A longitudinal survey of self-reported bowel habits in the United States

Everhart, James E.; Go, Vay Liang W.; Johannes, Richard S.; FitzSimmons, Stacey C.; Roth, Harold P.; White, Lon R.

doi:10.1007/bf01537261

Cited by 347 publications

(242 citation statements)

References 12 publications

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“…These null associations may be due to the large proportions of women without habits of smoking (94%) or alcohol drinking (78%) and with a normal BMI (78%). Physical activity has also been associated with constipation in several studies (Everhart et al, 1989;Sandler et al, 1990;Dukas et al, 2003;Sanjoaquin et al, 2004); we, however, did not find the association. This may be because of our relatively rough assessment of physical activity because we classified the subjects only into two groups according to the frequency of participating sports club activities without consideration of other kinds of activities.…”

Section: Discussioncontrasting

confidence: 98%

“…The effect of dietary fiber on constipation is widely accepted, but only a few studies have found an inverse association between dietary fiber and constipation (Dukas et al, 2003;Sanjoaquin et al, 2004), and many other studies have failed to find this association (Everhart et al, 1989;Whitehead et al, 1989;Campbell et al, 1993;Towers et al, 1994). Unexpectedly, there seemed to be a positive association between dietary fiber intake and constipation in the Diet and constipation in Japanese women K Murakami et al present study, although the association disappeared after further adjustment for rice intake, suggesting that the association is largely due to an inverse association between rice intake and constipation.…”

Section: Discussionmentioning

confidence: 99%

“…According to previous studies in the West, not only various factors including age (Everhart et al, 1989;Sandler et al, 1990;Campbell et al, 1993;Dukas et al, 2003), sex (Everhart et al, 1989;Sandler et al, 1990;Campbell et al, 1993), smoking status (Dukas et al, 2003), alcohol consumption (Dukas et al, 2003;Sanjoaquin et al, 2004), body mass index (BMI) (Sandler et al, 1990;Dukas et al, 2003;Sanjoaquin et al, 2004), and physical activity (Everhart et al, 1989;Sandler et al, 1990;Dukas et al, 2003;Sanjoaquin et al, 2004), but also several aspects of diet such as intakes of energy (Sandler et al, 1990;Towers et al, 1994), dietary fiber (Dukas et al, 2003;Sanjoaquin et al, 2004), and nonalcoholic beverages (Sandler et al, 1990;Sanjoaquin et al, 2004) have been associated with constipation. However, information on this issue is quite limited among people in Asian countries including Japan (Kunimoto et al, 1998;Wong et al, 1999;Nakaji et al, 2002;Fujiwara, 2003), where dietary habits and foods available differ considerably from those in Western countries.…”

Section: Introductionmentioning

confidence: 99%

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Dietary intake in relation to self-reported constipation among Japanese women aged 18–20 years

2005

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Objective: Information on modifiable lifestyle factors associated with constipation is limited, especially among non-Western populations. We examined associations between dietary intake and self-reported constipation in young Japanese women. Design: Cross-sectional study. Subjects: A total of 1705 female Japanese dietetic students aged 18-20 years and free of current disease and current dietary counseling. Methods: Dietary intake was estimated over a 1-month period with a validated, self-administered, diet history questionnaire, and lifestyle variables including self-reported constipation were assessed by a second questionnaire designed for this survey. Results: A total of 436 women (26%) reported themselves to be 'constipated'. A multivariate odds ratio (OR) for women in the highest quartile of rice intake was 0.47 (95% confidence interval (CI): 0.33, 0.68) compared with the lowest. Additionally, women in the highest category of coffee intake had a multivariate OR of 0.67 (0.47, 0.94) compared with women in the lowest. Conversely, women in the highest quartile of confectionery intake had a multivariate OR of 1.54 (1.12, 2.13) compared with women in the lowest. Moreover, a multivariate OR for constipation for women in the highest quartile of Japanese and Chinese tea intake was 1.49 (1.09, 2.05) compared with women in the lowest. Neither total dietary fiber intake nor other lifestyle factors examined were associated with constipation. Conclusions: The consumption of rice and coffee was inversely associated with and that of confectioneries and Japanese and Chinese tea was positively associated with a prevalence of self-reported constipation.

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Section: Discussioncontrasting

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Dietary intake in relation to self-reported constipation among Japanese women aged 18–20 years

2005

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“…Furthermore, constipation tends to affect a greater proportion of women concomitant with aging (Everhart et al 1989;Heaton et al 1992;Nakaji et al 2002bNakaji et al , 2004. Many women experience changes in their bowel habits at their menstrual cycle; most women report hard stools and prolongation of transit time during the luteal phase and loose and more frequent stools at the time of menses (Rees and Rhodes 1976;Wald et al 1981;Davies et al 1986;Whitehead et al 1988;Hinds et al 1989;Davies et al 1993;Celik et al 2001), though a few researchers did not find such differences (Wyman et al 1978;Turnbull et al 1989).…”

Section: Classification Into Groupsmentioning

confidence: 99%

Bowel Habits before and during Menses in Japanese Women of Climacteric Age: A Population Based Study

Fukuda

Matsuzaka

Takahashi

et al. 2005

Tohoku J. Exp. Med.

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A good deal of data are available on the bowel habits of pre-climacteric females during menstruation. Few studies have examined the same subject in females of climacteric age but who are still menstruating, so the present study was undertaken to examine the bowel habits in menstruating females in this age group. Subjects (n = 246) were residents of a city in northern Japan, aged from 45 to 55 years old and who were still menstruating. Their every-day state of defecation and fecal characteristics were assessed with regard to four parameters: bowel movement frequency, defecation state, fecal appearance and fecal consistency. Based on a perfect match to these four criteria, the subjects were assigned to two groups, the normal group and the constipation group, and changes were assessed by enquiring how their bowel habits differed immediately before and during menses compared with their usual state. Immediately before menstruation, in the constipation group feces became harder and looser in 22.1% and 13.7%, respectively, compared with 8.7% and 9.5% in the normal group. On the other hand, during menstruation in the constipation group, feces became harder and looser in 11.6% and 16.8%, respectively, compared with 5.7% and 8.9% in the normal group. In other words, the constipation group showed a greater change immediately before and during menstruation compared with the normal group, though the differences were not significant. Our data thus suggest that the changes in the bowel habits of women of climacteric age at menstruation are greater for those suffering from constipation than those who are not.

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“…Assessment of bowel habit is retrospective in nature and it is best done by questionnaire technique. [4][5][6][7][8] Normal bowel frequency is 3 to 21 motions per week. 9 Bowel movement is easy to assess but it is a poor guide of colonic function.…”

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confidence: 99%

Evaluation of bowel habits in benign anorectal diseases

Kumar

Huda

2018

Int Surg J

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Background: Evaluation of bowel habit is useful indicator of functional gastrointestinal disorders. Assessment of bowel habit is retrospective in nature and it is best done by questionnaire technique. Aims and objectives of the study was to look for the bowel habit in common benign anorectal disorder.Methods: One-hundred patients with benign anorectal diseases who presented in the Surgery out patient’s department (SOPD) at AIIMS Rishikesh, India from January 2014 to December 2016 were included in the study. Inclusion criteria were all the cases of benign anorectal disorder attended in the Surgery OPD and exclusion criteria were cases with malignant anorectal disease. Patients were assessed on 7 questionnaires as bowel movements (number/day), consistency, feeling of incomplete defecation and/or difficult evacuation, straining at defecation, bleeding per rectum, pain during defecation, use of laxatives. These questionnaires were given to all these patients and asked to prepare a four-week daily diary.Results: One hundred patients with benign anorectal diseases enrolled in the study. All the patients came in the follow up with four-week daily diary. Author have encountered mainly haemorrhoid, Fissure in Ano and fistula in Ano at the General Surgery OPD. Most common disease was haemorrhoid (51%) and least common was fistula in Ano (3%). Most common bowel habits in haemorrhoid was passage of hard stool (51%) whereas in fissure in Ano it was straining at stool and in fistula in Ano it was passage of hard stool (100%), straining at defecation (100%) followed by bleeding and pain during defecation (67% each). Frequency of bowel movement was one per day and consistency was hard in majority of male and female patients. Laxative was used by 29% patients mainly for hard stool, incomplete evacuation and straining at stool.Conclusions: Bowel habit can be best investigated by questionnaire technique. Stool consistency is better guide of colonic transit time. Hard stool is the major cause of majority of the benign anorectal disorder.

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A longitudinal survey of self-reported bowel habits in the United States

Cited by 347 publications

References 12 publications

Dietary intake in relation to self-reported constipation among Japanese women aged 18–20 years

Dietary intake in relation to self-reported constipation among Japanese women aged 18–20 years

Bowel Habits before and during Menses in Japanese Women of Climacteric Age: A Population Based Study

Evaluation of bowel habits in benign anorectal diseases

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