The determination of the constipation severity scores according to BMI classification

Acar Tek N., Akbulut G., Ayyıldız F.

25th European Congress on Obesity, Vienna, Austria, May 23-26, 2018:, Vienna, Austria, 23 - 25 May 2018, pp.220-330

  • Publication Type: Conference Paper / Summary Text
  • City: Vienna
  • Country: Austria
  • Page Numbers: pp.220-330
  • Gazi University Affiliated: Yes


Introduction: Constipation and obesity are a common health problem and results in impaired patients’ quality of life and well-being. Obesity and constipation may be affected each other. The aim of the study was to determine the constipation severity according to body weight and gender Methods: Constipation severity instrument is developed and validated as a self-report measure of symptom severity in patients with constipation. It has 3 subscales: obstructive defecation, colonic inertia, and pain. Scores range from 0 to 73 with higher scores representing greater symptom severity. Body weight and height were measured and BMI (Body Mass Index) was calculated. Beside actual BMI measures of individuals were assessed according to World Health Organization (WHO) BMI classification. While BMI is 20-25 kg/m2 as normal weight, BMI is 25-30 kg/m2 as overweight. Results: Tab. 1. The mean the constipation severity scores according to BMI classification Normal weight (20–25 kg/m2 ) Overweight (25–30 kg/m2 ) x±SD Min Max x±SD Min Max p Males (n:337) 26.1 ± 15.09 (n:174) 0.0 63.0 15.6 ± 13.05 (n:163) 0.0 56.0 0.008 Females (n:483) 22.3 ± 12.44 (n:336) 0.0 58.0 18.5 ± 13.49 (n:147) 0.0 57.0 0.004 This study was conducted w 820 individuals (337 males and 483 females) aged mean constipation severity scores of males with normal weight was higher than overweight 19-64 years. The males (p = 0.008). Similarly this score of females with normal weight was higher than overweight females (p = 0.004). Both gender symptom severity was grater in normal weight (p < 0.05). Conclusion: The mechanisms underlying the relation between obesity and constipation are still unknown. The constipation severity instrument is a reliable and valid instrument for assessing constipated patients. For constipation as dietary modification (including high-fibre and fluid intake), increased activity, body weight management can be suggested.