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Article

Functional Constipation and Anorexia in Community-Dwelling Older Adults: Korean Frailty and Aging Cohort Study (KFACS)

1
Department of Family Medicine, College of Medicine, Kyung Hee University, Kyung Hee University Medical Center, Seoul 02447, Korea
2
Center for Crohn’s and Colitis, Department of Gastroenterology, Kyung Hee University College of Medicine, Seoul 02447, Korea
3
Department of Biomedical Science and Technology, College of Medicine/East-West Medical Research Institute, Kyung Hee University, Seoul 02447, Korea
4
Elderly Frailty Research Center, Department of Family Medicine, College of Medicine, Kyung Hee University, Seoul 02447, Korea
*
Author to whom correspondence should be addressed.
Academic Editor: Robbert Huijsman
Int. J. Environ. Res. Public Health 2021, 18(11), 5754; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115754
Received: 24 March 2021 / Revised: 21 May 2021 / Accepted: 24 May 2021 / Published: 27 May 2021
(This article belongs to the Section Aging)
Anorexia is a relevant geriatric syndrome because it accounts for most malnutrition in older adults. Constipation has been suggested as a risk factor for anorexia. This study aimed to examine the association between anorexia and functional constipation in community-dwelling older adults. Data on 899 subjects aged 72–86 years were obtained from a follow-up survey of the Korean Frailty and Aging Cohort Study in 2018. Anorexia was assessed using the Simplified Nutritional Appetite Questionnaire (SNAQ), while functional constipation was diagnosed based on Rome IV criteria. Anorexia and functional constipation were present in 30.9% and 19.6% of the participants, respectively. Age, female sex, chewing problems, malnutrition, polypharmacy, low Mini-Mental Status Examination (MMSE) score, depressed mood, low serum albumin, and functional constipation were associated with anorexia in the univariate analysis. In the multivariate logistic regression, functional constipation was associated with anorexia (OR 1.478, 95% CI 1.038–2.104) after adjusting for age, female sex, and MMSE score. However, after further adjusting for depressed mood (OR 2.568) and chewing problems (OR 2.196), the relationship was no longer significant. This study showed that functional constipation is associated with anorexia in community-dwelling older adults, but this association is confounded by depressed mood and chewing problems. View Full-Text
Keywords: anorexia; functional constipation; older adults; aging anorexia; functional constipation; older adults; aging
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MDPI and ACS Style

Jeong, E.; Kim, J.A.; Kim, B.S.; Lee, C.K.; Kim, M.; Won, C.W. Functional Constipation and Anorexia in Community-Dwelling Older Adults: Korean Frailty and Aging Cohort Study (KFACS). Int. J. Environ. Res. Public Health 2021, 18, 5754. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115754

AMA Style

Jeong E, Kim JA, Kim BS, Lee CK, Kim M, Won CW. Functional Constipation and Anorexia in Community-Dwelling Older Adults: Korean Frailty and Aging Cohort Study (KFACS). International Journal of Environmental Research and Public Health. 2021; 18(11):5754. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115754

Chicago/Turabian Style

Jeong, Eunjin, Jung A. Kim, Byung S. Kim, Chang K. Lee, Miji Kim, and Chang W. Won 2021. "Functional Constipation and Anorexia in Community-Dwelling Older Adults: Korean Frailty and Aging Cohort Study (KFACS)" International Journal of Environmental Research and Public Health 18, no. 11: 5754. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18115754

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