CoChat
Sign Up
Cited by 57Gastrointestinal motility and disordersFood composition and propertiesPelvic floor disorders treatments

Lower dietary fibre intake, but not total water consumption, is associated with constipation: a population‐based analysis

Shen, L., Huang, C., Lu, X., Xu, X., Jiang, Z., Zhu, C.·2019·Journal of Human Nutrition and Dietetics
DOI 10.1111/jhn.12589
Open this paper in CoChat — free account

Abstract

Background: Associations between constipation and dietary fibre and water intake, as well as various lifestyle factors, have not been fully evaluated. The present study aimed to investigate associations between fibre and water intake and constipation, as well as other possible risk factors for constipation, in a large adult population. Methods: Data obtained from 14 024 adults aged ≥20 years from three cycles of the National Health and Nutrition Examination Survey (NHANES) 2005–2010, who had completed a bowel health questionnaire, were included in this cross‐sectional population‐based study. Variables included demographics, lifestyle and dietary factors, comorbidities and laboratory parameters. Logistic regression analyses were performed to determine associations between potential risk factors and constipation. Results: Among 17 132 participants ≥20 years, 2401 (14%) did not complete bowel health questionnaires and were excluded, along with pregnant women (n = 461) and participants without dietary sample weight on day 1 (n = 246), leaving data from 14 024 participants available for analysis. Multivariate analysis revealed that black race/ethnicity [odds ratio (OR) = 1.380, 95% confidence interval (CI) = 1.054–1.809], a lower than 12th grade education (OR = 1.420, 95% CI = 1.154–1.749) or high school education (OR = 1.339, 95% CI = 1.057–1.697), lower income/poverty ratios (1.3–3.49 versus ≥3.5: OR = 1.261, 95% CI = 1.015–1.567), normal weight (OR = 1.913, 95% CI = 1.534–2.386) or overweight (OR = 1.536, 95% CI = 1.207–1.955), depression (OR = 1.610, 95% CI = 1.119–2.315) and poor teeth (OR = 1.441, 95% CI = 1.100–1.888) were associated with an increased risk for constipation. Lower dietary fibre intake was associated with a greater risk of constipation. Total water consumption was significantly associated an with an increased risk of constipation in univariate analysis, but not in multivariate analysis. Conclusions: Lower dietary fibre intake, but not poor water consumption, was associated with a greater risk of constipation in US adults.

Integrity signals

Registry

Crossref · 10.1111/jhn.12589

Cites

31 of 31 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

2 of the 33 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Shen, L., Huang, C., Lu, X., Xu, X., Jiang, Z., & Zhu, C.
Affiliations
Shanghai Jiao Tong University (CN)
Corresponding author
Jiang, Z.
ORCID
Jiang, Z.
Venue
Journal of Human Nutrition and Dietetics
Publisher
Wiley
Published
2019-05-13
Volume
32
Issue
4
Pages
422-431
ISSN
  • 0952-3871 (ISSN-L)
  • 1365-277X
DOI
10.1111/jhn.12589
OpenAlex
W2945543093
Cited by
57
References
33
Citations by year
2026: 5 · 2025: 15 · 2024: 9 · 2023: 9 · 2022: 6 · 2021: 6 · 2020: 7
FWCI
4.33
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Human Nutrition and Dietetics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Keywords
constipation, dietary fiber intake, water intake, bowel health, risk factors, educational attainment, income, depression, tooth loss, body mass index, race and ethnicity, NHANES, adults
MeSH terms
Adult, Constipation, Cross-Sectional Studies, Diet, Dietary Fiber, Female, Humans, Life Style, Male, Middle Aged, Nutrition Surveys, Pregnancy, Surveys and Questionnaires, Risk Factors, Multivariate Analysis, Odds Ratio, Young Adult, Drinking Water

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review