老年维持性血液透析病人慢性便秘患病率和危险因素研究

doi:10.3969/j.issn.1003-9198.2024.06.004

Abstract

Abstract: Objective To investigate the prevalence and risk factors of chronic constipation in the elderly patients receiving maintenance hemodialysis (MHD). Methods A total of 116 elderly patients undergoing MHD in Blood Purification Center of Zhongda Hospital from January to June 2023 were enrolled in this study. The constipation assessment sacle(CAS) was used to evaluate the level of constipation in the elderly patients receiving MHD.Pearson correlation analysis was used to explore the correlation between chronic constipation and related indicators. Logistic regression analysis was used to explore the risk factors for chronic constipation in the elderly patients receiving MHD. Results In this study, 58 (50.0％) elderly patients receiving MHD presented with constipation. Pearson correlation analysis found that the total constipation score was positively correlated with the levels of BMI, total cholesterol (TC), triglyceride (TG), total body water (TBW), body fat mass content (BFM) and obesity degree (P<0.05). Binary Logistic regression analysis showed that TC, TG, TBW, BFM and obesity degree were the independent risk factors for constipation in the elderly patients receiving MHD (P<0.05). Conclusions The prevalence of constipation in the elderly patients receiving MHD is high. The levels of TC, TG, TBW, BFM and obesity degree show significant effects on constipation in the elderly patients receiving MHD.

Key words: aged, hemodialysis, chronic constipation, prevalence rate, risk factor

CLC Number:

R473.5

TANG Fang, ZHANG Kaidi, LI Zuolin, ZHANG Liuping, LI Mengting. Prevalence and risk factors of chronic constipation in elderly patients receiving maintenance hemodialysis[J]. Practical Geriatrics, 2024, 38(6): 553-556.

References

[1] SALARI N, GHASEMIANRAD M, AMMARI-ALLAHYARI M, et al. Global prevalence of constipation in older adults: a systematic review and meta-analysis[J]. Wien Klin Wochenschr, 2023, 135(15／16):389-398.
[2] 陈家臣, 雷子涵, 李文豪, 等. 维持性血液透析患者慢性便秘患病率调查与危险因素分析[J]. 中华肾脏病杂志, 2022, 38(10): 889-898.
[3] JUDKINS C P, WANG Y, JELINIC M, et al. Association of constipation with increased risk of hypertension and cardiovascular events in elderly Australian patients[J]. Sci Rep, 2023,13(1):10943.
[4] CHA R R, PARK S Y, CAMILLERI M, et al. Constipation in patients with chronic kidney disease[J]. J Neurogastroenterol Motil, 2023, 29(4):428-435.
[5] WARD L C. Bioelectrical impedance analysis for body composition assessment: reflections on accuracy, clinical utility, and standardisation[J]. Eur J Clin Nutr, 2019, 73(2):194-199.
[6] DU X, LIU S, JIA P, et al. Epidemiology of constipation in elderly people in parts of China: a multicenter study[J]. Front Public Health, 2022, 10:823987.
[7] KUBOZONO T, AKASAKI Y, KAWASOE S, et al. Relationship between defecation status and blood pressure level or blood pressure variability[J]. Hypertens Res,2024,47(1):128-136.
[8] SUMIDA K, MOLNAR M Z, POTUKUCHI P K, et al. Constipation and risk of death and cardiovascular events[J]. Atherosclerosis, 2019,281:114-120.
[9] MURTAGH F E, ADDINGTON-HALL J, HIGGINSON I J. The prevalence of symptoms in end-stage renal disease: a systematic review[J]. Adv Chronic Kidney Dis, 2007,14(1):82-99.
[10] ZHANG L, TANG F, WANG F, et al. The prevalence of constipation in end-stage kidney disease patients: a cross-sectional observation study[J]. Medicine: Baltimore, 2022, 101(43):e31552.
[11] ZUVELA J, TRIMINGHAM C, LE LEU R, et al. Gastrointestinal symptoms in patients receiving dialysis: a systematic review[J]. Nephrology: Carlton, 2018, 23(8):718-727.
[12] SUMIDA K, YAMAGATA K, KOVESDY C P. Constipation in CKD[J]. Kidney Int Rep,2019, 5(2):121-134.
[13] SBRIGNADELLO S, GÖBL C, TURA A. Bioelectrical impedance analysis for the assessment of body composition in sarcopenia and type 2 diabetes[J]. Nutrients, 2022, 14(9):1864.
[14] 侯国存, 甘华, 孙秀丽, 等. 人体成分对血液透析充分性的影响[J]. 中华肾脏病杂志, 2018, 34(6): 418-423.
[15] SILVEIRA E A, SANTOS A S E A C, RIBEIRO J N, et al. Prevalence of constipation in adults with obesity class II and III and associated factors[J]. BMC Gastroenterol, 2021, 21(1):217.

Prevalence and risk factors of chronic constipation in elderly patients receiving maintenance hemodialysis

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Recommended 10

[1]	LI Jiang, QIU Yan, WANG Ting, WANG Dan, YU Yifan, PU Lingli, BU Ling. Correlation between preoperative SII/ALB and clinicopathologic features in elderly patients with lung adenocarcinoma [J]. Practical Geriatrics, 2024, 38(9): 893-896.
[2]	WANG Zhenyu, YUAN Ying, XIANG Ying, LIU Jinyan, WU Hai, WANG Meng, XU Guifang. Risk factors of lymph node metastasis in elderly patients with mixed-type early gastric cancer [J]. Practical Geriatrics, 2024, 38(9): 901-904.
[3]	DAI Jing, CUI Yan. Correlation between glycosylated hemoglobin variability and cognitive dysfunction in elderly patients with type 2 diabetes mellitus [J]. Practical Geriatrics, 2024, 38(9): 931-935.
[4]	ZHENG Hong, QI Zhenbo, XU Peng, XU Jie, YU Xinyu, ZANG Yanan, ZHANG Zhaoyan. Effects of hypnotics on cognition function and daytime sleepiness in the elderly [J]. Practical Geriatrics, 2024, 38(9): 936-939.
[5]	ZHANG Xingxing, ZHANG Haiyang, HE Xiaojing, LU Xiang. Investigation on the relationship between different physical indexes and the risk of diabetes mellitus in the elderly [J]. Practical Geriatrics, 2024, 38(9): 940-943.
[6]	NI Hongyan, CHEN Yun, ZHANG Qibing, MA Yiming, XIE Chenglan. Effects of electroacupuncture on cognitive function and inflammatory factors in elderly patients undergoing lower limb orthopedic surgery during the perioperative period [J]. Practical Geriatrics, 2024, 38(9): 944-947.
[7]	LI Xiaomin, LI Xiaolin, LI Jie, WU Lei, HAO Ranran. Efficiency influencing factors of transanal double-balloon enteroscopy in elderly patients [J]. Practical Geriatrics, 2024, 38(9): 958-961.
[8]	CAI Huicui, CHEN Yan, WANG Yan, YE Jinjun, ZHU Yuying. Effects of diversified health education model with simple respiratory function exercise on cancer-related fatigue and compliance behavior in elderly patients with lung cancer receiving radiotherapy [J]. Practical Geriatrics, 2024, 38(9): 968-972.
[9]	WANG Xiaojiao, WANG Ning, CUI Hong, YE Tong, WANG Xiaoming. Influence of exercise rehabilitation in elderly patients with mild to moderate chronic heart failure [J]. Practical Geriatrics, 2024, 38(8): 775-778.
[10]	SHEN Chenjun, WANG Xiaoqing, TANG Degang, NING Ping. Correlation between standardized uric acid and renal function in elderly patients with chronic kidney disease aged 90 and over [J]. Practical Geriatrics, 2024, 38(8): 779-782.
[11]	HAO Shijie, ZOU Jianpeng, WEI Chen, LIU Qingjiang. Effect of comprehensive respiratory training on hypokinetic dysarthria in elderly patients with Parkinson’s disease [J]. Practical Geriatrics, 2024, 38(8): 783-787.
[12]	XIANG Chao, LUO Caidong. Analysis of the diagnostic value of T wave change of avL lead for the degree of coronary artery stenosis in elderly patients with coronary heart disease [J]. Practical Geriatrics, 2024, 38(8): 788-791.
[13]	LI Huiying, CAI Lili, ZHU Qiwei. Predictive value of plasma N-terminal pro-brain natriuretic peptide for prognosis in patients aged ≥80 years old with left ventricular hypertrophy [J]. Practical Geriatrics, 2024, 38(8): 797-801.
[14]	WANG Xinping, XIE Baimei, WEI Guo, YE Xiaoli, ZHAO Yayun, TAN Xiaotian. Expression levels and clinical significance of serum S100A9 and sCD163 in elderly patients with idiopathic interstitial pneumonia [J]. Practical Geriatrics, 2024, 38(8): 802-807.
[15]	LIU Meijuan, WANG Ning, WANG Dong, LU Fangzhou, LIU Juan. Effect of low-dose lidocaine combined with propofol on motor evoked potential in elderly patients undergoing intracranial tumor resection [J]. Practical Geriatrics, 2024, 38(8): 808-811.