Constipation and the preached trio: diet, fluid intake, exercise.
A survey of 90 older community-dwelling people's constipation experience is reported in part. The focus is the participants' efforts to use diet, fluid intake and exercise as preventive strategies. Most feel that they have been preached to in this regard. However, constraints may prevent full adherence to the trio and although some have gained from diet adjustment, the majority is disillusioned about these strategies. Nurses should be aware that scientific and medical literature is discussing evidence that dietary fibre intake preventing constipation is not proven, that fluid intake does not necessarily determine stool bulk or speed colon transit time, and that there is no proven link between exercise levels and chronic constipation.
RDNS Helen Macpherson Smith Institute of Community Health, La Trobe University, Australia.
Merilyn
M
Annells
Tina
T
Koch
D000368:Aged / Q000523:psychology; D001294:Attitude to Health; D003248:Constipation / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D004043:Dietary Fiber / Q000008:administration & dosage*; D019317:Evidence-Based Medicine; D015444:Exercise; D005260:Female; D005440:Fluid Therapy; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D024802:Nurse's Role; D015404:Nursing Methodology Research; D010353:Patient Education as Topic; D036301:Qualitative Research; D012648:Self Care / Q000379:methods* / Q000523:psychology; D013021:South Australia / Q000453:epidemiology