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