Significance of Rome II‐defined functional constipation in Taiwan and comparison with constipation‐predominant irritable bowel syndrome

Lu, Ching Liang; Chang, Full Young; Chen, C.-Y.; Luo, Jiing‐Chyuan; Lee, S.-D.

doi:10.1111/j.1365-2036.2006.02949.x

Cited by 40 publications

(48 citation statements)

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“…However, the findings of the current study do not support the previous research, which reported that lower socioeconomic status and education level were found to be associated with constipation [3, 4, 36, 42, 53, 54]. Furthermore, Suares and Ford [9] indicated that lower socioeconomic status has an impact in increasing the prevalence of functional constipation.…”

Section: Discussioncontrasting

confidence: 99%

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The Prevalence and Symptoms Characteristic of Functional Constipation Using Rome III Diagnostic Criteria among Tertiary Education Students

et al. 2016

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Background and AimsFunctional constipation is very common with heterogeneous symptoms that have substantial impact on patient quality of life as well as medical resources which are rarely reported as life-threatening. The aim of this study is to examine the prevalence and symptoms characteristic of functional constipation (FC) by using Rome III diagnostic criteria among tertiary education students with an intention to introduce treatment in the future.MethodsDemographic, socio-economics characteristics and symptoms of FC using the Rome III criteria were sought using a questionnaire administered to Malaysian students in a tertiary education setting. Other data obtained were the general health status, lifestyle factors and anthropometric measurements. Using a simple random sampling method, a total of 1662 students were recruited in the study with a response rate of 95.0%. Sampled data are presented as frequency and percentage and stratified accordingly into categories for Chi-square analysis.ResultsThe prevalence of functional constipation among the students was 16.2%, with a significantly higher prevalence among women (17.4%) than men (12.5%). Hard or lumpy stool, incomplete evacuation, anorectal obstruction and straining were reported as the commonest symptoms experienced. Type 3 was the most frequent stool consistency experienced among the constipated individuals (35.2%). Only 4.4% of individuals reported having less than three defecations per week. Using univariable analysis, FC was significantly associated with sex (odds ratio: 1.48, 95% CI: 1.06–2.06) and age group (odds ratio: 1.34, 95% CI: 1.01–1.79) with P value < 0.05 significance level. In multivariate logistic regression analysis, only sex was found significantly associated with FC (adjusted odds ratio: 1.53, 95% CI: 1.08–2.17, P < 0.05).ConclusionsBased on the prevalence rate, constipation is a common problem among tertiary education students (16.2%), with significantly more prevalence among the female respondents. Early detection of symptoms and further intervention studies focusing on treatment recommendation in improving the symptoms are essential.

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Section: Discussioncontrasting

confidence: 99%

“…The prevalence of functional constipation among Asian was up to 14.3% [33–36] whereas it was reported that the pooled prevalence of functional constipation was 11.0% among South East Asian, extracted from a total of 11 studies [9]. To our knowledge, the prevalence rate of functional constipation in Malaysia has not been revealed.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence and Symptoms Characteristic of Functional Constipation Using Rome III Diagnostic Criteria among Tertiary Education Students

et al. 2016

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“…An increase in the prevalence of constipation with age in those older than 60 years has been well documented internationally (Chaplin et al, 2000;Hammond, 1964;Harari, Gurwitz, Avorn, Bohn, & Minaker, 1996;Lu, Chang, Chen, Luo, & Lee, 2006;Nakaji et al, 2002;Wong et al, 1999) with some studies indicating that the largest increases occur after 70-75 years of age (McCrea et al, 2009;Talley, Jones, Nuyts, & Dubois, 2003). In addition to increasing age, other risk factors for constipation identified include gender, co-morbidity and medications.…”

Section: Introductionmentioning

confidence: 92%

A longitudinal study of constipation and laxative use in a community-dwelling elderly population

Werth¹,

Williams²,

Pont³

2015

Archives of Gerontology and Geriatrics

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“…In a study on 1978 individuals over 35 years in Shiraz, southern Iran, Khademolhosseini, et al found no association between IBS and BMI and Liu et al in 2006 also reported no association between FC and alcohol consumption and smoking status. 26,27 Socioeconomic characteristics are an important determinant of health, nutritional status, mortality and morbidity and influence the accessibility, affordability, acceptability, and actual utilization of the available health facilities. 28,29 The Kuppuswamy scale is commonly used to determine the socioeconomic status of an individual based on the overall score of education, occupation of the head of the family and family income per month.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of functional constipation and constipation-predominant irritable bowel syndrome in Indian patients with constipation

Rooprai

Bhat

Sainani³

et al. 2017

Int J Basic Clin Pharmacol

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Background: Evaluate prevalence of functional constipation (FC) and irritable bowel syndrome-constipation (IBS-C) in Indian constipated patients and assess their demographic/socio-economic/clinical characteristics.Methods: Patients (≥18 years) who visited their general physician with symptoms of constipation (Rome III criteria for FC or IBS-C as per physician assessment) and willing to participate were enrolled in this prospective, clinical-epidemiological study. Demographic, socioeconomic status, lifestyle and dietary habits, comorbid conditions, treatment history, concomitant medications, stool form (Bristol stool form scale), severity of constipation (constipation scoring system [CSS]), constipation-related symptoms (patient assessment of constipation symptoms [PAC-SYM]) and quality of life (patient assessment of constipation-quality of life questionnaire [PAC-QoL]) were recorded.Results: Out of 925 constipated patients, 75.6% were diagnosed with FC against 24.4% with IBS-C (P < 0.0001). Patients of both subtypes had high average scores of PAC-SYM (FC: 27.1 ± 6; IBS-C: 30.1 ± 4.9) and CSS (FC: 8.4 ± 3.1; IBS-C: 11.2 ± 3), leading to high PAC-QoL score (FC: 38.1 ± 16.8; IBS-C: 42.2 ± 13.6). Hypertension (16%) and diabetes (10%) in patients with FC while acid peptic disorders (21.7%) amongst IBS-C patients were the most common comorbid conditions observed. Laxatives were the most common medication used; osmotic (32.6% versus 40.7%) and bulk laxatives (22.8% versus 37.4%) were the commonest laxatives. However, about 1/5th patients of FC were using home remedies.Conclusions: There was a higher prevalence of FC over IBS-C in Indian constipated patients; both subtypes had high frequency and severity of constipation-related symptoms and poor QoL.

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Significance of Rome II‐defined functional constipation in Taiwan and comparison with constipation‐predominant irritable bowel syndrome

Abstract: SUMMARY BackgroundThe epidemiology and impact of functional constipation on Asians remain unclear.

Cited by 40 publications

References 40 publications

The Prevalence and Symptoms Characteristic of Functional Constipation Using Rome III Diagnostic Criteria among Tertiary Education Students

The Prevalence and Symptoms Characteristic of Functional Constipation Using Rome III Diagnostic Criteria among Tertiary Education Students

A longitudinal study of constipation and laxative use in a community-dwelling elderly population

Prevalence of functional constipation and constipation-predominant irritable bowel syndrome in Indian patients with constipation

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