Prevalence of constipation among persons living in institutional geriatric‐care settings – a cross‐sectional study

Lämås, Kristina; Karlsson, Stig; Nolén, Anna; Lövheim, Hugo; Sandman, Per‐Olof

doi:10.1111/scs.12345

Cited by 27 publications

(11 citation statements)

References 38 publications

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“…Due to differences in definition, the prevalence of constipation in 2007 in the present study (36%) was lower than the prevalence found among the same study population in a previous investigation (67%) [23]. In general, the prevalence of constipation is difficult to compare between different studies because several definitions are used.…”

Section: Discussioncontrasting

confidence: 66%

“…Laxative use has often been used as a marker for constipation, either independently or in combination with other criteria [3, 24]. However, because one of the aims of the present study was to analyze the use of these drugs, we chose not to include laxatives in the definition, and this is the reason why the prevalence is lower in the present study compared to the study mentioned above [23]. In clinical practice, constipation is often defined as fewer than three bowel movements per week [25] and this symptom was also the only single symptom that increased significantly between the years in the present study.…”

Section: Discussionmentioning

confidence: 92%

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Constipation and laxative use among people living in nursing homes in 2007 and 2013

et al. 2019

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BackgroundConstipation is a common condition among older people, particularly among people living in nursing homes, and the use of drugs such as opioids is one of many factors that contribute to its high prevalence. The aim of this study was to compare the prevalence of constipation and the use of laxatives between 2007 and 2013, to analyze constipation and laxative use among people who are prescribed opioids, and to identify factors associated with constipation.MethodsIn 2007 and 2013, two surveys were performed in the county of Västerbotten in Northern Sweden, comprising all those living in nursing homes. The Multi-Dimensional Dementia Assessment Scale was used to collect data regarding laxative, opioid and anticholinergic drug use, functioning in activities of daily living (ADL), cognition and symptoms of constipation. A comparison was made between 2820 people from 2007 and 1902 people from 2013.ResultsThe prevalence of symptoms of constipation among people living in nursing homes increased from 36% in 2007 to 40% in 2013. After controlling for age, sex, ADL, cognitive impairment and use of opioid and anticholinergic drugs, this difference was found to be statistically significant. When controlled for demographic changes, there was a statistically significant difference in the regular use of laxatives between the respective years, from 46% in 2007 to 59% in 2013. People prescribed opioids and anticholinergic drugs were at increased risk of constipation, while people with a higher ADL score were at decreased risk. Further, among people prescribed opioids and rated as constipated, 35% in 2007 and 20% in 2013 were not prescribed laxatives for regular use, a difference that was found to be statistically significant.ConclusionsThe prevalence of symptoms of constipation increased between 2007 and 2013. Although there was a decrease between the years, there were still a number of people being prescribed with opioids and rated as constipated who were not treated with laxatives. This study therefore indicates that constipation remains a significant problem among people in nursing homes and also indicates that those prescribed opioids could benefit from an increased awareness of the risk of constipation and treatment, if required.

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Section: Discussioncontrasting

confidence: 66%

Section: Discussionmentioning

confidence: 92%

Constipation and laxative use among people living in nursing homes in 2007 and 2013

et al. 2019

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“…A study showed that in partially institutionalized elderly people, the prevalence of constipation was 67% 27 . In addition, fibers are involved in improved postprandial glycemic response, cholesterol control and cardiovascular risk reduction 13 .…”

Section: Resultsmentioning

confidence: 99%

Development of enteral homemade diets for elderly persons receiving home care and analysis of macro and micronutrient composition

Jansen

Generoso

Guedes

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: the development and analysis of the macro and micronutrient composition of homemade enteral diets. Method: A standard homemade enteral diet was developed at three caloric concentrations -1500, 1800 and 2100 Kcal. After preparation and testing of viscosity, stability, odor and color, plus evaluation of cost, the chemical composition of the nutrients of the diets were analytically determined. Folic acid, vitamin D and vitamin B12 values were calculated using chemical composition tables. The results were compared with recommended nutritional standards for the elderly. Result: The diets exhibited normal macronutrient distribution. The 1500 caloric level presented some mineral and vitamin deficiencies. Suitable values were obtained at the other caloric levels for all minerals except magnesium. There were appropriate levels of all the vitamins in the 2100 Kcal diet, while vitamin E, D and B6 levels were below the recommended dietary allowances in the 1800 Kcal diet. Conclusion: The standard homemade enteral diets studied can contribute to the food and nutritional safety of elderly persons undergoing home care, if all are supplemented with magnesium and the 1800 Kcal diet is supplemented with vitamin E, D and B6. The 1500 Kcal diet was not nutritionally safe in terms of micronutrients.

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“…Ponadto, blisko 15% populacji geriatrycznej wymaga stosowania leków ułatwiających wypróżnianie [4]. Wśród pacjentów w starszym wieku, którzy wymagają hospitalizacji, 67% zmaga się zaparciami o podłożu czynnościowym [5]. W badaniu z 2020 roku Deb i wsp.…”

Section: Wprowadzenieunclassified

The age-related alerations in the enteric nervous system and their impact on peristalsis of the gastrointestinal tract

Szymaszkiewicz

Fichna

et al. 2021

Postepy Biochem

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Constipation occurs more often in old patients, because the intestinal peristalsis decreases with aging. Constipation is caused due to impaired motility of the intestines, intestinal barrier damage and the imbalance between the absorption and secretion of water and electrolytes, as well as disturbed production and release of intestinal hormones, infiltration of the gastrointestinal tract with immune cells, excessive production of pro-inflammatory cytokines and the alterations in the functions of enteric nervous system. In this review we will discuss the most important issues associated with the process of aging of the digestive tract, focusing on the enteric nervous system.

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Prevalence of constipation among persons living in institutional geriatric‐care settings – a cross‐sectional study

Cited by 27 publications

References 38 publications

Constipation and laxative use among people living in nursing homes in 2007 and 2013

Constipation and laxative use among people living in nursing homes in 2007 and 2013

Development of enteral homemade diets for elderly persons receiving home care and analysis of macro and micronutrient composition

The age-related alerations in the enteric nervous system and their impact on peristalsis of the gastrointestinal tract

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