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 |
---|---|---|---|---|---|---|---|
Howell SC 2006 Sydney [32] | Mailed questionnaire survey | Rome II criteria | 1673 (42.6) persons, 25–64 yr, randomly selected from 28 districts | 30.7 | Upper-middle educational social class. Female gender. | 6 | F/M 1.4 |
Campbell 1992 New Zealand [33] | Interview-questionnaire survey and a dietary assessment | ≤ 3 DPW, strained at stools, taking laxatives every 2–3 days | 856 (91) participants> 70 years registered with the five general practitioners serving a rural township of 13500 people | 4.3 had ≤ 3 DPW 20.3 had one of the three factors that may indicate constipation | Female gender and age | 3 | F/M 1.76 |
Bytzer P 2001 Sydney [34] | Mailed questionnaire survey | At least one of < 3 DPW, hard or lumpy stools, anal blockage, during preceding 3 months | 8555 (57), divided into 5 socioeconomic classes, from 1st (highest) to 5th (lowest) quintiles | 1st: 6.3 2nd: 8.7 3rd: 9.6 4th: 10.3 5th: 10.2 | Low socioeconomic class. | 6 | Â |
Chiarelli P 2000 Australia [35] | Questionnaire survey | Sometimes or often experiencing constipation symptoms during the preceding 12 months | 14761 (41) women 18–23 yr 14070 (54) women 45–50 yr 12893 (37) women 70–75 yr | 14.1 (18–23 yr) 26.6 (45–50 yr) 27.7 (70–75 yr) | Haemorrhoids and 'other bowel problems' in all three cohorts. Parity in the young cohort. Hysterectomy, prolapse repair, and medications in the middle-aged and older cohorts. | 3 |  |
Talley NJ 2004 New Zealand [36] | Questionnaire survey | Defined below* | 924 persons 26 yr old, from a birth cohort (94 of total original sample) | 19.9 | Female gender. | 5 | F/M 1.3 |