Habitual Dietary Fibre Intake and Lifestyle Characteristics in Relation to Functional Constipation Among Adults in Malaysia
Keywords:
Dietary fibre intake, functional constipation, lifestyle characteristics, MalaysiaAbstract
The World Health Organization (WHO) and the Food and Agriculture Organization (FAO) recommend consuming at least 25 g of dietary fibre daily. Adults with low fibre intake have an increased constipation risk. However, little research has been done on the habitual dietary fibre intake and lifestyle characteristics of functional constipation in Malaysian adults. Thus, the purpose of this study is to determine the dietary fibre intake, lifestyle characteristics, and functional constipation of adults in Malaysia, as well as the association between habitual dietary fibre intake, lifestyle characteristics, and functional constipation. About 318 adults between the ages of 18 and 59 participated and were asked to complete an online questionnaire consisting of three major parts. The components are as follows: i) the assessment of dietary fibre intake by using a semi-quantitative dietary fibre food frequency questionnaire; ii) the assessment of lifestyle factors; and iii) the determination of functional constipation via the Wexner Constipation Scoring System. SPSS 25 was used to analyse the data at a significance level of 0.05. The results indicated that the majority of adults consumed dietary fibre in amounts less than 25 g per day (84.6%). About 97.5% of adults have a healthy lifestyle, and only 2.8% of adults in this study faced constipation. There was no significant association between habitual dietary fibre intake and lifestyle characteristics (p=0.614) or between habitual dietary fibre intake and functional constipation among adults in Malaysia (p=0.147). Continued efforts are needed to increase dietary fibre intake among the adult population.
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Agachan, F., Chen, T., Pfeifer, J., Reissman, P. & Wexner, S.D. 1996. A constipation scoring system to simplify evaluation and management of constipated patients. Diseases of the Colon and Rectum, 39(6): 681-685. DOI: https://doi.org/10.1007/BF02056950
Bamisaye, O.B. & Adepoju, O.T. 2018. Association between stunting and obesity among underfive children in urban and rural areas of Oyo State, Nigeria. Malaysian Journal of Nutrition, 24(1): 25-34. DOI: https://doi.org/10.9734/JAMMR/2018/39637
Daud, N.M., Fadzil, N., Yan, L.K., Makbul, I.A.A., Yahya, N.F.S., Teh, A.H. & Rahman, H.A. 2018. Knowledge, attitude and practice regarding dietary fibre intake among Malaysian rural and urban adolescents. Malaysian Journal of Nutrition, 24(1): 77-88.
Dhingra, D., Michael, M., Rajput, H. & Patil, R.T. 2012. Dietary fibre in foods: A review. Journal of Food Science and Technology, 49(3): 255. DOI: https://doi.org/10.1007/s13197-011-0365-5
Dörnyei, Z. 2007. Research Methods in Applied Linguistics: Quantitative, Qualitative and Mixed Methodologies. Oxford University Press, Oxford.
Dubasi, S.K., Ranjan, P., Arora, C., Vikram, N.K., Dwivedi, S.N., Singh, N. & Kaloiya, G.S. 2019. Questionnaire to assess adherence to diet and exercise advices for weight management in lifestyle-related diseases. Journal of Family Medicine and Primary Care, 8(2): 689. DOI: https://doi.org/10.4103/jfmpc.jfmpc_338_18
Ilyas, J., Shahid, S., Jafri, A., Saeed, M., Rizwan, A., Khan, U. & Zahir, S.M. 2021. Functional constipation and its association with lifestyle habits of medical students using Rome IV Diagnostic Criteria. World Family Medicine/Middle East Journal Of Family Medicine, 19(7): 62-69.
Institute for Public Health (IPH), National Institutes of Health, Ministry of Health Malaysia. 2020. National Health and Morbidity Survey (NHMS) 2019: Vol. I: NCDs - Non-Communicable Diseases: Risk Factors and other Health Problems
Jayasimhan, S., Yap, N.Y., Roest, Y., Rajandram, R. & Chin, K.F. 2013. Efficacy of microbial cell preparation in improving chronic constipation: a randomized, double-blind, placebo-controlled trial. Clinical Nutrition, 32(6): 928-934. DOI: https://doi.org/10.1016/j.clnu.2013.03.004
Leung, L., Riutta, T., Kotecha, J. & Rosser, W. 2011. Chronic constipation: An evidence-based review. Journal of the American Board of Family Medicine, 24(4): 436-451. DOI: https://doi.org/10.3122/jabfm.2011.04.100272
Li, N., Wang, R., Ai, X., Guo, X., Liu, J., Wang, D., Sun, L. & Zhang, R. 2021. Effect of electroacupuncture treatment on functional constipation in adults: A protocol for systematic review. Medicine, 100(10): p e24870. DOI: https://doi.org/10.1097/MD.0000000000024870
Li, Y., Pan, A., Wang, D.D., Liu, X., Dhana, K., Franco, O.H., Kaptoge, S., Di Angelantonio, E., Stampfer, M., Willett, W.C & Hu, F.B. 2018. Impact of healthy lifestyle factors on life expectancies in the US population. Circulation, 138(4): 345-355. DOI: https://doi.org/10.1161/CIRCULATIONAHA.117.032047
Lipton, A. 2021. Five Characteristics of a Healthy Life - Dr. Andrew Lipton [WWW Document]. https://drandrewlipton.com/characteristics-of-life/ (accessed 8.25.2021).
Ljubicic, M., Saric, M.M., Rumbak, I., Baric, I. C., Komes, D., Satalic, Z. & Guiné, R.P.F. 2017. Knowledge about dietary fibre and its health benefits: A cross-sectional survey of 2536 residents from across Croatia. Medical Hypotheses, 105: 25-31. DOI: https://doi.org/10.1016/j.mehy.2017.06.019
Macêdo, M.I.P., Albuquerque, M. de F.M., Tahan, S. & Morais, M.B.de. 2020. Is there any association between overweight, physical activity, fat and fiber intake with functional constipation in adolescents? Scandinavian Journal of Gastroenterology, 55(4): 414-420. DOI: https://doi.org/10.1080/00365521.2020.1749878
Mazlyn, M.M., Nagarajah, L.H., Fatimah, A., Norimah, A.K. & Goh. K.L. 2013. Stool patterns of Malaysian adults with functional constipation: Association with diet and physical activity. Malaysian Journal of Nutrition, 19(1): 53-64.
McCrea, G.L., Miaskowski, C., Stotts, N.A., Macera, L. & Varma, M.G. 2009. A review of the literature on gender and age differences in the prevalence and characteristics of constipation in North America. Journal of Pain and Symptom Management, 37(4): 737-745. DOI: https://doi.org/10.1016/j.jpainsymman.2008.04.016
Mirbehresi, P., Nikjooy, A., Sarrafzadeh, J. & Mohsenifar, H. 2020. Cultural adaptation, validity, and reliability of the Persian version of Wexner Constipation Scoring System. Function and Disability Journal, 3(1): 17-26. DOI: https://doi.org/10.32598/fdj.3.128.2
Mounsey, A., Raleigh, M.F. & Wilson, A. 2015. Management of constipation in older adults. American Family Physician, 92(6): 500-504.
Mudgil, D. & Barak, S. 2019. Classification, technological properties, and sustainable sources. In: Dietary Fiber: Properties, Recovery, and Applications. C.M Galanakis (Ed.). Elsevier Inc. pp. 27-58. DOI: https://doi.org/10.1016/B978-0-12-816495-2.00002-2
Müller-Lissner, S. 2009. The pathophysiology, diagnosis, and treatment of constipation. Deutsches Arzteblatt International, 106(25): 424-432. DOI: https://doi.org/10.3238/arztebl.2009.0424
Ng, T.K.W. 1997. Dietary fat and fibre intakes of Malaysian adults: Issues and implications when ‘western targets’ are set as dietary goals. Malaysian Journal of Nutrition, 3(2): 137-147.
Ng, T.K.W., Chow, S.S.F., Chan, L.P.Y., Lee, C.Y.M. & Lim, S.Q. 2010. Recommended nutrient intake for dietary fibre: Bar set too high for Malaysians? Malaysian Journal of Nutrition, 16(2): 271-280.
Patimah, A.W., Lee, Y.Y. & Dariah, M.Y. 2017. Frequency patterns of core constipation symptoms among the Asian adults: A systematic review. BMC Gastroenterology, 17(1): 1-12. DOI: https://doi.org/10.1186/s12876-017-0672-z
Pem, D. & Jeewon, R. 2015. Fruit and vegetable intake: Benefits and progress of nutrition education interventions-narrative. Iran Journal of Public Health, 44(10): 1309-1321.
Sacomori, C., Silveira, C., Sperandio, F.F. & Cardoso, F.L. 2014. Prevalência, repercussões e fatores associados à constipação intestinal nas mulheres em Florianópolis. Journal of Coloproctology, 34(4): 254-259. DOI: https://doi.org/10.1016/j.jcol.2014.08.006
Shahar, S., Vanoh, D., Mat Ludin, A.F., Singh, D.K.A. & Hamid, T.A. 2019. Factors associated with poor socioeconomic status among Malaysian older adults: An analysis according to urban and rural settings. BMC Public Health, 19(Suppl 4): 1-12. DOI: https://doi.org/10.1186/s12889-019-6866-2
Shen, L., Huang, C., Lu, X., Xu, X., Jiang, Z. & Zhu, C. 2019. Lower dietary fibre intake, but not total water consumption, is associated with constipation: A population-based analysis. Journal of Human Nutrition and Dietetics, 32(4): 422-431. DOI: https://doi.org/10.1111/jhn.12589
Stephen, A.M., Champ, M.M.J., Cloran, S.J., Fleith, M., van Lieshout, L., Mejborn, H. & Burley, V.J. 2017. Dietary fibre in Europe: current state of knowledge on definitions, sources, recommendations, intakes and relationships to health. Nutrition Research Reviews, 30(2): 149-190. DOI: https://doi.org/10.1017/S095442241700004X
Storey, M. & Anderson, P. 2014. Income and race/ethnicity influence dietary fiber intake and vegetable consumption. Nutrition Research, 34(10): 844-850. DOI: https://doi.org/10.1016/j.nutres.2014.08.016
Wessex Institute of Public Health. 1995. University of Southampton. Software Package for Food Frequency Questionnaire.
World Health Organization. 2020. Physical activity [WWW Document]. https://www.who.int/news-room/fact-sheets/detail/physical-activity (accessed 8.30.2021).
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