Prevalence,Symptoms,and Associated Factors of Chronic Constipation Among Older Adults in North-East of Peninsular Malaysia

Abstract

This study aimed to determine the prevalence, symptoms, and associated factors of chronic constipation among older adults in the North-East of Peninsular Malaysia. A cross-sectional study was conducted among older patients from four health clinics. A total of 400 older patients participated, with a mean age of 68.7 (SD = 6.4) years. The prevalence of chronic constipation was 14.8%. The highest symptom reported was the inability to pass stool (98.3%). Chronic constipation was significantly associated with older age (OR = 2.97; 95% CI [1.17, 7.54]; p = .022), inadequate plain water intake per day (OR = 2.13; 95% CI [1.13, 4.02]; p = .020), hypertension (OR = 2.22; 95% CI [1.07, 4.61]; p = .033), and hyperlipidemia (OR = 2.52; 95% CI [1.24, 5.11]; p = .010). Identification of chronic constipation should be done as part of routine clinic visits, especially for older patients with cardiovascular disease.

Keywords

prevalence constipation Malaysia older adult

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References

Alimoradzadeh

Mokhtare

Agah

(2017). Comparing the prevalence of constipation risk factors in the elderly with and without constipation in Hazrat-e Rasoul (PBUH) Hospital. Iranian Journal of Ageing, 12(1), 78–89.

Black

C. J.

Ford

A. C.

(2018). Chronic idiopathic constipation in adults: Epidemiology, pathophysiology, diagnosis and clinical management. Medical Journal of Australia, 209(2), 86–91.

Blekken

L. E.

Nakrem

Vinsnes

A. G.

Norton

Morkved

Salvesen

Gjeilo

K. H.

(2016). Constipation and laxative use among nursing home patients: Prevalence and associations derived from the residents assessment instrument for long-term care facilities (interRAI LTCF). Gastroenterology Research and Practice, 2016, 1215746. https://doi.org/10.1155/2016/1215746

Bouras

E. P.

Tangalos

E. G.

(2009). Chronic constipation in the elderly. Gastroenterology Clinics of North America, 38(3), 463–480.

Choung

R. S.

Rey

Richard Locke

Schleck

C. D.

Baum

Zinsmeister

A. R.

Talley

N. J.

(2016). Chronic constipation and co-morbidities: A prospective population-based nested case-control study. United European Gastroenterology Journal, 4(1), 142–151.

Drewnowski

Rehm

C. D.

Constant

(2013). Water and beverage consumption among adults in the United States: Cross-sectional study using data from NHANES 2005-2010. BMC Public Health, 13(1), 1–9. https://doi.org/10.1186/1471-2458-13-1068

Fernandes

Shaikh

Wegstapel

(2012). Possible association between statin use and bowel dysmotility. BMJ Case Reports, 2012, bcr1020114918. https://doi.org/10.1136/bcr.10.2011.4918

Fosnes

G. S.

Lydersen

Farup

P. G.

(2012). Drugs and constipation in elderly in nursing homes: What is the relation? Gastroenterology Research and Practice, 2012, 290231. https://doi.org/10.1155/2012/290231

Fragakis

Zhou

Mannan

(2018). Association between drug usage and constipation in the elderly population of Greater Western Sydney Australia. International Journal of Environmental Research and Public Health, 15(226). 1–9. https://doi.org/10.3390/ijerph15020226

10.

Fresán

Gea

Bes-Rastrollo

Ruiz-Canela

Martínez-Gonzalez

M. A.

(2016). Substitution models of water for other beverages, and the incidence of obesity and weight gain in the SUN cohort. Nutrients, 8(11), 1–16. https://doi.org/10.3390/nu8110688

11.

Gomes

Duarte

Y. A. D. O.

Santos

J. L. F.

(2019). Coloproctology intestinal constipation in the elderly and associated factors – SABE study. Journal of Coloproctology, 39(2), 101–106.

12.

Hansell

M. W.

Mann

E. M.

Kirk

J. K.

(2017). Hypertension treatment strategies for older adults. The Journal of Family Practice, 66(9), 546–554.

13.

Hooper

Bunn

Jimoh

F. O.

Fairweather-Tait

S. J.

(2014). Water-loss dehydration and aging. Mechanisms of Ageing and Development, 136–137, 50–58.

14.

Huang

Jiang

Zhu

Wang

Tong

Lin

(2017). Prevalence and risk factors of chronic constipation among women aged 50 years and older in Shanghai, China. Medical Science Monitor, 23, 2660–2667.

15.

Institute for Public Health (IPH). (2015). National Health Morbidity Survey 2015 (NHMS 2015). Vol I: Methodology & general findings. Retrieved July 14, 2020, from https://iku.moh.gov.my/nhms-2015

16.

Institute for Public Health (IPH). (2019). National Health and Morbidity Survey 2018 (NHMS 2018): Elderly health. Vol. II: Elderly health findings, 2018. Retrieved July 14, 2020, from https://iku.moh.gov.my/nhms-2018

17.

IPAQ group. (2010). International physical activity questionnaire. Retrieved July 14, 2020, from https://sites.google.com/site/theipaq/questionnaire_links

18.

Kua

E. H.

S. M.

(1992). A questionnaire to screen for cognitive impairment among elderly people in developing countries. Acta Psychiatrica Scandinavica, 85(2), 119–122.

19.

Lee

Y. Y.

Waid

Tan

H. J.

Chua

S. B. A.

Whitehead

W. E.

(2012). Rome III survey of irritable bowel syndrome among ethnic Malays. World Journal of Gastroenterology, 18(44), 6475–6480.

20.

Longstreth

G. F.

Thompson

W. G.

Chey

W. D.

Houghton

L. A.

Mearin

Spiller

R. C.

(2006). Functional bowel disorders. Gastroenterology, 130(5), 1480–1491.

21.

Mari

Mahamid

Amara

Baker

F. A.

Yaccob

(2020). Chronic constipation in the elderly patient: Updates in evaluation and management. Korean Journal of Family Medicine, 41, 139–145.

22.

McCrea

G. L.

Miaskowski

Stotts

N. A.

Macera

Varma

M. G.

(2008). Pathophysiology of constipation in the older adult. World Journal of Gastroenterology, 14(17), 2631–2638.

23.

Md Aris

M. A.

Samsul

Abdul Rahman

Niza

. (2009). Functional disabilities and its associated factors among elderly patients in primary care clinics. International Medical Journal, 16(4), 251–256.

24.

Nelson

R. H.

(2013). Hyperlipidemia as a risk factor for cardiovascular disease. Primary Care, 40(1), 195–211.

25.

T. K. W.

Jia

Y. T. Y. T.

Low

Y. O.

Yeoh

L. Z. W.

Gan

C. L. L.

Kock

Jia

Y. T. Y. T.

Low

Y. O.

Zheng

Yeoh

Gan

C. L. L.

(2016). Dietary fibre and total fluid intakes are inversely associated with risk of constipation in Malaysian adolescents, adults and the elderly. International E-Journal of Science, Medicine & Education, 10(1), 17–23.

26.

Patimah

A. W.

Lee

Y. Y.

Dariah

M. Y.

(2017a). Frequency patterns of core constipation symptoms among the Asian adults: A systematic review. BMC Gastroenterology, 17(1), 1–12.

27.

Patimah

A. W.

Lee

Y. Y.

Siti Hawa

Azidah

A. K.

Dariah

M. Y.

(2017b). Beliefs and behavioural responses to constipation among elderly Malays in north-eastern Peninsular Malaysia. Australian and New Zealand Continence Journal, 23(3), 76–83.

28.

Philpott

H. L.

Nandurkar

Lubel

Gibson

P. R.

(2014). Drug-induced gastrointestinal disorders. Frontline Gastroenterology, 5, 49–57.

29.

Rao

S. S. C.

Rattanakovit

Patcharatrakul

(2016). Diagnosis and management of chronic constipation in adults. Nature Reviews Gastroenterology and Hepatology, 13(5), 295–305.

30.

Richmond

J. P.

Wright

M. E.

(2006). Development of a constipation risk assessment scale. Clinical Effectiveness in Nursing, 9, 37–48.

31.

Rome Foundation. (2015). Rome III diagnosis criteria. Retrieved December 2, 2015, from http://www.romecriteria.org/

32.

Samani

S. T.

Mosallanejad

Jalali

M. R.

Jamshidian

Avizeh

(2018). Comparative evaluation of the effects of ezetimibe and atorvastatin on serum lipid profile changes in experimental hypercholesterolemia in cat. Comparative Clinical Pathology, 27(1), 117–122.

33.

Schmulson

M. J.

Drossman

D. A.

(2017). What is new in Rome IV. Journal of Neurogastroenterology and Motility, 23(2), 151–163.

34.

Song

H. J.

(2012). Constipation in community-dwelling elders: Prevalence and associated factors. Journal of Wound, Ostomy and Continence Nursing, 39(6), 640–645.

35.

Suares

N. C.

Ford

A. C.

(2011). Prevalence of, and risk factors for, chronic idiopathic constipation in the community: Systematic review and meta-analysis. American Journal of Gastroenterology, 106(9), 1582–1591.

36.

Suzana

Kee

Jamaludin

Noor Safiza

Khor

Jamaiyah

Geeta

Ahmad Ali

Rahmah

Ruzita

Ahmad Fauzi

(2012). The third national health and morbidity survey: Prevalence of obesity, and abdominal obesity among the Malaysian elderly population. Asia-Pacific Journal of Public Health, 24(2), 318–329.

37.

Suzana

Pooy

N. S.

(2003). Predictive equations for estimation of stature in Malaysian elderly people. Asia Pacific Journal of Clinical Nutrition, 12(1), 80–84.

38.

Tamura

Tomita

Oshima

Toyoshima

Yamasaki

Okugawa

Kondo

Kono

Tozawa

Ikehara

Ohda

Fukui

Watari

Miwa

(2016). Prevalence and self-recognition of chronic constipation: Results of an internet survey. Journal of Neurogastroenterology and Motility, 22(4), 677–685.

39.

Werth

B. L.

Williams

K. A.

Fisher

M. J.

Pont

L. G.

(2019). Defining constipation to estimate its prevalence in the community: Results from a national survey. BMC Gastroenterology, 19(75), 1–7.

40.

World Health Organization. (2017). Global database on body mass index. Retrieved May 7, 2017, from http://apps.who.int/bmi/index.jsp?introPage=intro.html

41.

Zhang

Yang

X.-J.

Zhu

H.-M.

Tang

B.-Y.

Zhao

D.-D.

(2015). Epidemiological study of elderly constipation in Beijing. World Journal of Gastroenterology, 21(47), 13368–13373.