Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
The Association Between Obesity, Constipation, and Functional Constipation in Iranian Adults



Salek N1 ; Dadkhah A1 ; Saneei P2 ; Hassanzadehkeshteli A3 ; Esmaillzadeh A4 ; Adibi P3
Authors
Show Affiliations
Authors Affiliations
  1. 1. School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Food Security Research Center and Department of Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Food Security Research Center AND Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Isfahan Medical School Published:2016

Abstract

Background: Constipation is a common disorder of the gastrointestinal tract which affects the quality of life (QOL) of patients. However, findings of studies on the relationship between obesity and constipation are conflicting. The aim of the present study was to assess the relationship of general and central obesity with constipation and functional constipation in a large group of Iranian adults. Methods: This cross-sectional study was conducted on 4457 adults, through obtaining anthropometric measures using a validated self-report questionnaire. The subjects were classified into three categories of normal weight, overweight, and obese based on their body mass index (BMI) and normal, central overweight, and central obesity based on their waist circumference. The prevalence of constipation, functional constipation, and its components was investigated according to Rome III criteria. Findings: The prevalence of constipation and functional constipation among the study population was 33.6% and 15.3%, respectively. After adjustment for potentially confounding factors, obese individuals were at a 32% greater risk of constipation compared to those with normal BMI (OR: 1.32; 95% CI: 1.03-1.71). There was no significant association between general obesity and functional constipation. Gender-stratified analysis revealed a significant association between overweight and obesity, and constipation among women in the crude model; overweight women (OR: 1.21; 95% CI: 1.02-1.45) and obese women compared to women with normal BMI (OR: 1.65; 95% CI: 1.26-2.15) were 21% and 65% more likely to have constipation. Although significant associations were found between abdominal obesity, and constipation and functional constipation in the crude model, these associations disappeared with adjustment for confounding factors. Gender-stratified analysis revealed no significant associations between abdominal obesity, and risk of constipation or functional constipation in men or women. Conclusion: General obesity was associated with a significant increase in the risk of constipation, while abdominal obesity was not associated with constipation and functional constipation. General obesity was related to increased risk of constipation in women. However, no significant association was found between constipation and functional constipation, and obesity or abdominal obesity in men. © 2016, Isfahan University of Medical Sciences(IUMS). All rights reserved.
Related Docs
View other Related Docs
1. The Association of Fried Foods Consumption With Constipation and Functional Constipation in Iranian Adults, Journal of Isfahan Medical School (2016)
2. Constipation in Iran: Sepahan Systematic Review No. 5, International Journal of Preventive Medicine (2012)
3. Epidemiology of Constipation and Functional Constipation and Their Risk Factors in Iranian Population, Journal of Isfahan Medical School (2016)
4. General and Abdominal Obesity in Relation to the Prevalence of Irritable Bowel Syndrome, Neurogastroenterology and Motility (2019)
5. The Relationship Between Functional Constipation and Major Dietary Patterns in Iranian Adults: Findings From the Large Cross-Sectional Population-Based Sepahan Study, Preventive Nutrition and Food Science (2021)
6. First Nationwide Survey of Prevalence of Overweight, Underweight, and Abdominal Obesity in Iranian Adults, Obesity (2007)
7. The Study on the Epidemiology of Psychological, Alimentary Health and Nutrition (Sepahan): Overview of Methodology, Journal of Research in Medical Sciences (2012)
8. Dietary Glycemic Index and Glycemic Load in Relation to General Obesity and Central Adiposity Among Adults, Clinical Nutrition (2019)
Experts (# of related papers)
View all Related Experts
Peyman Adibi (81)
Roya Kelishadi (54)
Other Related Docs
9. The Association of Irritable Bowel Syndrome and Obesity in Iranian Adults, Journal of Isfahan Medical School (2016)
10. Relationship Between Depression and Constipation: Results From a Large Cross-Sectional Study in Adults, The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi (2022)
11. The Association Between Obesity and Gastroesophageal Reflex (Gerd) in Iranian Adults, Journal of Isfahan Medical School (2016)
12. Healthy Lifestyle Score and Irritable Bowel Syndrome: A Cross-Sectional Study in Adults, Neurogastroenterology and Motility (2020)
13. Association of Combined Healthy Lifestyle With General and Abdominal Obesity, Frontiers in Nutrition (2023)
14. Bowel Habit Reference Values and Abnormalities in Young Iranian Healthy Adults, Digestive Diseases and Sciences (2007)
15. The Association Between Dietary Acid Load and Odds and Severity of Irritable Bowel Syndrome in Adults, Scientific Reports (2022)
16. Risk Factors of Bloating and Its Association With Common Gastrointestinal Disorders in a Sample of Iranian Adults, Turkish Journal of Gastroenterology (2017)
17. Dietary Diversity Score Is Related to Obesity and Abdominal Adiposity Among Iranian Female Youth, Public Health Nutrition (2011)
18. Linguistic Validation of the Irritable Bowel Syndrome-Quality of Life Questionnaire for Iranian Patients, Acta Medica Iranica (2011)
19. Irritable Bowel Syndrome in Iran: Sepahan Systematic Review No. 1, International Journal of Preventive Medicine (2012)
20. Validity of Self-Reported Height, Weight, Body Mass Index, and Waist Circumference in Iranian Adults, International Journal of Preventive Medicine (2021)
21. Associates of Visceral Obesity Among Women, Journal of Isfahan Medical School (2011)
22. A Survey on Functional Constipation and Its Risk Factors in Older People in Shahreza, Iran, Journal of Education and Health Promotion (2024)
23. Categorization of Functional Constipation in Traditional Persian Medicine: A Descriptive Study, Journal of Evidence-Based Complementary and Alternative Medicine (2016)
24. Nutrient Patterns and Their Relation to General and Abdominal Obesity in Iranian Adults: Findings From the Sepahan Study, European Journal of Nutrition (2016)
25. Major Dietary Patterns in Relation to General Obesity and Central Adiposity Among Iranian Women, Journal of Nutrition (2008)
26. Combined Healthy Lifestyle Is Inversely Associated With Upper Gastrointestinal Disorders Among Iranian Adults, Digestive Diseases (2021)
27. Adherence to the Pro-Inflammatory Diet in Relation to Prevalence of Irritable Bowel Syndrome, Nutrition Journal (2019)
28. Dietary Patterns of Young Females and Their Association With Waist Circumference As a Health Index in Northwest of Iran, 2007, Iranian Red Crescent Medical Journal (2015)
29. The Relationship Between Ultraprocessed Food Consumption and Obesity Indicators in Iranian Adults, Nutrition, Metabolism and Cardiovascular Diseases (2022)
30. Association Between Dietary Insulin Index and Load With Obesity in Adults, European Journal of Nutrition (2020)
31. Dietary Inflammatory Potential in Relation to General and Abdominal Obesity, International journal of clinical practice (2022)
32. Weight Disorders and Anthropometric Indices According to Socioeconomic Status of Living Place in Iranian Children and Adolescents: The Caspian-Iv Study, Journal of Research in Medical Sciences (2015)
33. Epidemiological Features of Irritable Bowel Syndrome and Its Subtypes Among Iranian Adults, Annals of Gastroenterology (2015)
34. Obesity and Associated Lifestyle Behaviours in Iran: Findings From the First National Non-Communicable Disease Risk Factor Surveillance Survey, Public Health Nutrition (2008)
35. Bloating in Iran: Sepahan Systematic Review No. 4, International Journal of Preventive Medicine (2012)
36. The Prevalence of Childhood Underweight, Overweight, and Obesity Based on Four Different Criteria, Journal of Nutrition and Food Security (2020)
37. Validity, Reliability, and Factor Analysis of Persian Version of Quality of Life Questionnaire for Irritable Bowel Syndrome (Ibs-Qol-34), Journal of Research in Medical Sciences (2013)
38. Anthropometric Indicators of Adiposity Related to Body Weight and Body Shape As Cardiometabolic Risk Predictors in British Young Adults: Superiority of Waist-To-Height Ratio, Journal of Obesity (2018)
39. Prevalence of Different Metabolic Phenotypes of Obesity in Iranian Children and Adolescents: The Caspian V Study, Journal of Diabetes and Metabolic Disorders (2018)
40. Association of Healthy Foods Intake With Anthropometric Measures and Blood Pressure in a National Sample of Iranian Children and Adolescents: The Caspian-Iv Study, Minerva Pediatrica (2019)
41. Prevalence of Obesity and Overweight in 12-14-Year-Old Students in Isfahan-Iran, International Journal of Preventive Medicine (2014)
42. Irritable Bowel Syndrome-Like Symptoms in Patients With Inflammatory Bowel Disease in Clinical Remission Phase Are Related to Gut Inflammation, Journal of Research in Medical Sciences (2012)
43. The Association Between Poly Unsaturated Fatty Acids Intake, Body Mass Index and Waist Circumference Among Female Youths in Isfahan, Iran, Pakistan Journal of Medical Sciences (2013)
44. Using Anthropometric and Demographic Factors to Predict Small Bowel Length to Prevent Malnutrition in Bariatric Surgery, Advanced Biomedical Research (2023)
45. Obesity and Metabolic Syndrome Among a Representative Sample of Iranian Adolescents, Southeast Asian Journal of Tropical Medicine and Public Health (2012)
46. The Association Between Dietary Diversity Score and General and Abdominal Obesity in Iranian Children and Adolescents, BMC Endocrine Disorders (2020)
47. Is Urinary Sodium Excretion Related to Anthropometric Indicators of Adiposity in Adults?, Journal of Research in Medical Sciences (2020)
48. Adherence to Lifelines Diet Score and Risk Factors of Metabolic Syndrome Among Overweight and Obese Adults: A Cross-Sectional Study, Frontiers in Nutrition (2022)
49. The Relationship Between Meal Regularity With Irritable Bowel Syndrome (Ibs) in Adults, European Journal of Clinical Nutrition (2022)
50. The Prevalence of Malnutrition Based on the Anthropometric Variables in Patients Undergoing Hemodialysis in Isfahan, Iran, Journal of Health System Research (2023)