Fluid intake, fiber consumption, and physical activity related to constipation among elderly, which one is more important? A cross-sectional study in Iran
Background: Chronic constipation is a common, self-reported, and symptom-based disorder which can significantly influence an individual’s health-related quality of life and imposes several financial costs.
Aims: The present study aimed to evaluate the effect of water consumption, fiber intake, and physical activity (PA) on constipation, and which one is more critical by considering the mediating effect of BMI.
Subjects and Methods: This cross-sectional study involved 400 older adults in 2019 referring to the comprehensive health service centers in Karaj, the capital of Alborz province. The data were collected using the questionnaires of demographic and anthropometric characteristics, PASE (Physical activity for elderly), fluid intake, FFQ (Food Frequency questionnaire), Wexner constipation, and Persian lifestyle questionnaire analyzed using SPSS and LISREL software.
Results: Based on the final fitted model, PA is the most critical constipation-related factor compared to the fluid intake and fiber consumption. In addition, fiber consumption is the second crucial factor affecting constipation, and there is a negative association between constipation and fiber intake.
Conclusion: As price is one of the barriers to fiber consumption among the elderly, the recommendation to do physical activity such as walking to solve constipation is efficient and inexpensive for individuals with different socio-economic status.
Keywords
How to Cite
Agachan, F., Chen, T., Pfeifer, J., Reissman, P., & Wexner, S. D. (1996). A constipation scoring system to simplify evaluation and management of constipated patients. Diseases of the Colon and Rectum, 39(6), 681–685. https://doi.org/10.1007/BF02056950
Alfawaz, H., Khan, N., Alhuthayli, H., Wani, K., Aljumah, M. A., Khattak, M. N. K., Alghanim, S. A., & Al-Daghri, N. M. (2020). Awareness and Knowledge Regarding the Consumption of Dietary Fiber and Its Relation to Self-Reported Health Status in an Adult Arab Population: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 17(12), 4226. https://doi.org/10.3390/ijerph17124226
Alimoradzadeh, R., & Mokhtare, M. (2017). Comparing the Prevalence of Constipation Risk Factors in the Elderly with and without Constipation in Hazrat-e Rasoul (PBUH) Hospital (Persian). Iranian Journal of Ageing, 12(1), 78–89. https://doi.org/10.21859/sija-120176
Alsheridah, N., Akhtar, S. (2018). Alsheridah, N., & Akhtar, S. (2018). Diet, obesity and colorectal carcinoma risk: results from a national cancer registry-based middle-eastern study. BMC Cancer, 18(1), 1227. https://doi.org/10.1186/s12885-018-5132-9
Anti, M., Pignataro, G., Armuzzi, A., Valenti, A., Iascone, E., Marmo, R., Lamazza, A., Pretaroli, A. R., Pace, V., Leo, P., Castelli, A., & Gasbarrini, G. (1998). Water supplementation enhances the effect of high-fiber diet on stool frequency and laxative consumption in adult patients with functional constipation. Hepato-gastroenterology, 45(21), 727–732.
Belsey, J., Greenfield, S., Candy, D., & Geraint, M. (2010). Systematic review: impact of constipation on quality of life in adults and children. Alimentary Pharmacology & Therapeutics, 31(9), 938–949. https://doi.org/10.1111/j.1365-2036.2010.04273.x
Bharucha, A. E., Pemberton, J. H., & Locke, G. R., III. (2013). American gastroenterological association technical review on constipation. Gastroenterology, 144(1), 218–238. https://doi.org/10.1053/j.gastro.2012.10.028
Bouchoucha, M., Fysekidis, M., Julia, C., Airinei, G., Catheline, J. M., Reach, G., & Benamouzig, R. (2015). Functional Gastrointestinal Disorders in Obese Patients. The Importance of the Enrollment Source. Obesity Surgery, 25(11), 2143–2152. https://doi.org/10.1007/s11695-015-1679-6
Chu, H., Zhong, L., Li, H., Zhang, X., Zhang, J., & Hou, X. (2014). Epidemiology characteristics of constipation for general population, pediatric population, and elderly population in China. Gastroenterology Research and Practice, 2014, 532734. https://doi.org/10.1155/2014/532734
Delgado-Aros, S., Locke, G. R., 3rd, Camilleri, M., Talley, N. J., Fett, S., Zinsmeister, A. R., & Melton, L. J., 3rd (2004). Obesity is associated with increased risk of gastrointestinal symptoms: a population-based study. The American Journal of Gastroenterology, 99(9), 1801–1806. https://doi.org/10.1111/j.1572-0241.2004.30887.x
Similar Articles
- Effects of extrusion on nutritional and non-nutritional properties in the production of multigrain ready to eat snacks incorporated with NUA45 beans
- Assessment of vitamin A levels in breast milk and serum of lactating mothers in Southeast Nigeria
- Effects of traditional processing techniques on nutritional quality and sensory acceptability of value-added products made from cowpea (Vigna unguiculata L. walp.) produced in Ethiopia
- The impact of probiotic supplementation on depressive symptoms: a systematic review of clinical trials
- Determination of phthalate esters contents in different types of cheese produced and consumed in Saudi Arabia
- Neurotoxic and neuromotor effects of cyanate, an oxidative byproduct of cyanide from linamarin in cassava: A systematic review
- Relationship between cultural food taboos and maternal and child nutrition: A systematic literature review
- Cyclodextrins for UV Protection in Food, Beverages, and Agricultural Products: A Comprehensive Review
- Overview of Food Safety and Labeling Regulatory Frameworks in Morocco
- Effect of Citric Acid and Brine Pre-Treatment on Deodorization of Green Banana Flour
You may also start an advanced similarity search for this article.

NAJFNR is licensed under