Correlates of constipation in people with Parkinson’s

Gage, Heather; Kaye, Julie; Kimber, Alan; Storey, Lesley; Egan, M.B.; Qiao, Ye; Trend, Patrick

doi:10.1016/j.parkreldis.2010.11.003

Cited by 22 publications

(10 citation statements)

References 27 publications

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“…In a recent study surveying US Medicare beneficiaries, those with corrected cataracts had lower odds of hip fracture during a 1-year time period compared to those without cataract surgery, suggesting that uncorrected vision impairment was related to balance and falls 27 . More than half of the participants had complaints in Upper and Lower GI and Genitourinary function, further supporting previous evidence that even mild constipation or urinary incontinence may significantly impact lifestyle and/or mobility 28 .…”

Section: Discussionsupporting

confidence: 83%

Comorbidity and Functional Mobility in Persons with Parkinson Disease

King¹,

Priest²,

Nutt³

et al. 2014

Archives of Physical Medicine and Rehabilitation

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Objective To report the frequency, severity, and types of comorbidities in people with Parkinson’s disease (PD) using a validated self-report comorbidity-screening tool and to determine the relationship between comorbidity and functional mobility. Design A secondary analysis and cross-sectional observational study design. Setting University hospital; outpatient Balance Disorders Laboratory. Participants Seventy-six persons with mild to moderate idiopathic PD. Intervention Not Applicable. Main outcome measures The Cumulative Illness Rating Scale-Geriatric (CIRS-G) and a comprehensive mobility assessment including gait (distance walked in 3 minutes), balance (Mini-BESTest), and physical function (Physical Performance Test). Results All participants reported comorbidities in addition to their diagnosed PD. The average number of comorbidities was 6.96 ± 2.0 (range 2–11) and total CIRS-G score was 12.7 (±4.8). The most commonly reported organ systems with comorbidity were Eyes & Ears (89%), Psychiatric (68%), Musculoskeletal (64%), Lower GI (62%), Respiratory (60.5%), Upper GI (59.2%), and Genitourinary (53.9%). The total CIRS-G score was significantly related to functional mobility: gait (r=−0.53; p=0.0001), balance (r=−0.43; p=0.0003) and Physical Performance (r=−0.36; p=0.0041). Of the original 14 organ systems measured, there were 7 systems that, when combined, best predicted gait performance; 6 systems combined best-predicted balance performance and 4 systems combined that predicted functional performance. Conclusion This study reports high frequency of multiple medical system comorbidity in people with mild to moderate PD. Furthermore, comorbidity scores were associated with mobility disability: gait, balance and physical function. Early intervention is important to delay mobility disability in PD and we recommend that people with PD found to have comorbidities should be screened for balance and gait deficits.

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Section: Discussionsupporting

confidence: 83%

Comorbidity and Functional Mobility in Persons with Parkinson Disease

King¹,

Priest²,

Nutt³

et al. 2014

Archives of Physical Medicine and Rehabilitation

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“…28,29 A constipação intestinal é motivo de grande desconforto entre os parkinsonianos e tem se encontrado relação entre presença e grau de constipação com a duração e gravidade da doença.…”

Section: Metodologiaunclassified

“…Gage et al 28 observaram que 61,2% dos indivíduos com DP apresentavam uma ingestão hídrica de cinco a oito copos de líquidos por dia, quando comparados ao encontrado nesta amostra.…”

Section: Metodologiaunclassified

Doença de Parkinson em idosos: ingestão alimentar e estado nutricional

Morais

Fracasso

Busnello

et al. 2013

Rev. bras. geriatr. gerontol.

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ResumoObjetivo: Avaliar o estado nutricional e ingestão alimentar dos idosos portadores da doença de Parkinson. Métodos: Estudo transversal, realizado com pacientes portadores da doença de Parkinson (DP), atendidos em ambulatório. O estado nutricional foi avaliado utilizando a mini-avaliação nutricional (MAN), registro de consumo alimentar estimado de três dias e antropometria. Para avaliação da adequação de ingestão de nutrientes e energia, utilizou-se a ingestão dietética de referência, considerando valores da ingestão adequada, requerimento médio estimado e ingestão dietética recomendada. Resultados: Foram avaliados 36 indivíduos, com idade média de 70,9±7,3 anos, sendo que 55% dos pacientes apresentaram risco de desnutrição de acordo com a MAN. Todavia, quando classificados pelo índice de massa corporal (IMC), 33% dos pacientes apresentaram sobrepeso e 39% não apresentaram perda nos últimos três meses. A ingestão energética foi de 1.632 e 1.840kcal/dia; proteínas, 71,2 e 61,9g/dia; ferro, 15,8 e 15,6mg/dia; sódio, 1.798 e 1.843mg/dia, para homens e mulheres, respectivamente, e ficaram acima das recomendações. Verificou-se ingestão inferior à recomendação para fibras (13,5 e 13,6g/dia), cálcio (694 e 552mg/dia) e potássio (1.637 e 1.476mg/dia). A ingestão energética apresentou correlação com ferro e proteína (r=0,581 e r=0,582) e a proteína apresentou correlação com a ingestão de ferro (r=0,600). Conclusão: Embora a ingestão energética da maioria se apresente adequada, observou-se o desequilíbrio dietético, com consumo insuficiente de fibras, cálcio e potássio. Além disso, metade da população encontrava-se em risco nutricional, segundo a MAN. AbstractObjective: To evaluate the dietary intake of elderly patients with Parkinson's disease and to correlate it with nutritional status. Methods: Cross-sectional study with patients with Parkinson's disease (PD) treated as outpatients. Nutritional status was evaluated by the Mini Nutritional Assessment (MAN) and food intake was assessed by three-day Palavras-chave: Doença de Parkinson. Estado nutricional. Dieta.

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“…In this group, fecal incontinence may be an indicator of generalized bowel dysfunction rather than an isolated anal sphincter problem as it may be in a younger population [19]. Bowel-symptoms such as constipation and diarrhea are related to fecal incontinence [7,20,21] as well as laxative use [6], but in this group there is also a strong relationship to reduced mobility [3,5,7,18,20,21], decline in cognitive function [5-7,9,20,21], in addition to diseases like diabetes [3,22], cerebral stroke [3,6,10], Parkinson’s disease [23], depression [24] and urinary incontinence [3,7,10]. …”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of fecal incontinence among nursing home residents: a population-based cross-sectional study

et al. 2013

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BackgroundFecal incontinence is highly prevalent among nursing home residents. Previous nursing home studies have identified co-morbidity associated with fecal incontinence, but as this population is increasingly old and frail, we wanted to see if the rate of fecal incontinence had increased and to investigate correlates of fecal incontinence further.MethodsCross-sectional study of the entire nursing home population in one Norwegian municipality. Registered nurses filled in a questionnaire for all residents in the municipality (980 residents aged ≥65). Statistical methods used are descriptive statistics, binary logistic regression and multivariable logistic regression.ResultsThe response rate of the study was 90.3%. The prevalence of fecal incontinence was 42.3%. In multivariable analysis of FI, residents with diarrhea (OR 7.33, CI 4.39-12.24), urinary incontinence (OR 2.77, CI 1.73-4.42) and dementia (OR 2.17, CI 1.28-3.68) had higher odds of having fecal incontinence compared to those without the condition. Residents residing in a nursing home between 4–5 years had higher odds of having fecal incontinence compared to residents who had stayed under a year (OR 2.65, CI 1.20-5.85). Residents with deficiency in feeding (2.17, CI 1.26-3.71), dressing (OR 4.03, CI 1.39-11.65), toilet use (OR 7.37, CI 2.65-20.44) and mobility (OR 2.54, CI 1.07-6.00) had higher odds of having fecal incontinence compared to residents without deficiencies in activities of daily living (ADL). Needing help for transfer between bed and chair was a protective factor for fecal incontinence compared to residents who transferred independently (OR 0.49, CI 0.26-0.91).ConclusionsFecal incontinence is a prevalent condition in the nursing home population and is associated with ADL decline, frailty, diarrhea and quality of care. This knowledge is important for staff in nursing home in order to provide the best treatment and care for residents with fecal incontinence.

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Correlates of constipation in people with Parkinson’s

Cited by 22 publications

References 27 publications

Comorbidity and Functional Mobility in Persons with Parkinson Disease

Comorbidity and Functional Mobility in Persons with Parkinson Disease

Doença de Parkinson em idosos: ingestão alimentar e estado nutricional

Prevalence and correlates of fecal incontinence among nursing home residents: a population-based cross-sectional study

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