Association of Dietary Energy Intake With Constipation Among Men and Women: Results From the National Health and Nutrition Examination Survey

Yang, Shuai; Wu, Xiaoli; Shou-qing, Wang; Guo, Xiangling; Guo, Fu-Zheng; Xiao-feng, Sun

doi:10.3389/fnut.2022.856138

Cited by 18 publications

(25 citation statements)

References 19 publications

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“… 17 , 29 In fact, lower energy intake was associated with a higher prevalence of constipation in women, but this association was not reported in men. 14 Regarding the association between a prudent dietary score and constipation, the fact that the OR was very close to 1 in our study suggests that further studies are needed to validate our result. Further, sex differences can be attributed to the effects of female hormones.…”

Section: Discussionsupporting

confidence: 49%

Associations Between Lifestyle Factors and Constipation Among Survivors After the Great East Japan Earthquake: A 9-year Follow-up Study

Harada,

Tsuboyama-Kasaoka,

Yonekura

et al. 2024

Journal of Epidemiology

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Background Disaster survivors experience deterioration in lifestyles and an increase in constipation. After the Great East Japan Earthquake in 2011, some survivors were evacuated for a long term, even after moving to temporary housing and public reconstruction housing. However, annual changes in constipation and the association between lifestyles and constipation among the survivors are still unknown. Methods Overall, 9,234 survivors aged 18 years or older participated in this 9-year follow-up survey after the disaster. Information about the prevalence of constipation and lifestyle factors (diet, physical activity, and mental health) was collected using a self-reported questionnaire. Their dietary intake was categorized into the following two dietary patterns: prudent (fish and shellfish, soybean products, vegetables, fruits, and dairy products) and meat (meat and eggs). Odds ratios for constipation according to lifestyle factors were calculated using a generalized linear mixed model. Results In women, the prevalence of constipation was the highest at baseline (8.7%) and remained around 5% afterward. In both men and women, older age, poor mental health, and poor physical activity were significantly associated with higher odds ratios of constipation. Moreover, a lower frequency of meals and a lower prudent dietary score were significantly associated with women’s constipation. Conclusion The prevalence of constipation was the highest at baseline and remained around 5% in women. Lifestyle factors, such as poor mental health, physical inactivity, and low frequency of meals were associated with constipation. Our findings suggest continuous support for the survivors with constipation for medium- to long-term after disasters.

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Section: Discussionsupporting

confidence: 49%

Associations Between Lifestyle Factors and Constipation Among Survivors After the Great East Japan Earthquake: A 9-year Follow-up Study

Harada,

Tsuboyama-Kasaoka,

Yonekura

et al. 2024

Journal of Epidemiology

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“…Given that the NHANES bowel questionnaire BHQ060 was built upon the well-established Bristol stool form scale [ 14 ], previous studies often relied upon this criterion for defining constipation [ 3 , 4 , 12 ]. However, individuals' perception of bowel movements and the actual form of feces might not align perfectly.…”

Section: Discussionmentioning

confidence: 99%

“…The Bowel Health Questionnaire from 2009–2010 is frequently used to identify research subjects with chronic constipation [ 3 , 4 , 12 ]. Participants were asked the question: “During the past 12 months, how often have you been constipated?” Patients who answered “always”, “most of the time”, or “sometimes” were considered to have constipation, while those who answered “rarely” or “never” were considered to have normal bowel movements.…”

Section: Methodsmentioning

confidence: 99%

“…Due to the complex etiology of constipation, the American Gastroenterological Association has classified constipation patients into three categories: normal transit constipation, slow transit constipation, and pelvic floor dysfunction or defecatory disorders, in order to better guide treatment [ 2 ]. Various risk factors related to constipation have been extensively studied, including selenium intake [ 3 ], energy intake [ 4 ], and liquid intake [ 5 ]. However, Werth [ 6 ] found that the existing evidences on most constipation risk factors are contradictory or insufficient, thus large-scale studies including a wide range of factors in a community environment are necessary to further understand the risk factors of constipation.…”

Section: Introductionmentioning

confidence: 99%

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Association of niacin intake with constipation in adult: result from the National Health and Nutrition Examination

Huang,

Zhao,

et al. 2023

Eur J Med Res

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Background Although dietary intake is believed to be associated with constipation, there is currently a lack of research exploring the relationship between niacin intake and constipation. Therefore, the aim of this study is to investigate the association between niacin intake in adults and constipation using data from the National Health and Nutrition Examination Survey (NHANES). Methods This study included 5170 participants (aged ≥ 20 years) from the NHANES survey conducted between 2009 and 2010. Participants who reported experiencing constipation “always”, “most of the time”, or “sometimes” in the past 12 months were defined as constipation cases. The daily niacin intake was obtained from dietary recall and dietary supplement recalls of the patients. Weighted multivariate logistic regression analysis, restricted cubic spline regression, subgroup analysis, and interaction analysis were used to assess the correlation between niacin intake and constipation. Results After adjustment for covariates, the multivariate logistic regression model showed that low niacin intake was associated with a higher risk of constipation (Model 1: OR: 0.917, 95% CI 0.854–0.985, P = 0.023; Model 2: OR: 0.871, 95% CI 0.794–0.955, P = 0.01). After dividing niacin intake into four groups, a daily intake of 0–18 mg niacin was associated with a higher risk of constipation (Model 1: OR: 1.059, 95% CI 1.012–1.106, P = 0.019; Model 2: OR: 1.073, 95% CI 1.025–1.123, P = 0.013). The restricted cubic spline regression analysis also showed a non-linear relationship between niacin intake and the risk of constipation. Conclusion The findings of this study suggested that daily intake of 0–18 mg of niacin was associated with a higher risk of constipation compared to a daily intake of 18–27 mg of niacin.

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“…Dietary patterns, which are subject to change, also have a profound association with the onset of chronic constipation. In regular clinical practice, dietary management is widely regarded as the cornerstone of any therapy for persistent constipation (Yang et al., 2022 ). Nevertheless, due to sample size and research methodology limitations, this study primarily focuses on a narrow subset of food constituents, such as fiber and energy intake, which may not fully capture the complexity of the human diet and its relationship with constipation.…”

Section: Introductionmentioning

confidence: 99%

Association of dietary inflammatory index with constipation: Evidence from the National Health and Nutrition Examination Survey

Wang,

Liu,

Guo

et al. 2024

Food Science & Nutrition

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The association of dietary inflammatory index (DII) with constipation has not been well studied in general population. Therefore, the aim of this cross‐sectional study was to investigate whether DII is associated with constipation in a large representative sample of the US population. Data were obtained from the 2005–2010 National Health and Nutrition Examination Survey (NHANES). A total of 12,308 participants aged ≥20 years were included in the analysis. DII was calculated based on a single 24‐h dietary recall, and constipation was defined as having fewer than three bowel movements per week by the questionnaire on bowel health. Logistic regression analysis demonstrated a significant positive association between DII score and constipation, with each unit increase in DII score associated with a 20% increase in constipation risk (95% CI: 1.13–1.28). Subgroup analysis revealed high odds ratios (ORs) among individuals classified as “Other Race” (OR: 1.42, 95% CI: 1.12–1.80) and “Non‐Hispanic White” (OR: 1.31, 95% CI: 1.12–1.54). In addition, RCS analysis indicated a nonlinear relationship between DII and constipation among individuals with a BMI less than 25 (OR: 1.17, 95% CI: 1.07–1.28), while the overall trend remained positive correlation (OR: 1.20, 95% CI: 1.10–1.31). Briefly, our study suggests that there may be a link between DII and constipation, which has implications for the development of dietary interventions aimed at preventing and managing constipation. However, this association was complex and variable depending on individual factors such as BMI and racial background and needed to establish longitudinal studies to confirm the underlying mechanisms between DII and constipation.

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Association of Dietary Energy Intake With Constipation Among Men and Women: Results From the National Health and Nutrition Examination Survey

Cited by 18 publications

References 19 publications

Associations Between Lifestyle Factors and Constipation Among Survivors After the Great East Japan Earthquake: A 9-year Follow-up Study

Associations Between Lifestyle Factors and Constipation Among Survivors After the Great East Japan Earthquake: A 9-year Follow-up Study

Association of niacin intake with constipation in adult: result from the National Health and Nutrition Examination

Association of dietary inflammatory index with constipation: Evidence from the National Health and Nutrition Examination Survey

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