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Controlled Clinical Trial
. 2010 Nov;35(10):1144-51.
doi: 10.1093/jpepsy/jsq033. Epub 2010 May 3.

Increasing daily water intake and fluid adherence in children receiving treatment for retentive encopresis

Elizabeth S Kuhl  1 , Flora Hoodin, Jennifer Rice, Barbara T Felt, Joseph R Rausch, Susana R Patton
Affiliations
Controlled Clinical Trial

Increasing daily water intake and fluid adherence in children receiving treatment for retentive encopresis

Elizabeth S Kuhl et al. J Pediatr Psychol. 2010 Nov.

Abstract

Objective: To examine the efficacy of an enhanced intervention (EI) compared to standard care (SC) in increasing daily water intake and fluid goal adherence in children seeking treatment for retentive encopresis.

Methods: Changes in beverage intake patterns and fluid adherence were examined by comparing 7-week diet diary data collected during participation in the EI to achieved data for families who had previously completed the SC.

Results: Compared to children in SC (n = 19), children in the EI (n = 18) demonstrated a significantly greater increase in daily water intake from baseline to the conclusion of treatment ( p ≤ .001), and were four and six times more likely to meet fluid targets in Phases 1 (Weeks 3-4) and 2 (Weeks 5-6) of fluid intervention, respectively (both p ≤ .001).

Conclusions: Enhanced education and behavioral strategies were efficacious in increasing children's intake of water and improving fluid adherence. Future research should replicate the findings in a prospective randomized clinical trial to discern their effectiveness.

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Figures

Figure 1.
Figure 1.
Between-group comparison of mean (model-based estimates) daily intake for all fluid types by fluid phase. **p ≤ .001. SSB, Sugar-sweetened beverage.
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References

    1. American Academy of Pediatrics Committee on Nutrition. The use and misuse of fruit juice in pediatrics. Pediatrics. 2001;107:1210–1214. - PubMed
    1. Cowbrough K, Llyod H. A measurement and comparison of the fluid intake in people with and without back pain. Journal of Human Nutrition and Dietetics. 2003;16:403–409. - PubMed
    1. Domel SB, Thompson WO, Baranowski T, Smith AF. How children remember what they have eaten. Journal of the American Dietetic Association. 1994;94:1267–1272. - PubMed
    1. Felt BT, Brown PI, Van Harrison R, Kochhar PK, Patton SR, Marcus SM, Teitelbaum DH. University of Michigan Health System Guidelines for Clinical Care: Functional constipation and soiling in children. Retrieved from http://cme.med.umich.edu/pdf/guideline/peds08.pdf.
    1. Hsiao CH. Analysis of panel data. Cambridge; New York: Cambridge University Press; 2003.

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