{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:22:09Z","timestamp":1787772129415,"version":"build-2784847793"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n BACKGROUND:<\/jats:title>\n Functional constipation is prevalent among older people. It has major effects on the quality of life of them, as well as the high costs of treatment. This study investigated functional constipation and risk factors affecting older people living in Shahreza, Iran.<\/jats:p>\n <\/jats:sec>\n \n MATERIALS AND METHODS:<\/jats:title>\n \n This cross-sectional study was performed on 200 older people in Shahreza. They were selected by simple random sampling. We used the Rome III Criteria, the Elderly Physical Activity Questionnaire (PASE), and related questions from the SIB system (integrated health system). After completing the questionnaires, the data were analyzed using the mean and standard deviation, Chi-square test, independent-samples\n t<\/jats:italic>\n -test, Fisher\u2019s exact test, and Mann\u2013Whitney test.\n <\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n The prevalence of functional constipation was 45%. There are significant relationships between functional constipation with dental problems (\n P<\/jats:italic>\n = 0.02), intake of fluid (\n P<\/jats:italic>\n = 0.001), fruits (\n P<\/jats:italic>\n = 0.001), and vegetables (\n P<\/jats:italic>\n < 0.001), polypharmacy (\n P<\/jats:italic>\n = 0.003), and antidepressants (\n P<\/jats:italic>\n = 0.008), history of colon (\n P<\/jats:italic>\n = 0.003) and anal (\n P<\/jats:italic>\n = 0.001) diseases, stroke or mobility disabilities (\n P<\/jats:italic>\n = 0.002), the level of physical activity (\n P<\/jats:italic>\n = 0.002), and gender (\n P<\/jats:italic>\n = 0.04) in older people living in Shahreza.\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n According to the high prevalence of functional constipation in the studied older people, it is necessary to focus on controlling risk factors and planning to prevent the destructive effects of social restrictions on older people during the coronavirus disease 2019 (COVID-19) pandemic.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jehp.jehp_345_23","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T03:02:26Z","timestamp":1711508546000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["A survey on functional constipation and its risk factors in older people in Shahreza, Iran"],"prefix":"10.4103","volume":"13","author":[{"given":"Mina","family":"Amiri","sequence":"first","affiliation":[{"name":"Department of Health Education and HealthPromotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akbar","family":"Hassanzadeh","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Health Faculty, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majid","family":"Rahimi","sequence":"additional","affiliation":[{"name":"Department of Health Education and HealthPromotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,3]]},"reference":[{"key":"R1-20240829","first-page":"755","article-title":"A systematic review of the economic and humanistic burden of illness in irritable bowel syndrome and chronic constipation","volume":"19","author":"Nellesen","year":"2013","journal-title":"J Manag Care Pharm"},{"key":"R2-20240829","first-page":"152","article-title":"Constipation in older adults: Stepwise approach to keep things moving","volume":"61","author":"Schuster","year":"2015","journal-title":"Can Fam Physician"},{"key":"R3-20240829","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1007\/s40266-016-0381-2","article-title":"Constipation in elderly patients with noncancer pain: Focus on opioid-induced constipation","volume":"33","author":"Chokhavatia","year":"2016","journal-title":"Drugs Aging"},{"key":"R4-20240829","doi-asserted-by":"crossref","first-page":"e10631.","DOI":"10.1097\/MD.0000000000010631","article-title":"Chronic constipation: A review of literature","volume":"97","author":"Forootan","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"R5-20240829","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.3748\/wjg.v25.i14.1729","article-title":"Chronic functional constipation is strongly linked to vitamin D deficiency","volume":"25","author":"Panarese","year":"2019","journal-title":"World J Gastroenterol"},{"key":"R6-20240829","doi-asserted-by":"crossref","first-page":"5754.","DOI":"10.3390\/ijerph18115754","article-title":"Functional constipation and anorexia in community-dwelling older adults: Korean frailty and aging cohort study (KFACS)","volume":"18","author":"Jeong","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"R7-20240829","doi-asserted-by":"crossref","first-page":"139","DOI":"10.4082\/kjfm.18.0182","article-title":"Chronic constipation in the elderly patient: Updates in evaluation and management","volume":"41","author":"Mari","year":"2020","journal-title":"Korean J Fam Med"},{"key":"R8-20240829","doi-asserted-by":"crossref","first-page":"163","DOI":"10.2147\/CIA.S8100","article-title":"Update on the management of constipation in the elderly: New treatment options","volume":"5","author":"Rao","year":"2010","journal-title":"Clin Interv Aging"},{"key":"R9-20240829","first-page":"1282","article-title":"Epidemiology of constipation and functional constipation and their risk factors in Iranian population","volume":"44","author":"Hassanzadeh","year":"2016","journal-title":"J Isfahans Med Sch"},{"key":"R10-20240829","doi-asserted-by":"crossref","first-page":"75","DOI":"10.15171\/mejdd.2018.94","article-title":"Prevalence of chronic constipation and its associated factors in pars cohort study: A study of 9000 adults in Southern Iran","volume":"10","author":"Moezi","year":"2018","journal-title":"Middle East J Dig Dis"},{"key":"R11-20240829","first-page":"206","article-title":"Validity and reliability of champs physical activity questionnaire for older people living in Tehran","volume":"9","author":"Sahaf","year":"1393","journal-title":"J Iran J Ageing"},{"key":"R12-20240829","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13063-015-0752-8","article-title":"CON-COUR study: Interferential therapy in the treatment of chronic constipation in adults: Study protocol for a randomized controlled trial","volume":"16","author":"Vitton","year":"2015","journal-title":"Trials"},{"key":"R13-20240829","doi-asserted-by":"crossref","first-page":"8.","DOI":"10.1186\/s13030-022-00237-2","article-title":"Background factors involved in the epidemiology of functional constipation in the Japanese population: A cross-sectional study","volume":"16","author":"Yamamoto","year":"2022","journal-title":"Biopsychosoc Med"},{"key":"R14-20240829","first-page":"78","article-title":"Comparing the prevalence of constipation risk factors in the elderly with and without constipation in Hazrat-e Rasoul (PBUH) hospital","volume":"12","author":"Alimoradzadeh","year":"2017","journal-title":"Iran J Ageing"},{"key":"R15-20240829","doi-asserted-by":"crossref","first-page":"569","DOI":"10.5056\/jnm17033","article-title":"Nationwide multicenter study for overlaps of common functional gastrointestinal disorders in Korean patients with constipation","volume":"23","author":"Park","year":"2017","journal-title":"J Neurogastroenterol Motil"},{"key":"R16-20240829","first-page":"137","article-title":"Assessment of role of diet, life style & stress in the etiopathogenesis of constipation in geriatric patients","volume":"9","author":"Thakare","year":"2020","journal-title":"Int J Mod Agric"},{"key":"R17-20240829","first-page":"62","article-title":"Does yoga engender fitness in older adults? A critical review","volume":"19","author":"Roland","year":"2011","journal-title":"J Aging Phys"},{"key":"R18-20240829","first-page":"1187","article-title":"Adult constipation: Clinical solution for primary care","volume":"30","author":"Adibi","year":"2012","journal-title":"J Isfahan Med Sch"},{"key":"R19-20240829","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1053\/j.gastro.2016.02.031","article-title":"Bowel disorders","volume":"150","author":"Lacy","year":"2016","journal-title":"Gastroenterology"},{"key":"R20-20240829","first-page":"50","article-title":"The relationship between physical activity, social support and fatigue severity of eldry Ilam in 2016","volume":"3","author":"Borji","year":"2017","journal-title":"Iran J Rehabil Res"},{"key":"R21-20240829","first-page":"90","article-title":"Effect of educational program about dietary and physical activity on functional constipation for elderly people at assiut geriatric clubs","volume":"13","author":"Ragab","year":"2021","journal-title":"Malaysian J Nurs"},{"key":"R22-20240829","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1053\/j.gastro.2005.11.061","article-title":"Functional bowel disorders","volume":"130","author":"Longstreth","year":"2006","journal-title":"Gastroenterology"},{"key":"R23-20240829","doi-asserted-by":"crossref","first-page":"1738.","DOI":"10.3390\/jcm10081738","article-title":"Current overview on clinical management of chronic constipation","volume":"10","author":"W\u0142odarczyk","year":"2021","journal-title":"J Clin Med"},{"key":"R24-20240829","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.jcol.2018.10.014","article-title":"Intestinal constipation in the elderly and associated factors\u2013SABE Study","volume":"39","author":"Gomes","year":"2019","journal-title":"J Coloproctol"},{"key":"R25-20240829","doi-asserted-by":"crossref","first-page":"145","DOI":"10.7888\/juoeh.41.145","article-title":"Relationship between constipation and medication","volume":"41","author":"Ueki","year":"2019","journal-title":"J UOEH"},{"key":"R26-20240829","doi-asserted-by":"crossref","first-page":"1889","DOI":"10.2147\/CIA.S222532","article-title":"Prevalence, determinants and associated risk of potentially inappropriate prescribing for older adults in Qatar: A national retrospective study","volume":"14","author":"Alyazeedi","year":"2019","journal-title":"Clin interv Aging"},{"key":"R27-20240829","doi-asserted-by":"crossref","first-page":"137.","DOI":"10.1186\/s12876-021-01684-x","article-title":"Higher frailty burden in older adults with chronic constipation","volume":"21","author":"Lim","year":"2021","journal-title":"BMC Gastroenterol"},{"key":"R28-20240829","doi-asserted-by":"crossref","first-page":"56","DOI":"10.4274\/ejgg.galenos.2019.144","article-title":"Polypharmacy and Related Factors in geriatric outpatients","volume":"1","author":"K\u00fc\u00e7\u00fckda\u011fl\u0131","year":"2019","journal-title":"Eur J Geriatr Gerontol"},{"key":"R29-20240829","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1053\/j.gastro.2018.08.021","article-title":"Efficacy of secretagogues in patients with irritable bowel syndrome with constipation: Systematic review and network meta-analysis","volume":"155","author":"Black","year":"2018","journal-title":"Gastroenterology"},{"key":"R30-20240829","first-page":"13","article-title":"Prevalence of anal fissure in patients with anorectal disorders: A single-centre experience","author":"Chaudhary","year":"2019","journal-title":"J Clin Diagn Res"},{"key":"R31-20240829","first-page":"919","article-title":"Epidemiology and management of chronic constipation in elderly patients","volume":"10","author":"Roque","year":"2015","journal-title":"Clin Interv Aging"},{"key":"R32-20240829","doi-asserted-by":"crossref","first-page":"461","DOI":"10.2147\/CIA.S54630","article-title":"Oral health in the elderly patient and its impact on general well-being: A nonsystematic review","volume":"10","author":"Gil-Montoya","year":"2015","journal-title":"Clin Interv Aging"},{"key":"R33-20240829","first-page":"41","article-title":"The relationship between oral health-related quality of life and gastrointestinal symptom-related quality of life: A cross-sectional study","volume":"36","author":"Matsuda","year":"2019","journal-title":"Shimane J Med Sci"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_345_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:30:23Z","timestamp":1787769023000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_345_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_345_23","relation":{},"ISSN":["2277-9531","2319-6440"],"issn-type":[{"value":"2277-9531","type":"print"},{"value":"2319-6440","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-03-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}