Prevalence of Constipation and its Relationship with Dietary Habits Among College Going Girls in the Age Group of 18-25 Years of Kolkata, West Bengal, India
Joyeta Ghosh1, Poulomi Sanyal2, Khusboo Singh2*, Sudrita Roy Choudhury2 and Samarpita Koner2
1Assistant Professor, Amity Institute of Applied Sciences, Amity University, Kolkata
2Research Scholar, Department of Dietetics and Nutrition, NSHM Knowledge Campus-Kolkata, West Bengal India
*Corresponding Author: Khusboo Singh, Research Scholar, Department of Dietetics and Nutrition, NSHM Knowledge Campus-Kolkata, West Bengal India.
Received:
December 27, 2022; Published:
February 07, 2023
Abstract
Constipation is one of the most prevalent digestive system problems and is characterised by an increase in bowel frequency, too few and infrequent movements, difficulty passing waste, and hard, strained faeces. Constipation can result from a variety of causes, including environmental, psychological, hereditary, and others. Approximately 40% of individuals globally experience digestive problems like diarrhoea, constipation, or irritable bowel syndrome (IBS), with prevalence rates of 4.7%, 11.7%, and 4.1%, respectively, according to a large-scale multinational study based on online surveys. Additionally, gastrointestinal conditions like IBD, Crohn's disease, and ulcerative colitis have been associated with bowel motion. Extreme bowel motions (constipation or frequency) could therefore be a sign of various diseases or gastrointestinal issues.
The present study aimed to ascertain the prevalence of constipation among college-going girls (18-25 years old) and the relationship between constipation and dietary practices. It is one observational and descriptive in nature, and was limited to college-going female students between the ages of 18 and 25 years who live at Kolkata, West Bengal. The data was collected through an online survey using a pre-tested standardized questionnaire using a random sampling technique and the sample size of 300 was achieved.
Among the respondents 19% were found to be suffering from constipation. There is a strong statistical correlation between constipation frequency, daily dietary pattern, and food habits. According to the study's findings, constipation is frequently caused by stress and an unhealthy lifestyle. Thus, in conclusion the college girls are experiencing constipation and the regular healthy eating habits, including foods high in fibre in the diet, and drinking adequate water can be effective treatments for the same.
Keywords: Constipation; Bowel Movements; Lifestyle; Defecation Difficulty; Eating Habits; Dietary Fibres
References
- Grabitske Hollie A and Joanne L Slavin. "Laxation and the like: Assessing digestive health”. Nutrition Today5 (2008): 193-198.
- Rose C., et al. "The characterization of feces and urine: a review of the literature to inform advanced treatment technology”. Critical Reviews in Environmental Science and Technology17 (2015): 1827-1879.
- Mitsuhashi Shuji., et al. "Characterizing normal bowel frequency and consistency in a representative sample of adults in the United States (NHANES)”. Official Journal of the American College of Gastroenterology| ACG1 (2018): 115-123.
- Sperber Ami D., et al. "Worldwide prevalence and burden of functional gastrointestinal disorders, results of Rome Foundation Global Study”. Gastroenterology1 (2021): 99-114.
- Perler Bryce K., et al. "Presenting symptoms in inflammatory bowel disease: descriptive analysis of a community-based inception cohort”. BMC Gastroenterology1 (2019): 1-8.
- Schmulson Max J and Douglas A Drossman. "What is new in Rome IV”. Journal of Neurogastroenterology and Motility2 (2017): 151.
- Sanjoaquin Miguel A., et al. "Nutrition and lifestyle in relation to bowel movement frequency: a cross-sectional study of 20 630 men and women in EPIC–Oxford”. Public Health Nutrition1 (2004): 77-83.
- Heaton KW., et al. "Defecation frequency and timing, and stool form in the general population: a prospective study”. Gut6 (1992): 818-824.
- Soenen Stijn., et al. "The ageing gastrointestinal tract”. Current Opinion in Clinical Nutrition and Metabolic Care1 (2016): 12-18.
- Sileri P., et al. "Defecatory disorders in anorexia nervosa: a clinical study”. Techniques in Coloproctology5 (2014): 439-444.
- Emerenziani Sara., et al. "Role of Overweight and Obesity in Gastrointestinal”. Nutrients1 (2020): 111.
- Ballou Sarah., et al. "Chronic diarrhea and constipation are more common in depressed individuals”. Clinical Gastroenterology and Hepatology13 (2019): 2696-2703.
- Vandeputte Doris., et al. "Stool consistency is strongly associated with gut microbiota richness and composition, enterotypes and bacterial growth rates”. Gut1 (2016): 57-62.
- Odze Robert D and John R Goldblum. “Odze and Goldblum surgical pathology of the GI tract, liver, biliary tract and pancreas”. Elsevier Health Sciences (2014).
- De Oliveira Erick Prado and Roberto Carlos Burini. "The impact of physical exercise on the gastrointestinal tract”. Current Opinion in Clinical Nutrition and Metabolic Care5 (2009): 533-538.
- Orr William C., et al. "The effect of sleep on gastrointestinal functioning in common digestive diseases”. The Lancet Gastroenterology and Hepatology6 (2020): 616-624.
- Schneeman Barbara. "Food factors and gastrointestinal function: a critical interface”. Biofactors1‐4 (2004): 85-88.
- Rao Satish Sanku Chander., et al. "Effects of fat and carbohydrate meals on colonic motor response”. Gut2 (2000): 205-211.
- Calbet J A and D A MacLean. "Role of caloric content on gastric emptying in humans”. The Journal of Physiology2 (1997): 553-559.
- Schonfeld J V., et al. "Human small bowel motor activity in response to liquid meals of different caloric value and different chemical composition”. Digestive Diseases and Sciences2 (1998): 265-269.
- Towers Adele L., et al. "Constipation in the elderly: influence of dietary, psychological, and physiological factors”. Journal of the American Geriatrics Society7 (1994): 701-706.
- Delgado-Aros Silvia., et al. "Obesity is associated with increased risk of gastrointestinal symptoms: a population-based study”. Official Journal of the American College of Gastroenterology| ACG9 (2004): 1801-1806.
- Guelinckx Isabelle., et al. "Contribution of water from food and fluids to total water intake: analysis of a French and UK population surveys”. Nutrients10 (2016): 630.
- Nneli R O., et al. "Diets/dietary habits and certain gastrointestinal disorders in the tropics: a review”. Nigerian Journal of Physiological Sciences1-2 (2007).
- Rakhra Varundeep., et al. "Obesity and the western diet: How we got here”. Missouri Medicine6 (2020): 536.
- Vermorken Alphons JM., et al. "Bowel movement frequency, oxidative stress and disease prevention”. Molecular and Clinical Oncology4 (2016): 339-342.
- Mudgil Deepak and Sheweta Barak. "Composition, properties and health benefits of indigestible carbohydrate polymers as dietary fiber: A review”. International Journal of Biological Macromolecules 61 (2013): 1-6.
- Goyal Omesh., et al. "Prevalence, overlap, and risk factors for Rome IV functional gastrointestinal disorders among college students in northern India”. Indian Journal of Gastroenterology2 (2021): 144-153.
- Tuck C J and S J Vanner. "Dietary therapies for functional bowel symptoms: Recent advances, challenges, and future directions”. Neurogastroenterology and Motility1 (2018): e13238.
- Inan Mustafa., et al. "Factors associated with childhood constipation”. Journal of Paediatrics and Child Health10 (2007): 700-706.
- Benninga MA., et al. "Colonic transit times and behaviour profiles in children with defecation disorders”. Archives of Disease in Childhood1 (2004): 13-16.
- Ozokutan Bulent Hayri., et al. "Psychological evaluation of children with idiopathic constipation and their parents”. Pediatrics International3 (2005): 311-315.
- Devanarayana Niranga Manjuri., et al. "Recurrent abdominal pain syndrome in a cohort of Sri Lankan children and adolescents”. Journal of Tropical Pediatrics3 (2008): 178-183.
- Bennett E J., et al. "Functional gastrointestinal disorders: psychological, social, and somatic features”. Gut3 (1998): 414-420.
- Chan Annie OO., et al. "Differing coping mechanisms, stress level and anorectal physiology in patients with functional constipation”. World Journal of Gastroenterology34 (2005): 5362.
- Cheng Cecilia., et al. "Coping strategies, illness perception, anxiety and depression of patients with idiopathic constipation: a population‐based study”. Alimentary Pharmacology and Therapeutics3 (2003): 319-326.
- Leung Lawrence., et al. "Chronic constipation: an evidence-based review”. The Journal of the American Board of Family Medicine4 (2011): 436-451.
- Gwee Kok-Ann., et al. "Primary care management of chronic constipation in Asia: the ANMA chronic constipation tool”. Journal of Neurogastroenterology and Motility2 (2013): 149.
- De Oliveira Erick Prado and Roberto Carlos Burini. "The impact of physical exercise on the gastrointestinal tract”. Current Opinion in Clinical Nutrition and Metabolic Care5 (2009): 533-538.
- Huang Rong., et al. "Physical activity and constipation in Hong Kong adolescents”. Plos One2 (2014): e90193.
- Kamel Dalia M., et al. "Does aerobic exercise training with weight loss affect serum C-reactive protein in asymptomatic obese peri-menopausal women”. Bull Fac Ph Th Cairo Univ1 (2008): 127-135.
- Casey Ellen., et al. "Training room management of medical conditions: sports gastroenterology”. Clinics in Sports Medicine3 (2005): 525-540.
- Iovino Paola., et al. "New onset of constipation during long-term physical inactivity: a proof-of-concept study on the immobility-induced bowel changes”. Plos One8 (2013): e72608.
- Peters H P F., et al. "Potential benefits and hazards of physical activity and exercise on the gastrointestinal tract”. Gut3 (2001): 435-439.
- Jennings Amy., et al. "Dietary fibre, fluids and physical activity in relation to constipation symptoms in pre-adolescent children”. Journal of child health care2 (2009): 116-127.
- Peppas George., et al. "Epidemiology of constipation in Europe and Oceania: a systematic review”. BMC Gastroenterology1 (2008): 1-7.
- Bellini Massimo., et al. "Chronic Constipation: Is a Nutritional Approach Reasonable?”. Nutrients10 (2021): 3386.
- Werth Barry L., et al. "Defining constipation to estimate its prevalence in the community: results from a national survey”. BMC Gastroenterology1 (2019): 1-7.
- Aziz Imran., et al. "An approach to the diagnosis and management of Rome IV functional disorders of chronic constipation”. Expert Review of Gastroenterology and Hepatology1 (2020): 39-46.
- Bharucha AE and B E Lacy. "Chronic constipation: Mechanisms, evaluation and management”. Gastroenterology5 (2020): 1232-1249.
- Choudhury Sudrita Roy., et al. "Traditional Indian Food for Improving Brain Cognition”. Acta Scientific Neurology 12 (2022).
- Ghosh Joyeta., et al. "Impact of Diet and Nutrition on Memory T Cell Development, Maintenance and Function in the Context of a Healthy Immune System”. Acta Scientific Nutritional Health 8 (2022).
- Ho Jeremy Meng Dao and Choon How How. "Chronic constipation in infants and children”. Singapore Medical Journal2 (2020): 63.
- Verkuijl Sanne J., et al. "The influence of demographic characteristics on constipation symptoms: a detailed overview”. BMC Gastroenterology1 (2020): 1-9.
- Baradia Richa and Joyeta Ghosh. "Impact of Mindful Eating among Adolescent”.
- Lacy Brian E. "Update on the management of chronic idiopathic constipation”. American Journal of Management Care4 (2019): S55-62.
- Hakhoe Taehan Sohwagi. "The Korean journal of gastroenterology: Taehan Sohwagi Hakhoe chi”. (2003).
- Black Christopher J and Alexander C Ford. "Chronic idiopathic constipation in adults: epidemiology, pathophysiology, diagnosis and clinical management”. Medical Journal of Australia2 (2018): 86-91.
- Jani Bhairvi and Elizabeth Marsicano. "Constipation: evaluation and management”. Missouri Medicine3 (2018): 236.
- Prichard David O and Adil E Bharucha. "Recent advances in understanding and managing chronic constipation”. F1000 Research 7 (2018).
- Boilesen Sabine Nunes., et al. "Water and fluid intake in the prevention and treatment of functional constipation in children and adolescents: is there evidence?☆,☆☆”. Jornal de Pediatria 93 (2017): 320-327.
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