The influence of demographic characteristics on constipation symptoms: a detailed overview
The influence of demographic characteristics on constipation symptoms: a detailed overview
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DOI：
10.1186/s12876-020-01306-y
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发表时间：
2020-06-03
影响因子：
2.4
通讯作者：
Broens, Paul M. A.
中科院分区：
文献类型：
--
作者：
Verkuijl, Sanne J.;Meinds, Rob J.;Broens, Paul M. A.
背景便秘的诊断仍然很困难，治疗仍然无效。原因可能是便秘的症状模式在不同的人口统计学群体中不同。我们的目的是确定不同人口统计学群体的便秘症状模式，并确定最能指示便秘的症状。方法在这项横断面研究中，格罗宁根排便和粪便失禁问卷由荷兰成年人口的代表性样本（N = 892）完成。我们根据罗马IV便秘标准诊断便秘。结果研究组中15.6%的人符合罗马标准，我们发现女性和年轻人的便秘患病率最高（分别为19.7%和23.5%）。不同年龄的便秘患者的症状模式存在显著差异，但我们没有观察到性别差异。最后，我们发现了一系列的便秘症状，不包括在罗马IV标准中，便秘和非便秘个体之间的患病率有显着差异，特别是排便困难（增量= 41.2%）。结论便秘的某些症状与年龄有关。此外，我们强调，不包括在罗马IV标准中的便秘症状，如每天排便困难和平均持续时间超过5分钟的紧张，也是可靠的便秘指标。因此，我们鼓励临床医生采取更全面的方法来诊断便秘。
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 ( increment = 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.