Constipation and laxative use among people living in nursing homes in 2007 and 2013
Background: Constipation is a common condition among older people, particularly among people living in nursing homes, and the use of drugs such as opioids is one of many factors that contribute to its high prevalence. The aim of this study was to compare the prevalence of constipation and the use of...
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Umeå universitet, Klinisk neurovetenskap
2019
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ftumeauniv:oai:DiVA.org:umu-162507 2024-09-09T19:59:49+00:00 Constipation and laxative use among people living in nursing homes in 2007 and 2013 Gustafsson, Maria LämÃ¥s, Kristina Isaksson, Ulf Sandman, Per-Olof Lövheim, Hugo 2019 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-162507 https://doi.org/10.1186/s12877-019-1054-x eng eng UmeÃ¥ universitet, Klinisk neurovetenskap UmeÃ¥ universitet, Institutionen för omvÃ¥rdnad UmeÃ¥ universitet, Arktiskt centrum vid UmeÃ¥ universitet (Arcum) UmeÃ¥ universitet, Geriatrik Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden BMC BMC Geriatrics, 2019, 19, orcid:0000-0001-5191-4599 orcid:0000-0002-5271-4780 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-162507 doi:10.1186/s12877-019-1054-x PMID 30736737 ISI:000458136800002 Scopus 2-s2.0-85061252162 info:eu-repo/semantics/openAccess Constipation Laxatives Dementia Nursing homes Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning Geriatrics Geriatrik Article in journal info:eu-repo/semantics/article text 2019 ftumeauniv https://doi.org/10.1186/s12877-019-1054-x 2024-07-09T23:37:52Z Background: Constipation is a common condition among older people, particularly among people living in nursing homes, and the use of drugs such as opioids is one of many factors that contribute to its high prevalence. The aim of this study was to compare the prevalence of constipation and the use of laxatives between 2007 and 2013, to analyze constipation and laxative use among people who are prescribed opioids, and to identify factors associated with constipation. Methods: In 2007 and 2013, two surveys were performed in the county of Vasterbotten in Northern Sweden, comprising all those living in nursing homes. The Multi-Dimensional Dementia Assessment Scale was used to collect data regarding laxative, opioid and anticholinergic drug use, functioning in activities of daily living (ADL), cognition and symptoms of constipation. A comparison was made between 2820 people from 2007 and 1902 people from 2013. Results: The prevalence of symptoms of constipation among people living in nursing homes increased from 36% in 2007 to 40% in 2013. After controlling for age, sex, ADL, cognitive impairment and use of opioid and anticholinergic drugs, this difference was found to be statistically significant. When controlled for demographic changes, there was a statistically significant difference in the regular use of laxatives between the respective years, from 46% in 2007 to 59% in 2013. People prescribed opioids and anticholinergic drugs were at increased risk of constipation, while people with a higher ADL score were at decreased risk. Further, among people prescribed opioids and rated as constipated, 35% in 2007 and 20% in 2013 were not prescribed laxatives for regular use, a difference that was found to be statistically significant. Conclusions: The prevalence of symptoms of constipation increased between 2007 and 2013. Although there was a decrease between the years, there were still a number of people being prescribed with opioids and rated as constipated who were not treated with laxatives. This study therefore ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) BMC Geriatrics 19 1 |
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Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Constipation Laxatives Dementia Nursing homes Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning Geriatrics Geriatrik |
spellingShingle |
Constipation Laxatives Dementia Nursing homes Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning Geriatrics Geriatrik Gustafsson, Maria Lämås, Kristina Isaksson, Ulf Sandman, Per-Olof Lövheim, Hugo Constipation and laxative use among people living in nursing homes in 2007 and 2013 |
topic_facet |
Constipation Laxatives Dementia Nursing homes Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning Geriatrics Geriatrik |
description |
Background: Constipation is a common condition among older people, particularly among people living in nursing homes, and the use of drugs such as opioids is one of many factors that contribute to its high prevalence. The aim of this study was to compare the prevalence of constipation and the use of laxatives between 2007 and 2013, to analyze constipation and laxative use among people who are prescribed opioids, and to identify factors associated with constipation. Methods: In 2007 and 2013, two surveys were performed in the county of Vasterbotten in Northern Sweden, comprising all those living in nursing homes. The Multi-Dimensional Dementia Assessment Scale was used to collect data regarding laxative, opioid and anticholinergic drug use, functioning in activities of daily living (ADL), cognition and symptoms of constipation. A comparison was made between 2820 people from 2007 and 1902 people from 2013. Results: The prevalence of symptoms of constipation among people living in nursing homes increased from 36% in 2007 to 40% in 2013. After controlling for age, sex, ADL, cognitive impairment and use of opioid and anticholinergic drugs, this difference was found to be statistically significant. When controlled for demographic changes, there was a statistically significant difference in the regular use of laxatives between the respective years, from 46% in 2007 to 59% in 2013. People prescribed opioids and anticholinergic drugs were at increased risk of constipation, while people with a higher ADL score were at decreased risk. Further, among people prescribed opioids and rated as constipated, 35% in 2007 and 20% in 2013 were not prescribed laxatives for regular use, a difference that was found to be statistically significant. Conclusions: The prevalence of symptoms of constipation increased between 2007 and 2013. Although there was a decrease between the years, there were still a number of people being prescribed with opioids and rated as constipated who were not treated with laxatives. This study therefore ... |
format |
Article in Journal/Newspaper |
author |
Gustafsson, Maria Lämås, Kristina Isaksson, Ulf Sandman, Per-Olof Lövheim, Hugo |
author_facet |
Gustafsson, Maria Lämås, Kristina Isaksson, Ulf Sandman, Per-Olof Lövheim, Hugo |
author_sort |
Gustafsson, Maria |
title |
Constipation and laxative use among people living in nursing homes in 2007 and 2013 |
title_short |
Constipation and laxative use among people living in nursing homes in 2007 and 2013 |
title_full |
Constipation and laxative use among people living in nursing homes in 2007 and 2013 |
title_fullStr |
Constipation and laxative use among people living in nursing homes in 2007 and 2013 |
title_full_unstemmed |
Constipation and laxative use among people living in nursing homes in 2007 and 2013 |
title_sort |
constipation and laxative use among people living in nursing homes in 2007 and 2013 |
publisher |
Umeå universitet, Klinisk neurovetenskap |
publishDate |
2019 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-162507 https://doi.org/10.1186/s12877-019-1054-x |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMC Geriatrics, 2019, 19, orcid:0000-0001-5191-4599 orcid:0000-0002-5271-4780 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-162507 doi:10.1186/s12877-019-1054-x PMID 30736737 ISI:000458136800002 Scopus 2-s2.0-85061252162 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s12877-019-1054-x |
container_title |
BMC Geriatrics |
container_volume |
19 |
container_issue |
1 |
_version_ |
1809930902498705408 |