Relationship between the severity of constipation and level of physical activity, body mass index, waist to hip ratio and quality of life in women with chronic constipation

Öz

Purpose: To examine the relationship between the severity of constipation and physical activity level, body mass index (BMI), waist to hip ratio, and quality of life in women with chronic constipation. Methods: Constipation severity with Constipation Severity Scale (CSS), physical activity level with International Physical Activity Questionnaire-Short Form (IPAQ-SF), BMI with body weight/height, waist-hip ratio with tape measure and quality of life with Nottingham Health Profile (NHP) of 115 women with chronic constipation were evaluated. Results: While there were negative correlations between CSS-obstructive defecation, CSS-colonic inertia, CSS-pain and CSS-total scores and IPAQ-SF score (p<0.001) (rho=-0.482, -0.364, -0.366, and -0.538, respectively), positive correlations were found with waist-hip ratio (excluding CSS-colonic inertia) (rho=0.288, 0.374 and 0.322, respectively) (p<0.05). There were also positive correlations between CSS sub-dimensions and NHP-pain (rho=0.592, 0.409, 0.620, and 0.674, respectively), NHP-emotional reaction (rho=0.531, 0.448, 0.526, and 0.588, respectively), NHP-sleep (rho=0.381, 0.254, 0.337, and 0.396, respectively), NHP-social isolation (rho=0.451, 0.334, 0.392, and 0.512, respectively), NHP-physical activity (rho=0.517, 0.383, 0.441, and 0.563, respectively), NHP-energy (rho=0.367, 0.344, 0.330, and 0.451, respectively) and NHP-total score (rho=0.728, 0.559, 0.668, and 0.812, respectively) (p<0.001). Conclusion: It was found that the severity of constipation was negatively correlated with physical activity level, while it was positively correlated with waist/hip ratio and quality of life. With the nutrition and diet programs given in addition to regular physical activity and exercise programs, the severity of constipation can be reduced and the quality of life can be increased.

Anahtar Kelimeler

• Constipation
• Exercise
• Quality of life
• Waist-hip ratio
• Body mass index

Kronik konstipasyonu olan kadınlarda konstipasyon şiddeti ile fiziksel aktivite seviyesi, vücut kütle indeksi, bel/kalça oranı ve yaşam kalitesi arasındaki ilişki

Öz

Amaç: Kronik konstipasyonu olan kadınlarda konstipasyon şiddeti ile fiziksel aktivite seviyesi, vücut kütle indeksi (VKİ), bel/kalça oranı ve yaşam kalitesi arasındaki ilişkiyi incelemekti. Yöntem: Kronik konstipasyonu olan 115 kadının konstipasyon şiddeti Konstipasyon Ciddiyet Ölçeği (KCÖ) ile, fiziksel aktivite seviyesi Uluslararası Fiziksel Aktivite Anketi-Kısa Form (UFAA-KF) ile, VKİ vücut ağırlığı / boy uzunluğu hesabı ile, bel/kalça oranı mezura ile ve yaşam kalitesi Nottingham Sağlık Profili (NSP) ile değerlendirildi. Bulgular: KCÖ-dışkı tıkanıklığı, KCÖ-kalın barsak tembelliği, KCÖ-ağrı ve KCÖ-toplam skorları ile UFAA-KF skoru arasında negatif ilişkiler (sırasıyla rho=-0,482, -0,364, -0,366 ve -0,538) bulunurken, bel/kalça oranı ile (KCÖ-kalın barsak tembelliği hariç) arasında pozitif ilişkiler (sırasıyla rho=0,288, 0,374 ve 0,322) bulundu (p<0,05). KCÖ alt boyutları ile NSP-ağrı skoru arasında (sırasıyla rho=0,592, 0,409, 0,620, ve 0,674), NSP-emosyonel reaksiyon skoru arasında (sırasıyla rho=0,531, 0,448, 0,526, ve 0,588), NSP-uyku skoru arasında (sırasıyla rho=0,381, 0,254, 0,337, ve 0396), NSP-sosyal izolasyon skoru arasında (sırasıyla rho=0,451, 0,334, 0,392, ve 0,512), NSP-fiziksel aktivite soru arasında (sırasıyla rho=0,517, 0,383, 0,441, ve 0,563), NSP-enerji skoru arasında (sırasıyla rho=0,367, 0,344, 0,330, ve 0,451) ve NSP-toplam skoru arasında (sırasıyla rho=0,728, 0,559, 0,668 ve 0,812) pozitif ilişkiler tespit edildi (p<0,001). Sonuç: Konstipasyon şiddetinin fiziksel aktivite seviyesi ile negatif ilişkili olduğu tespit edilirken, bel/kalça oranı ve yaşam kalitesi ile pozitif ilişkili olduğu bulundu. Düzenli fiziksel aktivite ve egzersiz programlarına ilave olarak verilen beslenme ve diyet programları ile konstipasyon şiddeti azaltılarak yaşam kalitesi artırılabilir.

Anahtar Kelimeler

• Konstipasyon
• Egzersiz
• Yaşam Kalitesi
• Bel/kalça oranı
• Vücut kütle indeksi

Kaynakça

1. Aziz I, Whitehead WE, Palsson OS, et al. An approach to the diagnosis and management of Rome IV functional disorders of chronic constipation. Expert Rev Gastroenterol Hepatol. 2020;14:39-46.
2. Bharucha AE, Pemberton JH, Locke GR 3rd. American Gastroenterological Association technical review on constipation. Gastroenterology. 2013;144:218-238.
3. Gao R, Tao Y, Zhou C, et al. Exercise therapy in patients with constipation: a systematic review and meta-analysis of randomized controlled trials. Scand J Gastroenterol. 2019;54:169-177.
4. Forootan M, Bagheri N, Darvishi M. Chronic constipation: A review of literature. Medicine (Baltimore). 2018;97:e10631.
5. Bharucha AE, Sharma M. Painful and Painless Constipation: All Roads Lead to (A Change in) Rome. Dig Dis Sci. 2018;63:1671-1674.
6. Otani K, Watanabe T, Takahashi K, et al. Prevalence and risk factors of functional constipation in the Rome IV criteria during a medical check-up in Japan. J Gastroenterol Hepatol. 2021;36:2157-2164.
7. Sámano R, Esparza-Juárez F, Chico-Barba G, et al. Association of Diet, Body Mass Index, and Lifestyle on the Gastrointestinal Health Risk in a Sample of Adults. Int J Environ Res Public Health. 2022;19:10569.
8. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100:126-131.

9. Orhan C, Akbayrak T, Serap K, et al. Fiziksel aktivite seviyesi ile konstipasyon şiddeti arasındaki ilişkinin incelenmesi. JETR. 2015;2:66-73.
10. Yarar F, Akdam M, Yağcı N. Relationship between physical activity and constipation in university students. 2020.
11. Martin D. Physical activity benefits and risks on the gastrointestinal system. South Med J. 2011;104:831-837.
12. Macêdo MIP, Albuquerque MFM, Tahan S, et al. Is there any association between overweight, physical activity, fat and fiber intake with functional constipation in adolescents? Scand J Gastroenterol. 2020;55:414-420.
13. Lee CG, Lee JK, Kang YS, et al. Visceral abdominal obesity is associated with an increased risk of irritable bowel syndrome. Am J Gastroenterol. 2015;110:310-319.
14. Silveira EA, Santos A, Ribeiro JN, et al. Prevalence of constipation in adults with obesity class II and III and associated factors. BMC Gastroenterol. 2021;21:217.
15. Pourhoseingholi MA, Kaboli SA, Pourhoseingholi A, et al. Obesity and functional constipation; a community-based study in Iran. J Gastrointestin Liver Dis. 2009;18:151-155.
16. Alkhowaiter S, Alotaibi RM, Alwehaibi KK, et al. The Effect of Body Mass Index on the Prevalence of Gastrointestinal Symptoms Among a Saudi Population. Cureus. 2021;13:e17751.
17. Riebe D, Ehrman JK, Liguori G, et al. ACSM's guidelines for exercise testing and prescription. Philadelphia, PA: Wolters Kluwer Health; 2018.
18. Akbulut G, Acar Tek N, Ayyıldız F. Is there any relationship between constipation and waist circumference in females? European Congress on Obesity 25th congress, Vienna, Austria, 2018;322.
19. Ohkubo H, Yoshihara T, Misawa N, et al. Relationship between Stool Form and Quality of Life in Patients with Chronic Constipation: An Internet Questionnaire Survey. Digestion. 2021;102:147-154.
20. Glia A, Lindberg G. Quality of life in patients with different types of functional constipation. Scand J Gastroenterol. 1997;32:1083-1089.
21. Belsey J, Greenfield S, Candy D, et al. Systematic review: impact of constipation on quality of life in adults and children. Aliment Pharmacol Ther. 2010;31:938-949.
22. Wald A, Scarpignato C, Kamm MA, et al. The burden of constipation on quality of life: results of a multinational survey. Aliment Pharmacol Ther. 2007;26:227-236.
23. Klages KL, Berlin KS, Silverman AH, et al. Empirically derived patterns of pain, stooling, and incontinence and their relations to health-related quality of life among youth with chronic constipation. J Pediatr Psychol. 2017;42:325-334.
24. Yamamoto S, Kawamura Y, Yamamoto K, et al. Internet survey of Japanese patients with chronic constipation: focus on correlations between sleep quality, symptom severity, and quality of life. J Neurogastroenterol Motil. 2021;27:602-611.
25. Rajindrajith S, Ranathunga N, Jayawickrama N, et al. Behavioral and emotional problems in adolescents with constipation and their association with quality of life. PLoS One. 2020;15:e0239092.
26. Lacy BE, Mearin F, Chang L, et al. Bowel disorders. Gastroenterology. 2016;150:1393-1407.
27. Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997;32:920-924.
28. Kaya N, Turan N. Konstipasyon Ciddiyet Ölçeğinin güvenilirlik ve geçerliliği. Türkiye Klinikleri J Med Sci. 2011;31:1491-1501.
29. Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111:278-284.
30. Ehrman JK, Kerrigan D, Keteyian S. Advanced Exercise Physiology: Essential Concepts and Applications. Human Kinetics; 2018.
31. Kücükdeveci AA, McKenna SP, Kutlay S, et al. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23:31-38.
32. Faul F, Erdfelder E, Lang AG, et al. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175-191.
33. Bharucha AE, Wald A. Chronic Constipation. Mayo Clin Proc. 2019;94:2340-2357.
34. Karakaya İÇ, Kılıç Z, Yılmaz Ü, et al. Üniversite öğrencilerinde konstipasyon problemi ve fiziksel aktivite düzeyi ilişkisi. TAF Prev Med Bull. 2015;14:329-332.
35. Moezi P, Salehi A, Molavi H, Poustchi H, Gandomkar A, Imanieh MH, et al. Prevalence of Chronic Constipation and Its Associated Factors in Pars Cohort Study: A Study of 9000 Adults in Southern Iran. Middle East J Dig Dis. 2018;10(2):75-83.
36. Bouchoucha M, Fysekidis M, Deutsch D, et al. Biopsychosocial Model and Perceived Constipation Severity According to the Constipation Phenotype. Dig Dis Sci. 2021;66:3588-3596.
37. Talley NJ, Quan C, Jones MP, et al. Association of upper and lower gastrointestinal tract symptoms with body mass index in an Australian cohort. Neurogastroenterol Motil. 2004;16:413-419.
38. Eslick GD, Talley NJ. Prevalence and relationship between gastrointestinal symptoms among individuals of different body mass index: A population-based study. Obes Res Clin Pract. 2016;10:143-150.
39. Le Pluart D, Sabaté JM, Bouchoucha M, et al. Functional gastrointestinal disorders in 35,447 adults and their association with body mass index. Aliment Pharmacol Ther. 2015;41:758-767.
40. Sanchez MI, Bercik P. Epidemiology and burden of chronic constipation. Can J Gastroenterol. 2011;25 Suppl B(Suppl B):11b-5b.