Lower dietary fibre intake, but not total water consumption, is associated with constipation: a population-based analysis
Shen L, Huang C, Lu X, Xu X, Jiang Z, Zhu C
Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 39 citas
Etiquetas de revisión
Financiación no declaradaSin ajuste declarado por estilo de vidaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Estudio transversal (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2019-05-13 · J Hum Nutr Diet · vol. 32 · número 4 · págs. 422–431
- Editorial
- Wiley
- Citado
- 57 citas · más que el 91% de estudios similares · 3.0× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 33 trabajos
- Acceso
- De pago
- Áreas de investigación
- Gastrointestinal motility and disorders · Gut microbiota and health · Seed and Plant Biochemistry
- Palabras clave
- Medicine, Odds ratio, National Health and Nutrition Examination Survey, Overweight, Constipation, Confidence interval, Population, Cross-sectional study, Logistic regression, Internal medicine, Demography, Body mass index, Environmental health
- MeSH
- humans, constipation, diet, nutrition surveys, multivariate analysis, odds ratio, risk factors, cross-sectional studies, life style, dietary fiber, adult, middle aged, female, male, young adult, drinking water, surveys and questionnaires
6 autores
- Lei Shen🇨🇳Shanghai Jiao Tong University; Renji Hospital
- Chongwen Huang🇨🇳Shanghai Jiao Tong University; Renji Hospital
- Xuedan Lu🇨🇳Shanghai Jiao Tong University; Renji Hospital
- Xin Xu🇨🇳Shanghai Jiao Tong University; Renji Hospital
- Zhenghui G. Jiang🇨🇳 · autor de correspondenciaShanghai Jiao Tong University; Renji Hospital
- Chunfang Zhu🇨🇳Shanghai Jiao Tong University; Renji Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Associations between constipation and dietary fibre and water intake, as well as various lifestyle factors, have not been fully evaluated. The present study aimed to investigate associations between fibre and water intake and constipation, as well as other possible risk factors for constipation, in a large adult population.
Methods
Data obtained from 14 024 adults aged ≥20 years from three cycles of the National Health and Nutrition Examination Survey (NHANES) 2005-2010, who had completed a bowel health questionnaire, were included in this cross-sectional population-based study. Variables included demographics, lifestyle and dietary factors, comorbidities and laboratory parameters. Logistic regression analyses were performed to determine associations between potential risk factors and constipation.
Results
Among 17 132 participants ≥20 years, 2401 (14%) did not complete bowel health questionnaires and were excluded, along with pregnant women (n = 461) and participants without dietary sample weight on day 1 (n = 246), leaving data from 14 024 participants available for analysis. Multivariate analysis revealed that black race/ethnicity [odds ratio (OR) = 1.380, 95% confidence interval (CI) = 1.054-1.809], a lower than 12th grade education (OR = 1.420, 95% CI = 1.154-1.749) or high school education (OR = 1.339, 95% CI = 1.057-1.697), lower income/poverty ratios (1.3-3.49 versus ≥3.5: OR = 1.261, 95% CI = 1.015-1.567), normal weight (OR = 1.913, 95% CI = 1.534-2.386) or overweight (OR = 1.536, 95% CI = 1.207-1.955), depression (OR = 1.610, 95% CI = 1.119-2.315) and poor teeth (OR = 1.441, 95% CI = 1.100-1.888) were associated with an increased risk for constipation. Lower dietary fibre intake was associated with a greater risk of constipation. Total water consumption was significantly associated an with an increased risk of constipation in univariate analysis, but not in multivariate analysis.
Conclusions
Lower dietary fibre intake, but not poor water consumption, was associated with a greater risk of constipation in US adults.
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