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The influence of demographic characteristics on constipation symptoms: a detailed overview
BACKGROUND: Diagnosing constipation remains difficult and its treatment continues to be ineffective. The reason may be that the symptom patterns of constipation differ in different demographic groups. We aimed to determine the pattern of constipation symptoms in different demographic groups and to d...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268616/ https://www.ncbi.nlm.nih.gov/pubmed/32493265 http://dx.doi.org/10.1186/s12876-020-01306-y |
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author | Verkuijl, Sanne J. Meinds, Rob J. Trzpis, Monika Broens, Paul M. A. |
author_facet | Verkuijl, Sanne J. Meinds, Rob J. Trzpis, Monika Broens, Paul M. A. |
author_sort | Verkuijl, Sanne J. |
collection | PubMed |
description | BACKGROUND: Diagnosing constipation remains difficult and its treatment continues to be ineffective. The reason may be that the symptom patterns of constipation differ in different demographic groups. We aimed to determine the pattern of constipation symptoms in different demographic groups and to define the symptoms that best indicate constipation. METHODS: In this cross-sectional study the Groningen Defecation and Fecal Continence questionnaire was completed by a representative sample of the adult Dutch population (N = 892). We diagnosed constipation according to the Rome IV criteria for constipation. RESULTS: The Rome criteria were fulfilled by 15.6% of the study group and we found the highest prevalence of constipation in women and young adults (19.7 and 23.5%, respectively). Symptom patterns differed significantly between constipated respondents of various ages, while we did not observe sex-based differences. Finally, we found a range of constipation symptoms, not included in the Rome IV criteria, that showed marked differences in prevalence between constipated and non-constipated individuals, especially failure to defecate (∆ = 41.2%). CONCLUSIONS: Primarily, we found that certain symptoms of constipation are age-dependent. Moreover, we emphasize that symptoms of constipation not included in the Rome IV criteria, such as daily failure to defecate and an average duration of straining of more than five minutes, are also reliable indicators of constipation. Therefore, we encourage clinicians to adopt a more comprehensive approach to diagnosing constipation. |
format | Online Article Text |
id | pubmed-7268616 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-72686162020-06-08 The influence of demographic characteristics on constipation symptoms: a detailed overview Verkuijl, Sanne J. Meinds, Rob J. Trzpis, Monika Broens, Paul M. A. BMC Gastroenterol Research Article BACKGROUND: Diagnosing constipation remains difficult and its treatment continues to be ineffective. The reason may be that the symptom patterns of constipation differ in different demographic groups. We aimed to determine the pattern of constipation symptoms in different demographic groups and to define the symptoms that best indicate constipation. METHODS: In this cross-sectional study the Groningen Defecation and Fecal Continence questionnaire was completed by a representative sample of the adult Dutch population (N = 892). We diagnosed constipation according to the Rome IV criteria for constipation. RESULTS: The Rome criteria were fulfilled by 15.6% of the study group and we found the highest prevalence of constipation in women and young adults (19.7 and 23.5%, respectively). Symptom patterns differed significantly between constipated respondents of various ages, while we did not observe sex-based differences. Finally, we found a range of constipation symptoms, not included in the Rome IV criteria, that showed marked differences in prevalence between constipated and non-constipated individuals, especially failure to defecate (∆ = 41.2%). CONCLUSIONS: Primarily, we found that certain symptoms of constipation are age-dependent. Moreover, we emphasize that symptoms of constipation not included in the Rome IV criteria, such as daily failure to defecate and an average duration of straining of more than five minutes, are also reliable indicators of constipation. Therefore, we encourage clinicians to adopt a more comprehensive approach to diagnosing constipation. BioMed Central 2020-06-03 /pmc/articles/PMC7268616/ /pubmed/32493265 http://dx.doi.org/10.1186/s12876-020-01306-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Verkuijl, Sanne J. Meinds, Rob J. Trzpis, Monika Broens, Paul M. A. The influence of demographic characteristics on constipation symptoms: a detailed overview |
title | The influence of demographic characteristics on constipation symptoms: a detailed overview |
title_full | The influence of demographic characteristics on constipation symptoms: a detailed overview |
title_fullStr | The influence of demographic characteristics on constipation symptoms: a detailed overview |
title_full_unstemmed | The influence of demographic characteristics on constipation symptoms: a detailed overview |
title_short | The influence of demographic characteristics on constipation symptoms: a detailed overview |
title_sort | influence of demographic characteristics on constipation symptoms: a detailed overview |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268616/ https://www.ncbi.nlm.nih.gov/pubmed/32493265 http://dx.doi.org/10.1186/s12876-020-01306-y |
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