{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:02:42Z","timestamp":1789966962053,"version":"4.0.1"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp; Dietetics"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Chronic diarrhoea in older adults in residential care is underreported. This study examined its prevalence, contributing factors, and impacts on the quality of life of older adults living in care throughout New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study had two components: (1) a retrospective observational study of resident clinical, medication, bowel chart and health care data from 36 residential care facilities electronically entered by nursing or care staff, and (2) an observational study in six facilities where residents completed validated gastrointestinal and quality of life questionnaires. Residents were categorised by bowel pattern (normal, constipation, and diarrhoea) using Rome IV criteria. Chi\u2010square tests compared bowel patterns with quality of life outcomes. Associations between bowel symptom reporting in parts one and two were assessed using contingency tables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The retrospective data of 2411 residents revealed that 26% (618\/2411) experienced chronic diarrhoea, most of whom were taking laxatives (402\/618), presumably for\u00a0constipation. The prevalence of chronic diarrhoea in non\u2010laxative users was 8.8% (214\/2411). Proportions were similar in part two: 21% (23\/110) of residents experienced chronic diarrhoea, half of whom were also charted laxatives (12\/23). Chronic diarrhoea was negatively associated with quality of life (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and associated with an increased risk of pressure injuries (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200980, 12.9%) compared to having normal bowel motions (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920, 7%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Chronic diarrhoea commonly affects older adults living in residential care, with laxative use appearing a significant contributor. Living with chronic diarrhoea can negatively impact quality of life and may be associated with an increased risk of pressure injury.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1747-0080.70060","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T04:45:00Z","timestamp":1765428300000},"page":"440-449","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laxative use and chronic diarrhoea in older adults living in residential care"],"prefix":"10.1111","volume":"83","author":[{"given":"Leigh","family":"O'Brien","sequence":"first","affiliation":[{"name":"Department of Medicine University of Otago  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1160-3865","authenticated-orcid":false,"given":"Catherine","family":"Wall","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Otago  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim J.","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Otago  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Frampton","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Otago  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2298-5141","authenticated-orcid":false,"given":"Richard B.","family":"Gearry","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Otago  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3233\/NHA-220152"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5056\/jnm16214"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2020.04.014"},{"issue":"459","key":"e_1_2_9_5_1","first-page":"798","article-title":"Prevalence of lower gastrointestinal symptoms and associated consultation behaviour in a British elderly population determined by face\u2010to\u2010face interview","volume":"50","author":"Chaplin A","year":"2000","journal-title":"Br J Gen Pract"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2018.24"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/23.2.146"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa029"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2012.11.003"},{"key":"e_1_2_9_10_1","volume-title":"Health and Disability Services (Safety) Act 2001","author":"Ministry of Health (NZ)","year":"2001"},{"key":"e_1_2_9_11_1","volume-title":"Tatau Kahukura: M\u0101ori Health Chart Book 2024","author":"Ministry of Health (NZ)","year":"2024"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365529709011203"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-017-4599-6"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2016.02.014"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_2_9_16_1","first-page":"1","article-title":"Using the EQ5D\u20105L to investigate quality\u2010of\u2010life impacts of disease\u2010modifying therapy policies for people with multiple sclerosis (MS) in New Zealand","volume":"24","author":"Claflin S","year":"2022","journal-title":"Eur J Health Econ"},{"issue":"9","key":"e_1_2_9_17_1","first-page":"1004","article-title":"Prevalence of irritable bowel syndrome and chronic diarrhoea in Norwegian adults","volume":"54","author":"Svendsen K","year":"2019","journal-title":"Scand J Gastroenterol"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2021.04.021"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2012.10.028"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62167-9"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2019.03.046"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12932"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000264830.26355.64"}],"container-title":["Nutrition &amp; 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