Prevalence and Risk Factors of Chronic Constipation Among Women Aged 50 Years and Older in Shanghai, China

Huang, Ling; Jiang, Hai; Zhu, Maoling; Wang, Baocai; Tong, Minsi; Li, Huaguang; Lin, Moubin; Li, Li

doi:10.12659/msm.904040

Cited by 31 publications

(29 citation statements)

References 30 publications

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“…Women with high BMI are 32% more likely to experience the feeling of incomplete bowel emptying than women with normal BMI (OR=1.32, 95%CI:1.03-1.71) [37]. Thus, these findings corroborate Huang et al [38] who stated that BMI above 25kg/m 2 can be considered a risk factor (OR=2.34, 95%CI:1.34-4.08) for constipation.…”

Section: Discussionsupporting

confidence: 80%

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

et al. 2019

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To review the occurrence of pelvic, anorectal and urinary symptoms according to the nutritional status of adultwomen. Methods This is a cross-sectional study with 54 women, aged 18 to 35 years, divided into normal weight (<25kg/m2), overweight (25kg/m2 to 29.99kg/m2) and obesity (≥30kg/m2) according to the body mass index. The presence of pelvic floor muscle dysfunction symptoms was assessed by the Pelvic Floor Distress Inventory and the impact of these symptoms by the Pelvic Floor Impact Questionnaire. Descriptive and inferential statistics were used, with a significance level of 5%. Results Pelvic Floor Distress Inventory total score was 22.95 (SD=26.11) in the eutrophic group and 59.67 (SD=47.80) in the obesity group (p=0.01). Considering the scales, urinary symptoms were higher in obese women than in the eutrophic group (p=0.01). In the assessment of patients with each symptom, a difference (p<0.01) was observed in incomplete bowel emptying, in which the highest frequency occurred in overweight women (47.4%) compared to eutrophic and obese women (both 26.3%). Urinary incontinence symptoms (18.2% in eutrophic women, 27.3% overweight and 54.5% obese), stress urinary incontinence (8.3% eutrophic, 41.7% overweight and 50.0%, obese) and difficulty in emptying the bladder (0.0% eutrophic, 33.3% overweight and 66.7% obese) exhibited higher frequencies (p=0.03; p<0,01 and p=0.02, respectively) in obese women. Conclusion Symptoms of pelvic floor muscles dysfunction, especially urinary tract muscles, occur more frequently in obese adult women when compared to eutrophic women.

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Section: Discussionsupporting

confidence: 80%

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

et al. 2019

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“…Nakaji et al compared penetrometer-measured stool consistency between genders, and got similar results 17 . Women are slightly more likely than men to get constipation owing to several risk factors, including life style, hormones, and physical factors [26][27][28] . Therefore, their slightly higher stool consistency could be a result of longer transit time in these women.…”

Section: Discussionmentioning

confidence: 99%

Direct measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population

Matsuda

Akiyama

Tsujibe³

et al. 2021

Sci Rep

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Stool consistency is evaluated mainly in reference to indirect indicators such as water content or the appearance of stool forms using Bristol Stool Form Scale (BSFS). Methods of measurement are limited. We thus aimed to develop a simple protocol for direct measurement of stool consistency using the TA.XTExpress Texture Analyser (Stable Micro Systems Ltd.). We developed a protocol which enables mechanical quantification of the gram-force against a cylindrical probe (ø 6 mm) pushed into the stool surface at 2.0 mm/s to 5 mm depth. The consistency of 252 stools collected from 40 healthy Belgians was evaluated by the direct method and by the indirect indicators (water content and BSFS) for comparison. The log-transformed stool consistency values measured by the texture analyzer had a negative linear correlation with the stool water contents (rrm = − 0.781) with homoscedastic variance, suggesting the appropriateness of the new protocol. They showed a similar correlation with the BSFS, but with a large variance in the consistency values of normal stool forms. This correlation was much smaller for BSFS scored by subjects (rrm = − 0.587) than by experts (rrm = − 0.789), collectively indicating BSFS as a rough indicator of stool consistency susceptible to subjective bias despite its effectiveness in clinical use. The optimized direct method using the texture analyzer enables the accurate quantification of stool consistency, which facilitates understanding of the intestinal environment and function and thus may enhance the value of the stool as a predictor of human health.

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“…9,12,25 This suggests that educational level was associated with lack of knowledge of chronic constipation, particularly in terms of prevention, which led to a poorer quality of life. 25,26 Our data have contributed to the existing body of knowledge on chronic constipation among older people, particularly regarding constipation symptoms. Nevertheless, some limitations of this study should be acknowledged.…”

Section: Discussionmentioning

confidence: 81%

Chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia

Wahab¹,

Kadir²,

Lee³

et al. 2019

msk

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Background:This study aimed to investigate the prevalence, symptoms, and factors associated with chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia. Methods: A cross-sectional study was conducted in four selected health clinics using stratified cluster sampling. A face-to-face interview was carried out among the elderly outpatients, in order to complete a structured questionnaire. Results: A total of 400 participants were included in the study. The mean age was 68.7 ± 6.4 years, and 55% of the cohort were women. The prevalence of chronic constipation was 32.3% among the sample population. The most common symptom was "sensation of incomplete evacuation" (63.6%), and none of the participants reported having "less than three defecations per week," "straining," or "lumpy or hard stool." Educational level (p = 0.005), number of defecations per week, stool form, time spent for defecation, and abdominal bloating were significantly associated with chronic constipation (p < 0.001). Conclusion: Chronic constipation was common in older people and associated with a low educational level. Recognition of symptoms was predominantly based on clinical features of constipation and will require the healthcare providers to consider these factors in their routine assessment of older people.

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Prevalence and Risk Factors of Chronic Constipation Among Women Aged 50 Years and Older in Shanghai, China

Cited by 31 publications

References 30 publications

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

Pelvic, anorectal and urinary symptoms according to the nutritional status of adult women: A cross-sectional study

Direct measurement of stool consistency by texture analyzer and calculation of reference value in Belgian general population

Chronic constipation among community-dwelling older people in the East Coast region of Peninsular Malaysia

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