Prevalence and associated factors of chronic constipation among Japanese university students

BackgroundChronic constipation (CC) is one of the most frequently reported gastrointestinal disorders in the general population and a prominent problem among university students. The study aimed to evaluate the prevalence and the associated factors of CC among Japanese university students.MethodsThi...

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Main Authors: Nhu Thi Hanh Vu, Duc Trong Quach, Shunsuke Miyauchi, Mai Ngoc Luu, Mahoko Yoshida, Doan Thi Nha Nguyen, Atsuo Yoshino, Yoshie Miyaka, Yuri Okamoto, Shiro Oka, Toru Hiyama
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1258020/full
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author Nhu Thi Hanh Vu
Nhu Thi Hanh Vu
Duc Trong Quach
Shunsuke Miyauchi
Mai Ngoc Luu
Mahoko Yoshida
Doan Thi Nha Nguyen
Atsuo Yoshino
Yoshie Miyaka
Yuri Okamoto
Shiro Oka
Toru Hiyama
author_facet Nhu Thi Hanh Vu
Nhu Thi Hanh Vu
Duc Trong Quach
Shunsuke Miyauchi
Mai Ngoc Luu
Mahoko Yoshida
Doan Thi Nha Nguyen
Atsuo Yoshino
Yoshie Miyaka
Yuri Okamoto
Shiro Oka
Toru Hiyama
author_sort Nhu Thi Hanh Vu
collection DOAJ
description BackgroundChronic constipation (CC) is one of the most frequently reported gastrointestinal disorders in the general population and a prominent problem among university students. The study aimed to evaluate the prevalence and the associated factors of CC among Japanese university students.MethodsThis cross-sectional study was conducted among university students at Hiroshima University, Japan. Students answered the web questionnaire when making a web reservation for the health checkup (April 1 to May 31, 2023). The web questionnaire consisted of four sections, including baseline characteristics, lifestyle factors, family history of CC, and three scales to assess depression and eating disorders: the Beck Depression Inventory (BDI), Eating Attitudes Test (EAT)-26 and Bulimic Investigatory Test (BITE). CC was diagnosed using Rome IV criteria. The multivariate logistic regression model was used to determine CC-related factors.ResultsOut of 10,500 individuals who participated in the annual health checkup, 7,496 participants answered the web questionnaire, of whom 5,386 answered all the survey questions. The mean age of the students was 21.1 ± 4.1 years. The male-to-female ratio was 1:1.17. The prevalence of CC was 13.7%. Factors significantly associated with CC in the multivariate model were first-degree family members with CC [Odd ratio (OR): 2.77, 95% confidence interval (CI): 2.31–3.31], severe depression according to BDI scale (OR: 2.59, 95% CI: 1.96–3.43), female sex (OR: 2.00, 95% CI: 1.69–2.36), and short sleep duration of 6 hours or less per day (OR: 1.28, 95% CI: 1.09–1.50). Lack of physical exercise tended to be associated with CC (OR: 1.19, 95% CI: 1.00–1.40).ConclusionsCC is prevalent among Japanese university students. Significant risk factors for CC included the first-degree family history of CC, severe depression, female sex, and short sleep duration. Lack of physical exercise tended to be associated with CC. This may contribute to implementing suitable education health programs, health care professionals, and public health policies to identify individuals at risk for CC to prevent and treat CC effectively.
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spelling doaj.art-0358508a6c10476eabf463f280f118b12024-01-17T08:45:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-01-011210.3389/fpubh.2024.12580201258020Prevalence and associated factors of chronic constipation among Japanese university studentsNhu Thi Hanh Vu0Nhu Thi Hanh Vu1Duc Trong Quach2Shunsuke Miyauchi3Mai Ngoc Luu4Mahoko Yoshida5Doan Thi Nha Nguyen6Atsuo Yoshino7Yoshie Miyaka8Yuri Okamoto9Shiro Oka10Toru Hiyama11Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, VietnamDepartment of Endoscopy, Hiroshima University Hospital, Hiroshima, JapanDepartment of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, VietnamHealth Service Center, Hiroshima University, Higashihiroshima, JapanDepartment of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, VietnamHealth Service Center, Hiroshima University, Higashihiroshima, JapanDepartment of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, VietnamHealth Service Center, Hiroshima University, Higashihiroshima, JapanHealth Service Center, Hiroshima University, Higashihiroshima, JapanHealth Service Center, Hiroshima University, Higashihiroshima, JapanDepartment of Gastroenterology, Graduate School of Biomedical and Health Sciences, Hiroshima, JapanHealth Service Center, Hiroshima University, Higashihiroshima, JapanBackgroundChronic constipation (CC) is one of the most frequently reported gastrointestinal disorders in the general population and a prominent problem among university students. The study aimed to evaluate the prevalence and the associated factors of CC among Japanese university students.MethodsThis cross-sectional study was conducted among university students at Hiroshima University, Japan. Students answered the web questionnaire when making a web reservation for the health checkup (April 1 to May 31, 2023). The web questionnaire consisted of four sections, including baseline characteristics, lifestyle factors, family history of CC, and three scales to assess depression and eating disorders: the Beck Depression Inventory (BDI), Eating Attitudes Test (EAT)-26 and Bulimic Investigatory Test (BITE). CC was diagnosed using Rome IV criteria. The multivariate logistic regression model was used to determine CC-related factors.ResultsOut of 10,500 individuals who participated in the annual health checkup, 7,496 participants answered the web questionnaire, of whom 5,386 answered all the survey questions. The mean age of the students was 21.1 ± 4.1 years. The male-to-female ratio was 1:1.17. The prevalence of CC was 13.7%. Factors significantly associated with CC in the multivariate model were first-degree family members with CC [Odd ratio (OR): 2.77, 95% confidence interval (CI): 2.31–3.31], severe depression according to BDI scale (OR: 2.59, 95% CI: 1.96–3.43), female sex (OR: 2.00, 95% CI: 1.69–2.36), and short sleep duration of 6 hours or less per day (OR: 1.28, 95% CI: 1.09–1.50). Lack of physical exercise tended to be associated with CC (OR: 1.19, 95% CI: 1.00–1.40).ConclusionsCC is prevalent among Japanese university students. Significant risk factors for CC included the first-degree family history of CC, severe depression, female sex, and short sleep duration. Lack of physical exercise tended to be associated with CC. This may contribute to implementing suitable education health programs, health care professionals, and public health policies to identify individuals at risk for CC to prevent and treat CC effectively.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1258020/fullchronic constipationfamily historydepressioneating disordersprevalencelifestyle factors
spellingShingle Nhu Thi Hanh Vu
Nhu Thi Hanh Vu
Duc Trong Quach
Shunsuke Miyauchi
Mai Ngoc Luu
Mahoko Yoshida
Doan Thi Nha Nguyen
Atsuo Yoshino
Yoshie Miyaka
Yuri Okamoto
Shiro Oka
Toru Hiyama
Prevalence and associated factors of chronic constipation among Japanese university students
Frontiers in Public Health
chronic constipation
family history
depression
eating disorders
prevalence
lifestyle factors
title Prevalence and associated factors of chronic constipation among Japanese university students
title_full Prevalence and associated factors of chronic constipation among Japanese university students
title_fullStr Prevalence and associated factors of chronic constipation among Japanese university students
title_full_unstemmed Prevalence and associated factors of chronic constipation among Japanese university students
title_short Prevalence and associated factors of chronic constipation among Japanese university students
title_sort prevalence and associated factors of chronic constipation among japanese university students
topic chronic constipation
family history
depression
eating disorders
prevalence
lifestyle factors
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1258020/full
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