女性盆腔器官脱垂、便秘与膳食纤维摄入量：一项病例对照研究。
Pelvic organ prolapse, constipation, and dietary fiber intake in women: a case-control study.
作者信息
Arya Lily A, Novi Joseph M, Shaunik Alka, Morgan Mark A, Bradley Catherine S
机构信息
Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, University of Pennsylvania, Philadelphia 19104, USA.
出版信息
Am J Obstet Gynecol. 2005 May;192(5):1687-91. doi: 10.1016/j.ajog.2004.11.032.
OBJECTIVE
This study was undertaken to determine whether there is an association among pelvic organ prolapse, constipation, and dietary fiber intake.
STUDY DESIGN
Sixty consecutive women with prolapse were compared with 30 control women without prolapse. All women completed 2 validated questionnaires to assess constipation and dietary fiber intake. Multivariate analysis was performed.
RESULTS
The risk for constipation was greater in women with prolapse than controls (odds ratio 4.03, 95% CI 1.5-11.4). Median insoluble fiber intake was significantly lower in women with prolapse (2.4 g) than controls (5.8 g, P < .01). The increased risk for constipation was reduced but remained significant after controlling for age and insoluble dietary fiber intake (odds ratio 2.9, 95% CI 1.1-13.5).
CONCLUSION
Women with pelvic organ prolapse are at a higher risk for constipation than controls. This increased risk for constipation is partially explained by lower intake of dietary insoluble fiber by women with prolapse than controls.
目的
本研究旨在确定盆腔器官脱垂、便秘和膳食纤维摄入量之间是否存在关联。
研究设计
将60例连续的脱垂女性与30例无脱垂的对照女性进行比较。所有女性均完成2份经过验证的问卷，以评估便秘情况和膳食纤维摄入量。进行多变量分析。
结果
脱垂女性便秘的风险高于对照组（比值比4.03，95%可信区间1.5 - 11.4）。脱垂女性的不溶性纤维摄入量中位数（2.4克）显著低于对照组（5.8克，P <.01）。在控制年龄和不溶性膳食纤维摄入量后，便秘风险增加有所降低，但仍具有显著性（比值比2.9，95%可信区间1.1 - 13.5）。
结论
盆腔器官脱垂女性便秘的风险高于对照组。脱垂女性比对照组膳食纤维摄入量较低，这部分解释了便秘风险增加的原因。
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