Factors associated with constipation in a community based sample of people aged 70 years and over.

Campbell, Angela; Busby, Wendy; Horwath, Caroline C.

doi:10.1136/jech.47.1.23

Cited by 103 publications

(64 citation statements)

References 15 publications

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“…Here, however, in common with several other studies (Campbell et al, 1993;Towers et al, 1994;Murakami et al, 2006), we failed to find such an association. A possible explanation for this is that the dietary fiber intake of most subjects was too low to have a protective effect.…”

Section: Discussionsupporting

confidence: 78%

“…The favorable effect of dietary fiber on constipation is widely accepted and several (Dukas et al, 2003;Sanjoaquin et al, 2004), although not all (Campbell et al, 1993;Towers et al, 1994;Murakami et al, 2006), observational studies have indicated an inverse relation between dietary fiber intake and constipation. However, while most previous studies have defined constipation according to the infrequency of bowel movement (Campbell et al, 1993;Towers et al, 1994;Dukas et al, 2003;Sanjoaquin et al, 2004) or the subjective perception of patients (Murakami et al, 2006), a consensus definition of constipation consists of straining, hard stools and incomplete evacuation in addition to infrequency (Rome criteria) (Whitehead et al, 1991).…”

Section: Introductionmentioning

confidence: 99%

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Association between dietary fiber, water and magnesium intake and functional constipation among young Japanese women

et al. 2006

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Objective: Most research on constipation has focused on dietary fiber intake. Here, we examined the intake of water and magnesium, nutrients possibly associated with constipation, as well as that of dietary fiber in relation to constipation. Design: Cross-sectional study. Subjects: A total of 3835 female Japanese dietetic students aged 18-20 years from 53 institutions in Japan. Methods: Dietary intake was estimated with a validated, self-administered diet history questionnaire. Functional constipation was defined using the Rome I criteria. Results: The prevalence of functional constipation was 26.2%. Neither dietary fiber intake (mean ¼ 6.4 g/4186 kJ) nor intakes of total water and water from fluids were associated with constipation. Conversely, low intake of water from foods was associated with an increasing prevalence of constipation. In comparison with women in the first (lowest) quintile, the multivariate adjusted odds ratio (OR) (95% confidence interval (CI)) for women in the second, third, fourth, and fifth quintiles were 0.72 (0.57, 0.90), 0.78 (0.62, 0.98), 0.71 (0.56, 0.89), and 0.77 (0.61, 0.97), respectively (P for trend ¼ 0.04). Additionally, low magnesium intake was associated with increasing prevalence of constipation. Compared with women in the first quintile, the multivariate adjusted OR (95% CI) for women in the second, third, fourth and fifth quintiles were 0. 70 (0.56, 0.88), 0.75 (0.60, 0.95), 0.73 (0.58, 0.92) and 0.79 (0.63, 0.996), respectively (P for trend ¼ 0.09). Conclusions: Low intakes of water from foods and magnesium are independently associated with an increasing prevalence of functional constipation among a population whose dietary fiber intake is relatively low.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Association between dietary fiber, water and magnesium intake and functional constipation among young Japanese women

et al. 2006

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“…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%

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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“…All subjects were European; however, only 2.3% of the older New Zealand population is Maori and most tend to live in the north. Further details of subject selection and characteristics of the baseline population, including nutrient intakes, have been presented elsewhere (Horwath et al, 1992;Campbell et al, 1993aCampbell et al, , b, 1995.…”

Section: Subjects and Study Designmentioning

confidence: 99%

Changes in dietary intake during a 6-year follow-up of an older population

et al. 1999

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Objective: To examine prospective changes in food habits and nutrient intakes in a representative New Zealand sample of community dwelling adults aged 70 y and over. Design: Longitudinal study with food intake data collected in 1988a89 and again in 1995a96. In an attempt to distinguish age, time and cohort effects, data were analysed longitudinally, cross-sectionally and timesequentially. Subjects: The sample for study consisted of all non-institutionalised people aged 70 years and over registered with the Mosgiel Health Centre in 1988. In 1988a89, 678 adults completed a dietary survey (85% of those eligible) and 248 adults participated again in 1995a96 (66% of those eligible). Results: Energy intakes declined longitudinally in men only; however, this decline appeared not to be an aging effect as energy intake was not found to decrease with age cross-sectionally. Percentage of energy from protein increased by 0.7% in women (95% con®dence interval 0.2 ± 1.2) in both the longitudinal and time-sequential analysis, suggesting a time effect. The percentage of energy from saturated fat decreased 0.7% (95% con®dence interval 7 1.4 to 7 0.1) and percentage of energy from polyunsaturated fat increased 0.4% (95% con®dence interval 0.0 ± 0.7) in women, and appears to be a time effect. However, the increase in saturated fat and decrease in polyunsaturated fat with advancing age seen cross-sectionally suggests a cohort effect also occurring. In 1995a96, more people were using margarine as a spread and vegetable oils to cook meat. Milk and milk product consumption increased (not signi®cantly), and meat intake decreased signi®cantly by 5 and 4 servings per month in men and women, respectively. There was an increase in the proportion of people who ate breakfast cereal at least once a week, and more women ate brown or wholemeal bread in 1995a96. Conclusion: Over the 6 y follow-up period studied, there was no indication of an age effect on nutrient intakes in adults aged 70 y and older; however, the changes occurring over time demonstrate that older adults, particularly women, are making changes towards healthier food choices. Sponsorship: Health Research Council of New Zealand and the University of Otago Medical School.

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Factors associated with constipation in a community based sample of people aged 70 years and over.

Cited by 103 publications

References 15 publications

Association between dietary fiber, water and magnesium intake and functional constipation among young Japanese women

Association between dietary fiber, water and magnesium intake and functional constipation among young Japanese women

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

Changes in dietary intake during a 6-year follow-up of an older population

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