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Table 1 Characteristics of studies regarding the epidemiology of constipation in Europe in the general population.

From: Epidemiology of constipation in Europe and Oceania: a systematic review

First author, year of publication, setting

Type of study

Definition of constipation

Study population (% of responders)

Prevalence per 100

Factors significantly associated with increased odds for constipation

Quality score+

Comments

Siproudhis L 2005 France [16]

Mailed questionnaire survey

Emptying difficulties or unsatisfied defecation during the preceding 12-month period

7196 (72) persons ≥ 15 yr, representative of the general population

22.4

History of vaginal delivery in women

6

F/M 2

Garrigues V 2004 Spain [17]

Mailed questionnaire study

Self-reported, Rome I, and Rome II criteria

349 (71.4) participants, 18–65 yr, representative of the general population

29.5 (self-reported) 19.2 (Rome I criteria) 14 (Rome II criteria)

Female gender

7

F/M 2.2 Agreement between self-reported and Rome II criteria was moderate

Walter S 2002 Sweden [18]

Mailed questionnaire study

Self-reported, as 'sometimes, often or always' constipated

1610 (80.5) persons, 31–76 yr, randomly selected

19.8 of women 8.3 of men

Female gender

4

F/M 2.4

Haug TT 2002 Norway [19]

Mailed questionnaire study

Self-reported, as 'minor or major complaints' during the last 12 months

62651 (66.5) persons, > 20 yr

20.2

Anxiety, and less strongly depression

4

F/M 4

Frexinos 1998 France [20]

Interview- questionnaire survey

Self reported

6000 (81) participants > 15 yr, selected by systematic random sampling

35

 

7

 

Gaburri 1989 Italy Umbria [21]

Interview-questionnaire survey, performed by a physician.

≤ 2 DPW for > 9 months in the last 3 years and/or straining at stool > 75% of the time

544 (98). 104 medical students, 103 medical and paramedical employees and 326 randomly selected home interviewed persons.

9.2

Female gender presented significantly higher constipation rates.

5

 

Bassotti G 2004 Italy [22]

Prospective study

Rome II criteria

298 (61) persons recruited from the general population and asked to compile a daily diary on their bowel habits and associated signs and symptoms

5 (< 3 DPW) 11.7(straining) 10.7(incomplete evacuation)

 

6

 
  1. Abbreviations DPW: defecations per week, F/M: female/male ratio, Rome II criteria: at least 12 weeks, which need not be consecutive, in the preceding 12 months, of two or more of: < 3 DPW, hard or lumpy stools in > 1/4 of defecations, straining in > 1/4, digital manipulation of stools in > 1/4, sensation of incomplete evacuation in > 1/4, sensation of anorectal obstruction or blockage in > 1/4, +: critical appraisal guidelines for research articles determining prevalence, developed by Loney et al14