Intestinal constipation in the elderly and associated factors – SABE Study

Gomes, Sâmia; Duarte, Yeda Aparecida de Oliveira; Santos, Jair Licio Ferreira

doi:10.1016/j.jcol.2018.10.014

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Journal of Coloproctology (Rio de Janeiro)

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Original Article • J. Coloproctol. (Rio J.) 39 (2) • Apr-Jun 2019 • https://doi.org/10.1016/j.jcol.2018.10.014 copy

Intestinal constipation in the elderly and associated factors – SABE Study

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Introduction:

Constipation is understood to be a chronic problem related to a multi-functional disorder that affects approximately 20% of the world population, and it is more prevalent in women and in the elderly.

Objective:

To measure the prevalence of intestinal constipation in elderly people living in São Paulo, as well as the factors associated with this condition.

Methods:

This was a cross-sectional study using the SABE study database (Health, Well-being and Ageing) from 2010 with a probabilistic sample of 1345 elderly people (≥ 60 years) living in São Paulo city, both male and female. Logistic regression was used to identify factors associated with intestinal constipation.

Results and conclusion:

The prevalence of intestinal constipation in older people is 14.23%. The associated factors were joint pain, osteoporosis, and use of laxatives; in women, associated factors were antidepressants and diuretics.

Keywords:
Constipation; Aged; Elderly

Variable	Male	Female
	OR (95% CI)	OR (95% CI)
Joint pain	1.80 (0.94-3.45)	2.29 (1.42-3.69)^a a p-Value < 0.05, Wald test. Weighted sample.
Osteoporosis	0.97 (0.20-4.67)	2.19 (1.36-3.52)^a a p-Value < 0.05, Wald test. Weighted sample.
Laxative	5.39 (2.66-10.92)^a a p-Value < 0.05, Wald test. Weighted sample.	4.42 (2.71-7.19)^a a p-Value < 0.05, Wald test. Weighted sample.
Antidepressant	1.15 (0.25-5.31)	1.96 (1.12-3.44)^a a p-Value < 0.05, Wald test. Weighted sample.
Vigorous activity	0.66 (0.20-2.15)	2.48 (1.52-4.04)^a a p-Value < 0.05, Wald test. Weighted sample.
Diuretic	1.12 (0.49-2.53)	1.81 (1.16-2.83)^a a p-Value < 0.05, Wald test. Weighted sample.
Whole milk (glasses)
1-6/week	0.24 (0.07-0.83)^a a p-Value < 0.05, Wald test. Weighted sample.	1.11 (0.50-2.48)
1 per day	0.33 (0.12-0.86)^a a p-Value < 0.05, Wald test. Weighted sample.	0.67 (0.33-1.37)
2-3 times/day	1.47 (0.62-3.46)	2.02 (1.00-4.18)^a a p-Value < 0.05, Wald test. Weighted sample.
Schooling (in years)
1-3 years	1.54 (0.42-5.68)	2.77 (1.30-5.91)^a a p-Value < 0.05, Wald test. Weighted sample.
4-7 years	2.04 (0.57-7.26)	2.42 (1.27-4.62)^a a p-Value < 0.05, Wald test. Weighted sample.
8 years or more	1.69 (0.46-6.18)	2.87 (1.36-6.05)^a a p-Value < 0.05, Wald test. Weighted sample.

Variable	60-69 years	70-79 years	80 or +
	OR (95% CI)	OR (95% CI)	OR (95% CI)
Joint pain	3.52 (1.95-6.49)^a a p-Value < 0.05; Wald test. Weighted sample.	1.27 (0.62-2.59)	2.66 (1.08-6.52)^a a p-Value < 0.05; Wald test. Weighted sample.
Osteoporosis	1.97 (1.08-3.58)^a a p-Value < 0.05; Wald test. Weighted sample.	2.57 (1.11-5.95)^a a p-Value < 0.05; Wald test. Weighted sample.	2.04 (0.86-4.86)
Laxative	4.58 (2.08-10.10)^a a p-Value < 0.05; Wald test. Weighted sample.	3.84 (2.03-7.24)^a a p-Value < 0.05; Wald test. Weighted sample.	8.26 (4.19-16.31)^a a p-Value < 0.05; Wald test. Weighted sample.
Vigorous activity	2.20 (1.18-4.09)^a a p-Value < 0.05; Wald test. Weighted sample.	1.63 (0.63-4.19)	0.84 (0.21-3.34)
Sausages	0.58 (0.31-1.08)	1.01 (0.53-1.92)	0.48 (0.23-0.99)^a a p-Value < 0.05; Wald test. Weighted sample.
Gender	1.29 (0.68-2.46)	0.33 (0.16-0.67)^a a p-Value < 0.05; Wald test. Weighted sample.	0.71 (0.26-1.92)
Whole milk (glasses)
1-6/week	0.72 (0.29-1.78)	0.71 (0.25-2.04)	0.47 (0.11-2.07)
1 per day	0.43 (0.15-1.20)	0.57 (0.24-1.35)	0.59 (0.25-1.41)
2-3 times/day	1.47 (0.59-3.61)	2.29 (1.01-5.20)^a a p-Value < 0.05; Wald test. Weighted sample.	1.53 (0.64-3.63)
Schooling (in years)
1-3 years	3.54 (1.06-11.74)^a a p-Value < 0.05; Wald test. Weighted sample.	2.09 (0.57-7.62)	2.64 (0.76-9.11)
4-7 years	5.11 (1.58-16.52)^a a p-Value < 0.05; Wald test. Weighted sample.	1.28 (0.39-4.15)	2.73 (1.00-7.46)^a a p-Value < 0.05; Wald test. Weighted sample.
8 years or more	4.63 (1.56-13.79)^a a p-Value < 0.05; Wald test. Weighted sample.	1.98 (0.54-7.24)	0.90 (0.20-3.92)

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[1] *Corresponding author. E-mail: samia.gomes@usp.br (S. Gomes).