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结直肠癌患者的运动、饮食习惯与排便功能障碍:一项初步定量研究

Exercise, Dietary Habits, and Defecatory Dysfunction in Patients Living with Colorectal Cancer: A Preliminary Quantitative Study.

作者信息

Nakagawa Hiromi, Sasai Hiroyuki, Kato Yoshimi, Matsumoto Shinobu, Tanaka Kiyoji

机构信息

Graduate School of Medicine, Gifu University, Gifu 501-1194, Japan.

Research Team for Promoting Independence and Mental Health, Tokyo Metropolitan Institute for Geriatrics and Gerontology, Tokyo 173-0015, Japan.

出版信息

Healthcare (Basel). 2024 Jun 3;12(11):1136. doi: 10.3390/healthcare12111136.

Abstract

This study investigated the association of exercise and dietary habits with defecatory dysfunction in patients living with colorectal cancer. We recruited 61 adult patients who had undergone surgery within the past 20 years and attended outpatient clinics at designated cancer hospitals in Japan. Defecatory dysfunction was defined as any symptom caused by issues with colon and anal function, including fecal incontinence, evacuation difficulties, frequent stools, diarrhea, and constipation. Exercise and dietary habits were assessed via a quantitative questionnaire survey. Postoperative defecatory dysfunction occurred in all the patients. Multivariate analysis revealed no association between exercise habits and defecatory dysfunction; however, dietary fiber intake ≥4 times a week was associated with frequent stools (adjusted odds ratio, 5.11; 95% confidence interval, 1.10, 23.70). These findings suggest a need to alleviate defecatory dysfunction by improving one's dietary habits. Interventions aimed at alleviating defecatory dysfunction by improving the dietary habits in patients living with colorectal cancer are needed.

摘要

本研究调查了运动和饮食习惯与结直肠癌患者排便功能障碍之间的关联。我们招募了61名在过去20年内接受过手术且在日本指定癌症医院门诊就诊的成年患者。排便功能障碍定义为由结肠和肛门功能问题引起的任何症状,包括大便失禁、排便困难、大便频繁、腹泻和便秘。通过定量问卷调查评估运动和饮食习惯。所有患者均出现术后排便功能障碍。多因素分析显示运动习惯与排便功能障碍之间无关联;然而,每周膳食纤维摄入量≥4次与大便频繁相关(调整后的优势比为5.11;95%置信区间为1.10至23.70)。这些发现表明有必要通过改善饮食习惯来缓解排便功能障碍。需要采取干预措施,通过改善结直肠癌患者的饮食习惯来缓解排便功能障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa0a/11171757/2863cde578e0/healthcare-12-01136-g001.jpg

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