High-fiber liquid diet for chronic constipation: An exploration from healthcare providers' survey results
Summary: Aim: Constipation is a common complication in patients receiving enteral nutrition, and fecal incontinence caused by laxative use can lead to a decrease in patients' quality of life and an increase in the burden on healthcare providers. This study aimed to investigate the effects of a...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Clinical Nutrition Open Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667268523000463 |
| _version_ | 1827595599101296640 |
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| author | Atsushi Nakajima Hiroki Takano Yukikazu Kamada Seigo Sakai Masaki Ichikawa Ataru Igarashi |
| author_facet | Atsushi Nakajima Hiroki Takano Yukikazu Kamada Seigo Sakai Masaki Ichikawa Ataru Igarashi |
| author_sort | Atsushi Nakajima |
| collection | DOAJ |
| description | Summary: Aim: Constipation is a common complication in patients receiving enteral nutrition, and fecal incontinence caused by laxative use can lead to a decrease in patients' quality of life and an increase in the burden on healthcare providers. This study aimed to investigate the effects of a high-fiber liquid diet on constipation and defecation care. Methods: An anonymous online survey of 184 healthcare providers was conducted on the use of ISOCAL® Fibecare (IF). Results: Many patients who used IF experienced underlying neurological disease (56.5%), and the number of days of use (mean ± standard deviation [SD]) was 41.6 ± 41.5 days. The intake of dietary fiber before and after IF use increased significantly from 11.2 ± 7.6 to 23.8 ± 5.6 g/day (P < 0.001), the number of normal bowel movements per week increased from 1.4 ± 1.8 to 1.9 ± 2.4 times/week (P < 0.01), and the number of people not receiving constipation treatment increased significantly from 19 (10.3%) to 47 (25.5%) (P < 0.001). With treatment, the use of osmotic laxatives, diphenylmethane derivatives, and enemas significantly decreased. Changes after the use of IF included decreased burden of defecation care for 31.0% of respondents, decreased frequency of bed sheet changes due to fecal soil in 22.2%, and decreased frequency of diaper exchange in 15.2%. Conclusions: Our findings suggest that the use of IF reduces the burden of healthcare providers at the time of defecation care due to the increased number of normal stools and decreased use of laxatives and enemas. Trial Registry: https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000055173. |
| first_indexed | 2024-03-09T02:56:49Z |
| format | Article |
| id | doaj.art-2e283c6b3432481299e6aadd644160d5 |
| institution | Directory Open Access Journal |
| issn | 2667-2685 |
| language | English |
| last_indexed | 2024-03-09T02:56:49Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Nutrition Open Science |
| spelling | doaj.art-2e283c6b3432481299e6aadd644160d52023-12-05T04:15:50ZengElsevierClinical Nutrition Open Science2667-26852023-12-01523448High-fiber liquid diet for chronic constipation: An exploration from healthcare providers' survey resultsAtsushi Nakajima0Hiroki Takano1Yukikazu Kamada2Seigo Sakai3Masaki Ichikawa4Ataru Igarashi5Department of Gastroenterology and Hepatology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama-shi, Kanagawa, 236-0004, JapanNestlé Health Science Company, Nestlé Japan Ltd., Tennoz Ocean Square 20F, 2-2-20 Higashi-shinagawa, Shinagawa-ku, Tokyo, 140-0002, Japan; Corresponding author. Nestlé Health Science Company, Nestlé Japan Ltd., Hiroki Takano, Marketing & Medical Affairs, Tennoz Ocean Square 20F, 2-2-20 Higashi-shinagawa, Shinagawa-ku, Tokyo, 140-0002, Japan. Tel.: +81 70 2448 5234.Nestlé Health Science Company, Nestlé Japan Ltd., Tennoz Ocean Square 20F, 2-2-20 Higashi-shinagawa, Shinagawa-ku, Tokyo, 140-0002, JapanNestlé Health Science Company, Nestlé Japan Ltd., Tennoz Ocean Square 20F, 2-2-20 Higashi-shinagawa, Shinagawa-ku, Tokyo, 140-0002, JapanNestlé Health Science Company, Nestlé Japan Ltd., Tennoz Ocean Square 20F, 2-2-20 Higashi-shinagawa, Shinagawa-ku, Tokyo, 140-0002, JapanUnit of Public Health and Preventive Medicine, School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama-shi, Kanagawa, 236-0004, Japan; Department of Health Economics and Outcomes Research, Graduate School of Pharmaceutical Sciences, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, JapanSummary: Aim: Constipation is a common complication in patients receiving enteral nutrition, and fecal incontinence caused by laxative use can lead to a decrease in patients' quality of life and an increase in the burden on healthcare providers. This study aimed to investigate the effects of a high-fiber liquid diet on constipation and defecation care. Methods: An anonymous online survey of 184 healthcare providers was conducted on the use of ISOCAL® Fibecare (IF). Results: Many patients who used IF experienced underlying neurological disease (56.5%), and the number of days of use (mean ± standard deviation [SD]) was 41.6 ± 41.5 days. The intake of dietary fiber before and after IF use increased significantly from 11.2 ± 7.6 to 23.8 ± 5.6 g/day (P < 0.001), the number of normal bowel movements per week increased from 1.4 ± 1.8 to 1.9 ± 2.4 times/week (P < 0.01), and the number of people not receiving constipation treatment increased significantly from 19 (10.3%) to 47 (25.5%) (P < 0.001). With treatment, the use of osmotic laxatives, diphenylmethane derivatives, and enemas significantly decreased. Changes after the use of IF included decreased burden of defecation care for 31.0% of respondents, decreased frequency of bed sheet changes due to fecal soil in 22.2%, and decreased frequency of diaper exchange in 15.2%. Conclusions: Our findings suggest that the use of IF reduces the burden of healthcare providers at the time of defecation care due to the increased number of normal stools and decreased use of laxatives and enemas. Trial Registry: https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000055173.http://www.sciencedirect.com/science/article/pii/S2667268523000463ConstipationDietary fiberDefecation careEnteral nutrition |
| spellingShingle | Atsushi Nakajima Hiroki Takano Yukikazu Kamada Seigo Sakai Masaki Ichikawa Ataru Igarashi High-fiber liquid diet for chronic constipation: An exploration from healthcare providers' survey results Clinical Nutrition Open Science Constipation Dietary fiber Defecation care Enteral nutrition |
| title | High-fiber liquid diet for chronic constipation: An exploration from healthcare providers' survey results |
| title_full | High-fiber liquid diet for chronic constipation: An exploration from healthcare providers' survey results |
| title_fullStr | High-fiber liquid diet for chronic constipation: An exploration from healthcare providers' survey results |
| title_full_unstemmed | High-fiber liquid diet for chronic constipation: An exploration from healthcare providers' survey results |
| title_short | High-fiber liquid diet for chronic constipation: An exploration from healthcare providers' survey results |
| title_sort | high fiber liquid diet for chronic constipation an exploration from healthcare providers survey results |
| topic | Constipation Dietary fiber Defecation care Enteral nutrition |
| url | http://www.sciencedirect.com/science/article/pii/S2667268523000463 |
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