title: Bowel habits in Israel. A cohort study.
abstract: We interviewed 1,900 healthy subjects who belonged to one of the three following ethnic groups: (a) Ashkenazi Jews, (b) Sephardi and Oriental Jews, and (c) Arabs (including Druses)--about their bowel habits, laxative use, and beliefs about bowel action. Using stepwise logistic regression, we found that the following variables were significantly and independently related to bowel frequency: (a) sex--male > female (p = 0.0001); (b) age--young > old (p = 0.0001); (c) physical activity--high > little (p = 0.001); (d) body habitus--lean > obese (p = 0.02); (e) marital status--married > single (0 = 0.009); and (f) ethnic group--Arab > Jewish (p = 0.004). Regular use of laxatives was found in 18.4% of women and 10.8% of men (p < 0.0001). This habit was more common among Ashkenazi Jews (17%) than among Sephardi and Oriental Jews (10.7%) and Arabs (4.8%). Laxative intake was higher among the elderly (p = 0.0001) and the obese (p = 0.0004). Concerning the "ideal" bowel frequency, 12.4% of the Ashkenazis, 22.7% of the Sephardis and Oriental Jews, and 26.1% of the Arabs preferred to have at least 9 movements per week. Strikingly, 51.8% of all interviewed believed that constipation was "harmful to health;" women were more concerned than men (56.3% versus 47.5%). Subjects with a high level of education were significantly more concerned about constipation.
authors.affiliation: Department of Gastroenterology, Bnei-Zion Medical Center, Haifa, Israel.
authors.forename: N
authors.initials: N
authors.lastname: Levy
authors.forename: E
authors.initials: E
authors.lastname: Stermer
authors.forename: Z
authors.initials: Z
authors.lastname: Steiner
authors.forename: L
authors.initials: L
authors.lastname: Epstein
authors.forename: A
authors.initials: A
authors.lastname: Tamir
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001294:Attitude to Health; D002400:Cathartics / Q000008:administration & dosage; D015331:Cohort Studies; D003248:Constipation / Q000453:epidemiology; D003672:Defecation / Q000502:physiology*; D003967:Diarrhea / Q000453:epidemiology; D005006:Ethnicity; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007557:Israel / Q000453:epidemiology; D007585:Jews; D008297:Male; D008875:Middle Aged; D005082:Physical Exertion; D012044:Regression Analysis; D012737:Sex Factors
chemical_list: D002400:Cathartics