{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T00:15:01Z","timestamp":1793146501779,"version":"4.5.0"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T00:00:00Z","timestamp":1655251200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To investigate the epidemiological characteristics of constipation in people aged 65 years and older in several regions of China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>A cross-sectional study based on a cluster sampling design was conducted in four cities of China: Tianjin, Xiamen, Cangzhou and Harbin. A total of 5,222 cases (age \u2265 65 years) were recruited, and the survey was conducted <jats:italic>via<\/jats:italic> centralized and household questionnaires that included the following: basic demographic characteristics such as sex, age, education, marital status, living status and occupation; social activities; duration of sleep at night; duration of menstruation and delivery times (in females); and if the participant had constipation symptoms, the severity of constipation. Constipation was diagnosed according to the Rome IV criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 5,222 participants, 919 were diagnosed with constipation. The prevalence of constipation was 17.60% in elderly people \u226565 years old. Prevalence increased with age and was significantly higher in females than males (<jats:italic>P<\/jats:italic> &amp;lt; 0.05). Prevalence was lower in the manual compared to the non-manual worker group, and significantly increased with decreasing duration of night sleep (<jats:italic>P<\/jats:italic> &amp;lt; 0.05). Older age, female sex and shorter sleep duration at night were risk factors for constipation in elderly people.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prevalence of constipation in the elderly people in four cities of China was 17.60%, and was significantly affected by age, sex and sleep duration at night.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2022.823987","type":"journal-article","created":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T06:56:20Z","timestamp":1655276180000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":35,"title":["Epidemiology of Constipation in Elderly People in Parts of China: A Multicenter Study"],"prefix":"10.3389","volume":"10","author":[{"given":"Xiaoshan","family":"Du","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peifei","family":"Jia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinghuan","family":"Gan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenzheng","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yehua","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianping","family":"Niu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Ji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,6,15]]},"reference":[{"key":"B1","article-title":"Bowel disorders","volume-title":"Gastroenterology","author":"Mearin","year":""},{"key":"B2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.bpg.2010.12.010","article-title":"Epidemiology of constipation in children and adults: a systematic review","volume":"25","author":"Mugie","year":"2011","journal-title":"Best Pract Res Clin Gastroenterol."},{"key":"B3","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.cger.2013.10.001","article-title":"Constipation: understanding mechanisms and management","volume":"30","author":"Costilla","year":"2014","journal-title":"Clin Geriatr Med."},{"key":"B4","doi-asserted-by":"publisher","first-page":"461","DOI":"10.2165\/00019053-200523050-00006","article-title":"The health-related quality of life and economic burden of constipation","volume":"23","author":"Dennison","year":"2005","journal-title":"Pharmaco Economics."},{"key":"B5","doi-asserted-by":"publisher","first-page":"13368","DOI":"10.3748\/wjg.v21.i47.13368","article-title":"Epidemiological study of elderly constipation in Beijing","volume":"21","author":"Zhang","year":"2015","journal-title":"World J. 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