 139-158页

作者： Eduardo Cueto Rúa Maria Teresita Gonzalez Villar ricardo Wright Claudia Losada Gómez Karol Martínez María Arregui Luciana Guzmán Cecilia Zubiri Viviana Bernedo Anabella Zosi Lorena Menéndez Lucas Ruiz Leopoldo Mancinelli María Urrutia ricardo drut School of Medical Sciences La Plata National University La Plata Argentina

It is well-known that feeling to be a healthy or sick person most probably results from the mind than from the body. We all know healthy people who feel sick and vice versa. We were interested in the health and sickness feeling of celiac people, their autorating of these feelings and its conditioning factors as well as their expectations. In this paper we present the results of an inquiry to evaluate these situations. We performed a descriptive, transversal and prospective study for 2 years to groups of celiacs and their families. They received a closed inquiry to be completed before the beginning of the talk. The inquiry included personal data and the co-existence of associated or concomitant (AoC) diseases. Most of the sample’s patients felt to be a healthy person (86.8%). Mothers see their children as healthy and the auto rated criteria is significantly better than the adult celiac person (“t”= -6.024 (p = 0.000)). AoC diseases influenced negatively in the feeling of being healthy and strongly decreased the autorating. Longer time passed on treatment reflects an increase feeling of health and of the autorating. In people with AoC diseases and who feel sick, the increased time of treatment did not show significant differences. People with “gluten sensitivity” felt sicker and auto rated themselves with a lower number than celiacs. Many pediatric gastroenterologists notice that the newly agreed definition of celiac disease, referring it as “autoimmune, chronic, incurable, and multisystemic”, results in a very negative character of the condition which might compromise the future labour of this people as well as their admittance to different health insurance systems.

关键词： Associated Conditions Celiac Disease Feeling Gluten-Free Diet Gluten Intolerance Quality of Life Health/Sickness Pain Self-Qualification

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