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Status of Constipation and Its Association with Sarcopenia in Older Adults: A Population-Based Cohort Study

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Abstract
(1) Background: As the clinical relevance of constipation and sarcopenia is not well studied, we aimed to investigate the association between them in older adults. (2) Methods: A cross-sectional study was conducted on 1278 community-dwelling older adults in South Korea. The Rome IV criteria were used to identify patients with clinically defined constipation, while sarcopenia was defined by the Asian Working Group for Sarcopenia consensus. The cohort was classified into three groups: no constipation, self-reported constipation only, and clinically defined constipation. (3) Results: The presence of constipation was associated with sarcopenia and slow gait speed (p < 0.001). After adjustment for possible covariates, the association with sarcopenia attenuated, while that for slow gait speed persisted. In terms of geriatric parameters, both groups with clinically defined and self-reported constipation had a higher burden of cognitive impairment, IADL disability, and lower QOL scores (p < 0.05) compared with those without constipation. (4) Conclusions: Sarcopenia and slow gait speed associated with constipation in community-dwelling older adults. Individuals with self-reported constipation symptoms alone showed comparable sarcopenic and geriatric burden to those with clinically defined constipation. Clinical suspicion for possible co-existing sarcopenia is warranted in older patients with constipation.
Author(s)
박형철백지연이은주임지혜장일영정희원
Issued Date
2021
Type
Article
Keyword
agingconstipationsarcopeniageriatric assessment
DOI
10.3390/ijerph182111083
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8504
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_f8c3edf18e4246efbd1afe9d57dc7906&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,Status%20of%20Constipation%20and%20Its%20Association%20with%20Sarcopenia%20in%20Older%20Adults:%20A%20Population-Based%20Cohort%20Study&amp;offset=0&amp;pcAvailability=true
Publisher
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Location
스위스
Language
영어
ISSN
1661-7827
Citation Volume
18
Citation Number
21
Citation Start Page
0
Citation End Page
0
Appears in Collections:
Medicine > Medicine
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