Association between cesarean section and constipation in infants: The Japan Environment and Children's Study (JECS)

Taketoshi Yoshida, Kenta Matsumura, Akiko Tsuchida, Kei Hamazaki, Hidekuni Inadera, Yukihiro Ohya, Reiko Kishi, Nobuo Yaegashi, Chisato Mori, Zentaro Yamagata, Takeo Nakayama, Masayuki Shima, Yasuaki Hirooka, Narufumi Suganuma, Koichi Kusuhara, Takahiko Katoh

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Objective: There have been increasing reports on the association between cesarean section (C-section) and the subsequent development of diseases in infants. C-section affects the diversity of microbiota in the infant's gut. In the present study, we investigated the association between infants delivered by C-section and the development of constipation at 1 year old due to altered gut microbiota using data from the Japan Environment and Children's Study (JECS). Results: This cohort study (n = 83,019) used data from JECS, an ongoing cohort study which began in January 2011. Data on bowel movement and potential confounding factors were recorded. A log-binomial regression model was used to estimate the risk of C-section, and the results were expressed as risk ratios and their respective 95% confidence intervals. Although infants delivered by C-section were of significantly younger gestational age and lesser birth weight than vaginally delivered infants, the frequency of bowel movements was almost similar between the two, independent of the mode of delivery. The prevalence of constipation in the entire infant was 1.37%. No significant differences were observed for C-section in crude and adjusted risk ratios for constipation.

Original languageEnglish
Article number882
JournalBMC Research Notes
Issue number1
Publication statusPublished - 2018 Dec 12


  • Birth cohort
  • Cesarean section
  • Constipation
  • Microbiota

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)


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