Risk Factors for Constipation in Adults: A Cross-Sectional Study

Yurtdaş, Gamze; Tek, Nilüfer Acar; Akbulut, Gamze; Cemali, Özge; Arslan, Neslihan; Coşkun, Ayfer Beyaz; Zengin, Fatmanur Hümeyra

doi:10.1080/07315724.2020.1727380

Cited by 51 publications

(34 citation statements)

References 33 publications

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“…The frequency of bowel movements per week, hard stools and the need for excessive effort to evacuate were also assessed. Weekly evacuation frequency was defined as follows: 5 or more as normal frequencies, 3–4 moderate frequencies and fewer than 3 irregular/abnormal frequencies [ 50 ]. Stool consistency was assessed using the original version of the Bristol Stool Form Scale [ 51 ], composed of combined and standardized graphic and descriptive methods representing seven types of stools with different shapes and consistencies.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of constipation in adults with obesity class II and III and associated factors

et al. 2021

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Background Constipation and obesity have common risk factors. However, little is known about the occurrence of constipation in individuals with severe obesity and the associated factors. Objective To evaluate the prevalence of intestinal constipation and its associated factors in adults with obesity class II and III. Method This study analyzed baseline data from a randomized clinical trial with adults aged 18–64 with a Body Mass Index (BMI) ≥ 35 kg/m2, living in the metropolitan region of Goiânia, Brazil. Data were collected using a questionnaire containing sociodemographic, lifestyle, level of obesity, presence of comorbidities, water intake and food consumption variables. The outcome variable was constipation assessed by the Rome III criteria and the Bristol Stool Form Scale. Multiple Poisson regression analysis was used to assess the association between explanatory variables and the outcome. Results Among the 150 participants, the prevalence of constipation was 24.67% (95% CI: 17.69–31.64). After multiple regression analyses constipation was associated with polypharmacy (adjusted PR: 2.99, 95% CI: 1.18–7.57, p = 0.021), younger age group i.e. 18–29 years (adjusted PR: 3.12, 95% CI: 1.21–8.06, p = 0.019) and former smoking (adjusted PR: 3.24, 95% CI: 1.28–9.14, p = 0.014). There was no statistically significant association between constipation and daily consumption of fiber-rich foods, however, the non-consumption of whole grains was borderline significant (adjusted PR: 2.92, 95% CI: 1.00 to 8.49, p = 0.050). Conclusion A high prevalence of constipation was found in adults with obesity class II and III. Constipation was significantly associated with the simultaneous use of five or more medications, younger age group and being a former smoker.

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Section: Methodsmentioning

confidence: 99%

Prevalence of constipation in adults with obesity class II and III and associated factors

et al. 2021

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“…Although we accounted for differences between cohorts using PSM, there are numerous residual confounding variables such as those related to pain severity, 2 physical activity level, 53 socioeconomic status, stress, hormonal changes, water intake, 53 and dietary variables, which were not available in our data set. Another potential confounder is pelvic floor dysfunction, which has a limited association to LBP but strong association with constipation.…”

Section: Limitationsmentioning

confidence: 99%

Association between radicular low back pain and constipation: a retrospective cohort study using a real-world national database

Trager

Mok

Schlick

et al. 2021

PR9

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“…A sedentary lifestyle is also suspected to be a risk factor for developing symptomatic hemorrhoids, as physical activity is needed for regulating stool habits and avoid fecal retention which may lead to constipation (31,34). However, in a study from Peery et al on primary risk factors for hemorrhoids, where the hemorrhoids were diagnosed during screening colonoscopy, sedentary behavior was even associated with a reduced risk of hemorrhoidal disease (OR 0.80, 95% CI 0.65-0.98) while physical activity did not reach statistical signi cance (OR 0.83, 95% CI 0.66-1.03) (9).…”

Section: Diet and Physical Activity Of Patients After Invasive Treatmmentioning

confidence: 99%

Dietary Intake and Physical Activity in Patients After Invasive Treatment of Hemorrhoidal Disease

Burmeister¹,

Lieb²,

Franke³

et al. 2020

Preprint

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BackgroundAlthough lifestyle modifications are an integral part of treatment and prevention of hemorrhoidal disease, it is largely unknown how lifestyle factors like diet and physical activity are characterized in patients with a history of advanced and invasively treated hemorrhoidal disease.MethodsIn a Northern German cross-sectional study, clinical characteristics and dietary and physical activity data of 386 patients were assessed via questionnaires at median 10 years after their first invasive hemorrhoidal treatment. Food and nutrient intake and physical activity levels of the hemorrhoid patients were compared with general population controls. Additionally, within the hemorrhoid patient cohort, dietary intake and physical activity were related to clinical characteristics using logistic regression analyses.resultsWhereas in men, there were no statistically significant differences in food intake between hemorrhoids patients and controls, women with a history of hemorrhoids had a significantly higher consumption of potatoes, nuts and animal fat, and a lower consumption of fruits, compared to women from the control group. Hemorrhoid patients reported slightly more gardening activities and less TV watching than controls. Within the hemorrhoid patient cohort, hemorrhoid grade, type of first therapy, need for further treatment, patients’ compliance for another surgery if necessary and current anal afflictions revealed individual associations with fiber, alcohol, animal fat and potato consumption and the amounts of home repair activities and sleeping time.ConclusionsAlthough we could identify some statistically significant differences in dietary and physical activity behavior between hemorrhoid patients and controls and observed associations between clinical characteristics and lifestyle factors, some findings are, in parts, still inconsistent. Whether patients are following lifestyle recommendations as part of conservative hemorrhoid treatment and tertiary prevention and which patients are more adherent than others (e.g., high-grade vs. low-grade) needs further investigation.

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Risk Factors for Constipation in Adults: A Cross-Sectional Study

Cited by 51 publications

References 33 publications

Prevalence of constipation in adults with obesity class II and III and associated factors

Prevalence of constipation in adults with obesity class II and III and associated factors

Association between radicular low back pain and constipation: a retrospective cohort study using a real-world national database

Dietary Intake and Physical Activity in Patients After Invasive Treatment of Hemorrhoidal Disease

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