Digestive Diseases and Sciences

, Volume 34, Issue 8, pp 1153–1162

A longitudinal survey of self-reported bowel habits in the United States

  • James E. Everhart
  • Vay Liang W. Go
  • Richard S. Johannes
  • Stacey C. Fitzsimmons
  • Harold P. Roth
  • Lon R. White
Original Articles

DOI: 10.1007/BF01537261

Cite this article as:
Everhart, J.E., Go, V.L.W., Johannes, R.S. et al. Digest Dis Sci (1989) 34: 1153. doi:10.1007/BF01537261

Abstract

Information concerning bowel habits was gathered from a representative sample of 14,407 United States adults in the first National Health and Nutrition Examination Survey in 1971–1975 and approximately 10 years later among the same individuals. The prevalence of self-reported constipation, diarrhea, infrequent defecation (three or fewer bowel movements per week), and frequent defecation (two or more bowel movements per day) increased with aging. Women were more likely than men (P<0.05) to report constipation (20.8% compared to 8.0%) and infrequent defecation (9.1% compared to 3.2%). Blacks were more likely than whites to report infrequent defecation (P<0.05). Older respondents reporting constipation were more likely to use laxatives or stool softeners than younger respondents reporting constipation, but they were also less likely to have infrequent defecation. To evaluate factors predictive of impaired bowel function, case definitions were created using information concerning complaint of constipation, laxative use, frequency of defecation, and stool consistency. Female gender, black race, fewer years of education, low physical activity, and symptoms of depression were independent risk factors for impaired bowel function. This study provides national estimates of bowel complaints and their natural history and examines possible risk factors for constipation.

Key words

constipation diarrhea aging epidemiology prevalence laxatives 

Copyright information

© Plenum Publishing Corporation 1989

Authors and Affiliations

  • James E. Everhart
    • 1
    • 2
    • 3
  • Vay Liang W. Go
    • 1
    • 2
    • 3
  • Richard S. Johannes
    • 1
    • 2
    • 3
  • Stacey C. Fitzsimmons
    • 1
    • 2
    • 3
  • Harold P. Roth
    • 1
    • 2
    • 3
  • Lon R. White
    • 1
    • 2
    • 3
  1. 1.Epidemiology and Data Systems Program, Division of Digestive Diseases and NutritionNational Institute of Diabetes and Digestive and Kidney DiseasesUSA
  2. 2.University of California at Los AngelesUSA
  3. 3.National Institute on AgingUSA
  4. 4.Bethesda

Personalised recommendations