Epidemiology of constipation in Sao Paulo, Brazil: a population-based study

Imagem de Miniatura
Arquivos
art_CHINZON_Epidemiology_of_constipation_in_Sao_Paulo_Brazil_a_2015.PDF (512.98 KB)
Citações na Scopus
9
Tipo de produção
article
Data de publicação
2015
Editora
INFORMA HEALTHCARE
DOI
Indexadores
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Autores
DIAS-BASTOS, Telma R. P.
SILVA, Aline Medeiros da
LATORRE, Maria do Rosario Dias de Oliveira
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
CURRENT MEDICAL RESEARCH AND OPINION, v.31, n.1, p.57-64, 2015
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: Epidemiologic data on constipation in South America are limited. The main objective of this study was to assess the prevalence of self-reported symptoms of constipation in Brazil. Methods: Telephone and personal surveys were conducted among community-dwelling adults in homes with land-based telephones in Sao Paulo. Data were weighted by numbers of adults, total residents, and telephones in each household. To account for potential nonresponse and noncoverage bias, results were further adjusted according to Brazilian census data. Results: Among 4570 households contacted, 3050 adults (66.7%) participated. Respondents (mean [SE] age: 42.6 [2.7] years) were primarily women (53.1%). A minority of all respondents reported symptoms consistent with constipation, including a perception of incomplete voiding in 8.0%; expending efforts to defecate in 7.6%; <= 2 stools weekly in 9.0%; and hard stools in 12.7%. Prevalences of these symptoms and efforts to manage them were more frequent in women (P <= 0.004), but most were not significantly associated with advancing age. With increasing age, proportions of respondents with <= 2 stools per week declined (P = 0.001), whereas use of bowel enemas (P = 0.026) and digital maneuvers to disimpact stool increased (P < 0.001). Despite frequent constipation symptoms, the vast majority of respondents did not report using prescription medications, but some used natural remedies (29.5%) and/or laxatives (13.4%). Conclusions: Symptoms of constipation are prevalent in Sao Paulo, particularly among women. On the other hand, most survey respondents did not use medications or other remedies that manage this condition. These findings may point to an unmet gastrointestinal treatment need. Future research is needed to corroborate our findings in rural settings and to further evaluate potential predictors and consequences of constipation in South America.
Palavras-chave
Age, Constipation, Epidemiology, Gender, Prevalence, South America, Survey
URI
https://observatorio.fm.usp.br/handle/OPI/9139
Referências
  1. Ashraf W, 1996, AM J GASTROENTEROL, V91, P26
  2. Bharucha AE, 2013, GASTROENTEROLOGY, V144, P218, DOI 10.1053/j.gastro.2012.10.028
  3. Blumberg SJ, 2007, PUBLIC OPIN QUART, V71, P734, DOI 10.1093/poq/nfm047
  4. Blumberg SJ, 2006, AM J PUBLIC HEALTH, V96, P926, DOI 10.2105/AJPH.2004.057885
  5. Bytzer P, 2001, GUT, V49, P66, DOI 10.1136/gut.49.1.66
  6. Chiarelli P, 2000, INT UROGYNECOL J PEL, V11, P71, DOI 10.1007/s001920050073
  7. Choung RS, 2007, ALIMENT PHARM THERAP, V26, P1521, DOI 10.1111/j.1365-2036.2007.03540.x
  8. Drossman Douglas A, 2006, Chin J Dig Dis, V7, P181, DOI 10.1111/j.1443-9573.2006.00265.x
  9. Dukas L, 2003, AM J GASTROENTEROL, V98, P1790, DOI 10.1016/S0002-9270(03)00442-8
  10. Ford ES, 1998, J CLIN EPIDEMIOL, V51, P55, DOI 10.1016/S0895-4356(97)00225-4
  11. Foxx-Orenstein AE, 2008, CLEV CLIN J MED, V75, P813
  12. Frank L, 1999, SCAND J GASTROENTERO, V34, P870, DOI 10.1080/003655299750025327
  13. Fukuda S, 2005, TOHOKU J EXP MED, V206, P99, DOI 10.1620/tjem.206.99
  14. Galvez C, 2006, ALIMENT PHARM THERAP, V24, P421, DOI 10.1111/j.1365-2036.2006.02981.x
  15. Gonenne J, 2006, NEUROGASTROENT MOTIL, V18, P911, DOI 10.1111/j.1365-2982.2006.00808.x
  16. HEATON KW, 1993, DIGEST DIS SCI, V38, P1004, DOI 10.1007/BF01295713
  17. HEATON KW, 1992, GUT, V33, P818, DOI 10.1136/gut.33.6.818
  18. Herz MJ, 1996, FAM PRACT, V13, P156, DOI 10.1093/fampra/13.2.156
  19. Janssen Global Services, PAT ASS CONST SYMPT
  20. Jung Hye-Kyung, 2003, Korean J Intern Med, V18, P181
  21. Kempf AM, 2007, ANNU REV PUBL HEALTH, V28, P113, DOI 10.1146/annurev.publhealth.28.021406.144059
  22. Kinnunen O, 1991, Aging (Milano), V3, P161
  23. Lee EJ, 2011, GASTROENTEROL NURS, V34, P118, DOI 10.1097/SGA.0b013e3182109405
  24. Lee S, 2010, HEALTH SERV RES, V45, P1121, DOI 10.1111/j.1475-6773.2010.01120.x
  25. Leung L, 2011, J AM BOARD FAM MED, V24, P436, DOI 10.3122/jabfm.2011.04.100272
  26. Locke GR, 2005, NEUROGASTROENT MOTIL, V17, P29, DOI 10.1111/j.1365-2982.2004.00581.x
  27. McCrea GL, 2009, J PAIN SYMPTOM MANAG, V37, P737, DOI 10.1016/j.jpainsymman.2008.04.016
  28. Mugie SM, 2011, BEST PRACT RES CL GA, V25, P3, DOI 10.1016/j.bpg.2010.12.010
  29. National Institute of Diabetes and Digestive and Kidney Diseases, CONST NAT DIG DIS IN
  30. Pare P, 2001, AM J GASTROENTEROL, V96, P3130
  31. Rao SSC, 2004, J CLIN GASTROENTEROL, V38, P680, DOI 10.1097/01.mcg.0000135929.78074.8c
  32. Southwell BR, 2009, PEDIATR SURG INT, V25, P559, DOI 10.1007/s00383-009-2387-x
  33. Talley NJ, 1996, AM J GASTROENTEROL, V91, P19
  34. Triadafilopoulos G, 1998, WOMEN HEALTH, V27, P55, DOI 10.1300/J013v27n04_04
  35. van den Berg MM, 2006, AM J GASTROENTEROL, V101, P2401, DOI 10.1111/j.1572-0241.2006.00771.x
  36. van Ginkel R, 2003, GASTROENTEROLOGY, V125, P357, DOI 10.1016/S0016-5085(03)00888-6
  37. VanWijk CMTG, 1997, SOC SCI MED, V45, P231, DOI 10.1016/S0277-9536(96)00340-1
  38. Wald A, 2008, ALIMENT PHARM THER, V28, P917, DOI 10.1111/j.1365-2036.2008.03806.x

Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC