title: How do older persons define constipation? Implications for therapeutic management.
abstract: This study examined the relation between bowel-related symptoms and self-report of constipation in 10,875 subjects aged 60 years and over, who participated in the 1989 National Health Interview Survey. Subjects reporting constipation "always" or "mostly" over the past 12 months (n = 594) were compared with those who reported never having the symptom (n = 4,192). Straining (adjusted odds ratio 66.7; 95% confidence interval 31.5, 142.4) and hard bowel movements (25.6; 16.7, 38.7) were most strongly associated with self-report of constipation. These findings suggest that treatment for constipation in the older population should be directed as much or more at facilitating comfortable rectal evacuation, as increasing bowel movement frequency.
authors.affiliation: Massachusetts General Hospital Geriatric Medicine Unit, Boston 02114, USA.
authors.forename: D
authors.initials: D
authors.lastname: Harari
authors.forename: J H
authors.initials: JH
authors.lastname: Gurwitz
authors.forename: J
authors.initials: J
authors.lastname: Avorn
authors.forename: R
authors.initials: R
authors.lastname: Bohn
authors.forename: K L
authors.initials: KL
authors.lastname: Minaker
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016001:Confidence Intervals; D003248:Constipation / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology / Q000628:therapy; D003672:Defecation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D012307:Risk Factors; D014481:United States / Q000453:epidemiology