Clinical College of Neurology, Neurosurgery and Neurorehabilitation, Tianjin Medical University, Tianjin, China.
Tianjin Key Laboratory of Cerebrovascular and of Neurodegenerative Diseases, Department of Neurology, Tianjin Dementia Institute, Tianjin Huanhu Hospital, Tianjin, China.
Front Public Health. 2022 Jun 15;10:823987. doi: 10.3389/fpubh.2022.823987. eCollection 2022.
To investigate the epidemiological characteristics of constipation in people aged 65 years and older in several regions of China.
A cross-sectional study based on a cluster sampling design was conducted in four cities of China: Tianjin, Xiamen, Cangzhou and Harbin. A total of 5,222 cases (age ≥ 65 years) were recruited, and the survey was conducted centralized and household questionnaires that included the following: basic demographic characteristics such as sex, age, education, marital status, living status and occupation; social activities; duration of sleep at night; duration of menstruation and delivery times (in females); and if the participant had constipation symptoms, the severity of constipation. Constipation was diagnosed according to the Rome IV criteria.
Of the 5,222 participants, 919 were diagnosed with constipation. The prevalence of constipation was 17.60% in elderly people ≥65 years old. Prevalence increased with age and was significantly higher in females than males ( < 0.05). Prevalence was lower in the manual compared to the non-manual worker group, and significantly increased with decreasing duration of night sleep ( < 0.05). Older age, female sex and shorter sleep duration at night were risk factors for constipation in elderly people.
The prevalence of constipation in the elderly people in four cities of China was 17.60%, and was significantly affected by age, sex and sleep duration at night.
调查中国多个地区 65 岁及以上人群便秘的流行病学特征。
本研究采用基于整群抽样设计的横断面研究，在中国四个城市（天津、厦门、沧州和哈尔滨）开展。共纳入 5222 例（年龄≥65 岁）患者，采用集中式和家庭问卷调查，内容包括：性别、年龄、教育程度、婚姻状况、居住状况和职业等基本人口统计学特征；社会活动；夜间睡眠时间；女性的经期和分娩次数；是否存在便秘症状，以及便秘的严重程度。便秘的诊断依据罗马 IV 标准。
5222 名参与者中，919 人被诊断为便秘。65 岁及以上老年人便秘的患病率为 17.60%。患病率随年龄增长而增加，且女性明显高于男性（<0.05）。与非体力劳动者相比，体力劳动者的患病率较低，且随夜间睡眠时间的减少而显著增加（<0.05）。年龄较大、女性和夜间睡眠时间较短是老年人便秘的危险因素。
中国四个城市老年人便秘的患病率为 17.60%，明显受年龄、性别和夜间睡眠时间的影响。
