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Table 2 Characteristics of studies regarding the epidemiology of constipation in Europe, in special populations groups.

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

Lopez Cara MA 2006 Spain [23]

Mailed questionnaire survey

≤ 3 DPW

414 (93) participants > 50 yr, selected by systematic random sampling

4.4

Consumption of olive oil, and meat.

4

F/M 2

Kinnunen 1990 Finland [24]

Interview-questionnaire survey by public health nurse

≤ 3 DPW, difficulties in expelling stools because of the hardness or anal canal abnormalities

5 groups of middle aged and elder population.

1. Hospital: 439

2. Olds people's home: 183

3. Day hospital: 78

4. Home > 74 yrs: 138

5. Home 41–50 yrs: 74

Prevalence per 100 in the 5 groups

1st: females 79, males 81

2nd: females 57, males 64

3rd: females 30, males 25

4th: females 38, males 37

5th: females 20, males 3

Female gender. Fecal and urinary incontinence. Age. Immobility. Living in old people's homes and geriatric hospital. Age over 84 years.

5

 

Bommelaer 1986 France [25]

Interview-questionnaire survey, performed by a physician.

≤ 3 DPW

1200 participants. Randomized selection among healthy medical and para-medical personnel and medical students. Statistically tested to assure same participation of gender, age and socio-professional groups

6.3

Female gender. Use of laxatives.

3

F/M 1.12

Texerau 1989 France [26]

Interview-questionnaire survey, performed by a gastroenterologist.

Self reported

667 participants in 4 groups. 82 medical students, 206 patients from local health center, 210 adults interrogated in an occupational medicine office and 69 persons from an olds people house.

26

 

3

F/M 0.96

Chin A Paw M 2006 The Netherlands [27]

RCT investigating the effects of training on constipation, questionnaire study

Defined below*

172 (76.8) participants living in long-term care facilities, 64–94 yr

22

 

5

 

Ludvigsson JF 2006 Sweden [28]

Prospective cohort study, questionnaire survey

Reported by parents

8341 (38.4) 2.5-yr-children from a birth cohort

6.5

Low maternal education, female sex, living in a large community, lack of older siblings

3

 

Iacono G 2005 Italy [29]

Prospective study, data obtained from 150 paediatricians

One bowel movement every 3 days or more

2879 (96) newborns up to six months of age

17.6

Lower frequency of breastfeeding.

4

F/M 1

Miele E 2004 Italy [30]

Prospective study, data obtained from 13 randomly selected paediatricians

Rome criteria for children

9660 children, 0–12 yr

0.7

 

5

F/M 1.2

Soligo M 2006 Italy [31]

Retrospective survey

Decreased stool frequency, difficult stool passage

786 consecutive urogynecologic patients, average age 60 yr

31.7

Posterior colpocele

4

 
  1. Abbreviations DPW: defecations per week, F/M: female/male ratio, RCT: randomized controlled trial, Rome criteria for children: in infants and preschool children, at least 2 wk of pebble-like, hard stools for a majority of stools, firm stools 2 or fewer times per week, and no evidence of structural, endocrine, or metabolic disease, *: at least one of less than three bowel movements weekly, hard or lumpy stools, straining on defecation, incomplete evacuation, in the preceding 12 months +: critical appraisal guidelines for research articles determining prevalence, developed by Loney et al14