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31 May 2017 : Clinical Research  

Prevalence and Risk Factors of Chronic Constipation Among Women Aged 50 Years and Older in Shanghai, China

Ling Huang1ADEFG, Huihong Jiang2BCDEF, Maoling Zhu1BEF, Baocai Wang1BEF, Minsi Tong1BEF, Huaguang Li3CDE, Mou-bin Lin2AEG*, Li Li1AEF

DOI: 10.12659/MSM.904040

Med Sci Monit 2017; 23:2660-2667

Abstract

BACKGROUND: Chronic constipation (CC) is a major public health problem worldwide, especially in elderly women. This study aimed to investigate the prevalence and risk factors of CC among women aged 50 years and older in Shanghai, China.

MATERIAL AND METHODS: A cross-sectional survey was conducted on 1950 women aged 50 years and older, randomly sampled in Yangpu District of Shanghai from April to October 2015. Information on demographic characteristics, lifestyle habits, medical history, and defecation situation was collected through in-person interviews. CC was defined according to Rome III criteria. The data were analyzed by chi-square test and multiple logistic regression analysis.

RESULTS: The response rate to the survey was 80.4%. Of the 1568 participants, 77 were diagnosed with CC, with a prevalence of 4.9%. Moreover, the prevalence increased with advancing age. Multiple logistic analyses showed that body mass index (BMI) ≥25.0 kg/m², non-manual occupation, premenopausal period, no delivery history, poor sleep quality, meat-based diet, and less physical exercise were significant risk factors for CC in the population of women aged 50 years and older.

CONCLUSIONS: CC was a common health problem among women aged 50 years and older in Shanghai, and the prevalence was positively associated with BMI ≥25.0 kg/m², non-manual occupation, premenopausal period, no delivery history, poor sleep quality, meat-based diet, and less physical exercise. Further studies are needed to identify the risk factors and potential interventions for CC.

Keywords: Constipation, Prevalence, Risk Factors, Women

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750