Stool patterns of malaysian adults with functional constipation: Association with diet and physical activity

M. Mazlyn Mena, H. L. Nagarajah Lee, Arshad Fatimah, Norimah A. Karim, K. L. Goh

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Introduction: Diet and lifestyle modification is commonly used in constipation management. As there is a dearth of studies on this topic in Malaysia, we aim to elucidate the relations between stool patterns, dietary intake and physical activity levels among adults with functional constipation. Methods: From a database collected via surveys at public events, a convenience sample of 100 adults diagnosed with Rome II-defined functional constipation was enrolled in this cross-sectional study. After severity assessment using the Chinese Constipation Questionnaire, subjects completed 2-week bowel movement diaries to determine stool frequency, consistency and output. Dietary intake and physical activity levels were assessed twice using three-day 24-hour diet recalls and International Physical Activity Questionnaire, respectively. Ninety subjects who completed the study were included in the analysis. Results: Mean weekly stool frequency was 3.9±1.9 times, consistency score was 2.6±0.6 (range 1.0-4.0), output was 11.0±6.3 balls (40 mm diameter) and severity score was 10.3±3.3 (range 5.0-22.0). Mean daily dietary intakes were: energy 1,719±427kcal, dietary fibre 15.0±4.9g and fluid 2.5±0.8L. The majority of subjects were physically inactive. Stool frequency and output were positively associated with dietary fibre (rs=0.278, P<0.01; rs=0.226, P<0.05) and fluid intake (rs=0.257, P<0.05; OR=3.571, 95% CI [1.202-10.609]). Constipation severity was associated with higher physical activity levels (OR=2.467, 95% CI [1.054-5.777]). Conclusion: Insufficient intake of dietary fibre and fluid are associated with aggravated constipation symptoms. Further studies are necessary to confirm usefulness of dietary intervention in treatment of constipation as dietary factors alone may not influence overall severity and stool consistency, an integral element of constipation.

Original languageEnglish
Pages (from-to)53-64
Number of pages12
JournalMalaysian Journal of Nutrition
Volume19
Issue number1
Publication statusPublished - 2013

Fingerprint

constipation
Constipation
physical activity
Diet
diet
Dietary Fiber
food intake
dietary fiber
questionnaires
Diet Therapy
diet recall
Malaysia
Energy Intake
cross-sectional studies
signs and symptoms (animals and humans)
lifestyle
Life Style
Cross-Sectional Studies
Databases
energy

Keywords

  • Constipation
  • Diet
  • Dietary fibre
  • Physical activity
  • Stool

ASJC Scopus subject areas

  • Nutrition and Dietetics
  • Food Science

Cite this

Stool patterns of malaysian adults with functional constipation : Association with diet and physical activity. / Mazlyn Mena, M.; Nagarajah Lee, H. L.; Fatimah, Arshad; A. Karim, Norimah; Goh, K. L.

In: Malaysian Journal of Nutrition, Vol. 19, No. 1, 2013, p. 53-64.

Research output: Contribution to journalArticle

Mazlyn Mena, M. ; Nagarajah Lee, H. L. ; Fatimah, Arshad ; A. Karim, Norimah ; Goh, K. L. / Stool patterns of malaysian adults with functional constipation : Association with diet and physical activity. In: Malaysian Journal of Nutrition. 2013 ; Vol. 19, No. 1. pp. 53-64.
@article{6ecfd4c6467c485db269c4b97db03144,
title = "Stool patterns of malaysian adults with functional constipation: Association with diet and physical activity",
abstract = "Introduction: Diet and lifestyle modification is commonly used in constipation management. As there is a dearth of studies on this topic in Malaysia, we aim to elucidate the relations between stool patterns, dietary intake and physical activity levels among adults with functional constipation. Methods: From a database collected via surveys at public events, a convenience sample of 100 adults diagnosed with Rome II-defined functional constipation was enrolled in this cross-sectional study. After severity assessment using the Chinese Constipation Questionnaire, subjects completed 2-week bowel movement diaries to determine stool frequency, consistency and output. Dietary intake and physical activity levels were assessed twice using three-day 24-hour diet recalls and International Physical Activity Questionnaire, respectively. Ninety subjects who completed the study were included in the analysis. Results: Mean weekly stool frequency was 3.9±1.9 times, consistency score was 2.6±0.6 (range 1.0-4.0), output was 11.0±6.3 balls (40 mm diameter) and severity score was 10.3±3.3 (range 5.0-22.0). Mean daily dietary intakes were: energy 1,719±427kcal, dietary fibre 15.0±4.9g and fluid 2.5±0.8L. The majority of subjects were physically inactive. Stool frequency and output were positively associated with dietary fibre (rs=0.278, P<0.01; rs=0.226, P<0.05) and fluid intake (rs=0.257, P<0.05; OR=3.571, 95{\%} CI [1.202-10.609]). Constipation severity was associated with higher physical activity levels (OR=2.467, 95{\%} CI [1.054-5.777]). Conclusion: Insufficient intake of dietary fibre and fluid are associated with aggravated constipation symptoms. Further studies are necessary to confirm usefulness of dietary intervention in treatment of constipation as dietary factors alone may not influence overall severity and stool consistency, an integral element of constipation.",
keywords = "Constipation, Diet, Dietary fibre, Physical activity, Stool",
author = "{Mazlyn Mena}, M. and {Nagarajah Lee}, {H. L.} and Arshad Fatimah and {A. Karim}, Norimah and Goh, {K. L.}",
year = "2013",
language = "English",
volume = "19",
pages = "53--64",
journal = "Malaysian Journal of Nutrition",
issn = "1394-035X",
publisher = "Persatuan Pemakanan Malaysia",
number = "1",

}

TY - JOUR

T1 - Stool patterns of malaysian adults with functional constipation

T2 - Association with diet and physical activity

AU - Mazlyn Mena, M.

AU - Nagarajah Lee, H. L.

AU - Fatimah, Arshad

AU - A. Karim, Norimah

AU - Goh, K. L.

PY - 2013

Y1 - 2013

N2 - Introduction: Diet and lifestyle modification is commonly used in constipation management. As there is a dearth of studies on this topic in Malaysia, we aim to elucidate the relations between stool patterns, dietary intake and physical activity levels among adults with functional constipation. Methods: From a database collected via surveys at public events, a convenience sample of 100 adults diagnosed with Rome II-defined functional constipation was enrolled in this cross-sectional study. After severity assessment using the Chinese Constipation Questionnaire, subjects completed 2-week bowel movement diaries to determine stool frequency, consistency and output. Dietary intake and physical activity levels were assessed twice using three-day 24-hour diet recalls and International Physical Activity Questionnaire, respectively. Ninety subjects who completed the study were included in the analysis. Results: Mean weekly stool frequency was 3.9±1.9 times, consistency score was 2.6±0.6 (range 1.0-4.0), output was 11.0±6.3 balls (40 mm diameter) and severity score was 10.3±3.3 (range 5.0-22.0). Mean daily dietary intakes were: energy 1,719±427kcal, dietary fibre 15.0±4.9g and fluid 2.5±0.8L. The majority of subjects were physically inactive. Stool frequency and output were positively associated with dietary fibre (rs=0.278, P<0.01; rs=0.226, P<0.05) and fluid intake (rs=0.257, P<0.05; OR=3.571, 95% CI [1.202-10.609]). Constipation severity was associated with higher physical activity levels (OR=2.467, 95% CI [1.054-5.777]). Conclusion: Insufficient intake of dietary fibre and fluid are associated with aggravated constipation symptoms. Further studies are necessary to confirm usefulness of dietary intervention in treatment of constipation as dietary factors alone may not influence overall severity and stool consistency, an integral element of constipation.

AB - Introduction: Diet and lifestyle modification is commonly used in constipation management. As there is a dearth of studies on this topic in Malaysia, we aim to elucidate the relations between stool patterns, dietary intake and physical activity levels among adults with functional constipation. Methods: From a database collected via surveys at public events, a convenience sample of 100 adults diagnosed with Rome II-defined functional constipation was enrolled in this cross-sectional study. After severity assessment using the Chinese Constipation Questionnaire, subjects completed 2-week bowel movement diaries to determine stool frequency, consistency and output. Dietary intake and physical activity levels were assessed twice using three-day 24-hour diet recalls and International Physical Activity Questionnaire, respectively. Ninety subjects who completed the study were included in the analysis. Results: Mean weekly stool frequency was 3.9±1.9 times, consistency score was 2.6±0.6 (range 1.0-4.0), output was 11.0±6.3 balls (40 mm diameter) and severity score was 10.3±3.3 (range 5.0-22.0). Mean daily dietary intakes were: energy 1,719±427kcal, dietary fibre 15.0±4.9g and fluid 2.5±0.8L. The majority of subjects were physically inactive. Stool frequency and output were positively associated with dietary fibre (rs=0.278, P<0.01; rs=0.226, P<0.05) and fluid intake (rs=0.257, P<0.05; OR=3.571, 95% CI [1.202-10.609]). Constipation severity was associated with higher physical activity levels (OR=2.467, 95% CI [1.054-5.777]). Conclusion: Insufficient intake of dietary fibre and fluid are associated with aggravated constipation symptoms. Further studies are necessary to confirm usefulness of dietary intervention in treatment of constipation as dietary factors alone may not influence overall severity and stool consistency, an integral element of constipation.

KW - Constipation

KW - Diet

KW - Dietary fibre

KW - Physical activity

KW - Stool

UR - http://www.scopus.com/inward/record.url?scp=84881631288&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84881631288&partnerID=8YFLogxK

M3 - Article

C2 - 24800384

AN - SCOPUS:84881631288

VL - 19

SP - 53

EP - 64

JO - Malaysian Journal of Nutrition

JF - Malaysian Journal of Nutrition

SN - 1394-035X

IS - 1

ER -