Faculty of Health Sciences, Department of Nutrition and Dietetics, Gazi University, Ankara, Turkey.
Faculty of Health Sciences, Department of Nutrition and Dietetics, İzmir Katip Çelebi University, İzmir, Turkey.
J Am Coll Nutr. 2020 Nov-Dec;39(8):713-719. doi: 10.1080/07315724.2020.1727380. Epub 2020 Feb 20.
The objective of this study was to determine associations between physical activity, dietary fiber intake, water and fluid intake, and constipation as well as other possible risk factors for constipation in adults. A cross-sectional study was conducted in 4561 (1812 male and 2749 female) adults, aged between 18-65 years, living in Ankara, Turkey. Participants having three or fewer bowel movements per week were considered constipated. Dietary fiber and fluid intake data were ascertained from a 62-item food frequency questionnaire (FFQ). The International Physical Activity Questionnaire-Short Form (IPAQ-SF) was used to evaluate participant physical activity. Of the total cohort, 16.6% were diagnosed with constipation (13.6% males, 18.5% females). Logistic regression analysis showed a significantly greater risk of constipation in participants with female gender, advancing age, being obese. Participants who were moderately active (OR: 0.77, 95% CI: 0.62-0.91) and active (OR: 0.74, 95% CI: 0.59-0.90) had a decreased likelihood of constipation, when compared with inactive participants ( < 0.05). Participants in the middle upper quartile for water intake (OR: 0.71, 95% CI: 0.57-0.88), had a decreased likelihood of constipation, when compared with participants in the lowest quartile. Participants in the middle upper quartile (OR: 0.74, 95% CI: 0.58-0.92) and the highest quartile for dietary fiber intake (OR: 0.66, 95% CI: 0.52-0.84), had a decreased likelihood of constipation, when compared with participants in the lowest quartile ( < 0.05). Constipation is common in the Turkish adult population. Insufficient physical activity, decreasing fiber and water intake, obesity, advancing age and female gender were associated with increased constipation risks. Combining regular physical activity and increasing fiber and water intake may protect from constipation, and relieve constipation symptoms.
本研究旨在确定体力活动、膳食纤维摄入、水和液体摄入与便秘以及其他可能的便秘风险因素之间的关联。在土耳其安卡拉，对 4561 名年龄在 18-65 岁之间的成年人进行了横断面研究（男性 1812 名，女性 2749 名）。每周排便次数少于 3 次的参与者被认为患有便秘。膳食纤维和液体摄入量数据来自 62 项食物频率问卷（FFQ）。采用国际体力活动问卷-短表（IPAQ-SF）评估参与者的体力活动。在总队列中，16.6%的人被诊断为便秘（男性 13.6%，女性 18.5%）。logistic 回归分析显示，女性、年龄增长、肥胖的参与者发生便秘的风险显著增加。与不活跃的参与者相比，中度活跃（OR：0.77，95%CI：0.62-0.91）和活跃（OR：0.74，95%CI：0.59-0.90）的参与者发生便秘的可能性降低（ <0.05）。与摄入水最少的参与者相比，摄入水最多的参与者（OR：0.71，95%CI：0.57-0.88）发生便秘的可能性降低。与摄入膳食纤维最少的参与者相比，摄入膳食纤维最多的参与者（OR：0.66，95%CI：0.52-0.84）和最高四分位数（OR：0.74，95%CI：0.58-0.92）的参与者发生便秘的可能性降低（ <0.05）。便秘在土耳其成年人群中很常见。体力活动不足、膳食纤维和水摄入减少、肥胖、年龄增长和女性性别与便秘风险增加相关。定期进行体力活动和增加膳食纤维和水的摄入可能有助于预防便秘，并缓解便秘症状。
