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

Fukuda, Shinsaku; Matsuzaka, Masashi; Takahashi, Ippei; Oyama, Takao; Umeda, Takashi; Shimoyama, Tadashi; Nakaji, Shigeyuki; Wada, Seiko; Kumae, Takashi

doi:10.1620/tjem.206.99

Cited by 9 publications

(6 citation statements)

References 24 publications

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“…The frequency of this report in the present study (20%) is lower than in a previous study where approximately one-third of females reported some change in stool consistency during menstruation [16]. However, the results of the present study differ from those of a Japanese study that found immediately before menstruation, in constipated women, feces to become harder and looser in 22.1 and 13.7%, respectively, compared with 8.7 and 9.5% in normal women [17].…”

Section: Discussioncontrasting

confidence: 99%

Clinical, Physiological, and Psychological Correlates of the Improvement of Defecation during Menses in Women with Functional Gastrointestinal Disorders

et al. 2020

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Background/Aims: Little is known about the improvement in defecation frequently reported by women around menses. We aimed to describe clinical, physiological, and psychological correlates of this improvement in those with functional bowel disorders. Patients and Methods: We recruited 478 consecutive premenopausal adult females with no indication of gynecologic or psychiatric disease, who were attending an outpatient functional bowel disorders clinic. Patients completed a Rome III questionnaire, psychological evaluation stool form, and a 10-point Likert scale for constipation, diarrhea, bloating, and abdominal pain. These patients underwent physiological tests, anorectal manometry, and colonic transit time and were classified according to the presence or the absence of improvement in defecation during menses. The reverse selection procedure was used for model selection during multivariate logistic regression where statistically significant variables (p < 0.01) remained in the adjusted model. Results: Ninety-seven patients (20%) reported easier defecation during menstruation. These patients were younger (p < 0.001) but had similar body mass indices and psychological profiles as the other patients. Clinically, they only reported more frequent irritable bowel syndrome (IBS) with constipation (p = 0.007), with harder stools (p = 0.005) and delayed left colon transit time (p = 0.002). No anorectal manometric parameter was different between the 2 groups. Conclusion: Improvement of constipation during menses is mainly associated with younger age and constipation-IBS phenotype and not with functional constipation.

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Section: Discussioncontrasting

confidence: 99%

Clinical, Physiological, and Psychological Correlates of the Improvement of Defecation during Menses in Women with Functional Gastrointestinal Disorders

et al. 2020

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“…These were evident in our study as being overweight/obese, less physical exercise, meat-based diet, and poor sleep quality were found to contribute significantly to CC. Moreover, we found that women in premenopausal period or with no delivery history appeared to be more likely to suffer from constipation, which might be associated with the fluctuations in female sex hormones and emotions [26,27]. We also observed that, compared with manual workers, non-manual workers tended to have a higher risk for CC.…”

Section: Discussionmentioning

confidence: 89%

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

et al. 2017

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BackgroundChronic constipation (CC) is a major public health problem worldwide, especially in elderly women. This study aimed to investigate the prevalence and risk factors of CC among women aged 50 years and older in Shanghai, China.Material/MethodA cross-sectional survey was conducted on 1950 women aged 50 years and older, randomly sampled in Yangpu District of Shanghai from April to October 2015. Information on demographic characteristics, lifestyle habits, medical history, and defecation situation was collected through in-person interviews. CC was defined according to Rome III criteria. The data were analyzed by chi-square test and multiple logistic regression analysis.ResultsThe response rate to the survey was 80.4%. Of the 1568 participants, 77 were diagnosed with CC, with a prevalence of 4.9%. Moreover, the prevalence increased with advancing age. Multiple logistic analyses showed that body mass index (BMI) ≥25.0 kg/m2, non-manual occupation, premenopausal period, no delivery history, poor sleep quality, meat-based diet, and less physical exercise were significant risk factors for CC in the population of women aged 50 years and older.ConclusionsCC was a common health problem among women aged 50 years and older in Shanghai, and the prevalence was positively associated with BMI ≥25.0 kg/m2, non-manual occupation, premenopausal period, no delivery history, poor sleep quality, meat-based diet, and less physical exercise. Further studies are needed to identify the risk factors and potential interventions for CC.

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“…Change in bowel movement across the menstrual cycle is well documented in Europe and the USA [12][13][14][15][16], but few studies have been undertaken using the Japanese population [17]. Furthermore, chronological associations between bowel habits and menstruation have not been determined Table 1.…”

Section: Introductionmentioning

confidence: 99%

Questionnaire Survey of Bowel Habit in Japanese Medical Personnel

Maeda

Koide

Katsuno

et al. 2021

J Anus Rectum Colon

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Objectives: This study aims to clarify the bowel habit, change of bowel movement throughout the cycle of menstruation, and toilet use in Japanese medical personnel. Methods: A questionnaire survey was completed by Japanese medical personnel after listening to lectures on bowel disorders. Constipation was defined according to Rome III criteria, whereas diarrhea was defined as Bristol stool form scale type 6 and 7. Results: In total, 463 persons (mean age, 35.6 years, range 20-91, male/female/no answer: 132/324/7) have completed the questionnaire. Constipation was significantly more often observed in females (male/female: 3%/31%, p > 0.001, Chi-squared test), while diarrhea was noted to be less in females (male/female: 1%/7%). Constipation was observed in 20% of participants in their 20s, and the constipation rate was observed to gradually increase with age. It was observed in 45% of participants in their 70s or older. Bowel movement changed to constipation around menstruation in 18% of females and changed to diarrhea in 43% of females. Constipation often occurred before menstruation and diarrhea during menstruation. Only 2% of participants used a Japanese-style toilet, and 5% of participants claimed that they were unable to pass a stool on a Japanese-style toilet. Conclusions: Constipation was significantly more frequent in females and increased with age among female Japanese medical personnel. Change of bowel movement occurred in 61% of females around menstruation. Five percent of participants were unable to pass stools on a Japanese-style toilet.

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

Cited by 9 publications

References 24 publications

Clinical, Physiological, and Psychological Correlates of the Improvement of Defecation during Menses in Women with Functional Gastrointestinal Disorders

Clinical, Physiological, and Psychological Correlates of the Improvement of Defecation during Menses in Women with Functional Gastrointestinal Disorders

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

Questionnaire Survey of Bowel Habit in Japanese Medical Personnel

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