Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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A Study on the Defecation Pattern and Lifestyle Factors of Female High School and College Students in Gyeonggi Province

경기지역 여고생과 여대생의 배변양상에 영향을 미치는 생활습관 요인 조사

  • Lee Jong-Hyun (Department of Food and Nutrition, Dongnam Health College) ;
  • O Ju-Hwan (Food Business Team, Genebiotech Co., Ltd)
  • Published : 2005.02.01
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Abstract

The aim of this study was to investigate the dietary and lifestyle factors related to bowel pattern of female high school and college students in Gyeonggi Province. The total of 202 self-administered questionnaires (high school students 77 ; college students 125) were analyzed. All respondents were devided into four groups based on their self-reported pattern of defecation: 18 subjects ($9.0\%$) comprised the normal group, 73 ($36.1\%$) the constipation group, 73 ($36.1\%$) the constipation/diarrhea group, and 38 ($18.8\%$) the diarrhea group. Regularity of exercise was significantly higher in the college students than high school students, and times spending on a chair were longer in the high school students than college students. Most students ($72.7\%$) reported that they had stress. Fourty point six percent of the subjects reported that they had 3 meals per day, which tended to be higher in the normal and diarrhea group than constipation and constipation/ diarrhea group. Most students (69.7) skipped breakfast which was lower in the normal group than the other groups. The most preferred dietary fiber food was korean cabbage kimchi. Fifty-eight point four percent of the subjects reported that they had irregular bowel movement. Bowel movement was more irregular in the high school students than college students, and in the constipation group than the other groups. Of the subjects, $77.7\%$ had defecation frequency between three per week and three per day. Those who spent within 10 minutes for defecation were $79.6\%$, and those had difficulty in evacuating were $76.0\%$. High school students and those with constipation and constipation/diarrhea had a significantly lower defecation frequency, longer time spent at the toilet, and greater difficulty in evacuating than college students and normal and diarrhea group. The percentage of those who had feelings of residue in the intestine after defecation was $92.5\%$, and it was greater in the constipation or diarrhea group than in the normal group. Most students ($93.5\%$) reported that they had abdominal pain or discomfort. These results suggest that decreasing times spending on a chair, decreasing stress, keeping 3 meal per day at regular hours, and increasing dietary fiber intake are associated with desirable bowel pattern.

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References

  1. 농촌진흥청 농촌생활연구소 (1996): 식품성분표, 제 5개정판
  2. 대한비만학회 (2003): 비만의 진단과 치료, 도서출판 한의학, 서울
  3. Cho YS, Choi MG, Shin SJ, Choo KY, Chung WC, Lee IS, Kim SW, Choi H, Han SW, Chung IS (2004): The prevalence of irritable bowel syndrome in Asan city: Questionnaire survey in random Korean population. Kor J Neurogastroenterol Motil 10(1) : 49-56
  4. Choi J (1996): Clinical manifestations of irritable bowel syndrome and relationship between stress, family function and irritable bowel syndrome in high school students. J Korean Acad Fam Med 17(1): 11-21
  5. Chung HJ, Park HW, Choi EJ, Lee JJ (2002): A study of lifestyle factors related to constipation among food habits of college students in Seoul and Gyunggi. Korean J Comm Nutr 7(5) : 654-663
  6. Drossman DA, Richter JE, Tally NJ, Thompsom WG, Corazziari EC, Whitehead WE (1994): The functional gastrointestinal disorders. 1st ed, Littel, Brown and Company, Boston
  7. Drossman DA, Whitehead WE, Camilleri M (1997): Irritable bowel syndrome: a technical review for practice guideline development. Gastroenterology 112: 2120-2137 https://doi.org/10.1053/gast.1997.v112.agast972120
  8. Everhart JE. Go VL. Johannes RS. Fitzsimmons SC. Roth HP. White LR ( 1989) : A longitudinal survey of self-reported bowel habits in the United States. Dig Dis Sci 34: 1153-1162 https://doi.org/10.1007/BF01537261
  9. Guthrie E, Thompson D (2002): Abdominal pain and functional gastrointestinal disorders. Br Med J 325: 701-703 https://doi.org/10.1136/bmj.325.7366.701
  10. Habba SF (2000): Chronic diarrhea: Identifying a new syndrome. Am J Gastroenterol 95 (8): 2140-2141 https://doi.org/10.1111/j.1572-0241.2000.02219.x
  11. Harari D, Gurwitz JH, Avom J, Bohn R, Minaker KL (1996): Bowel habit in relation to age and gender. Arch Intern Med 156: 315-320 https://doi.org/10.1001/archinte.156.3.315
  12. Hwang SH, Kim JI, Sung CJ (1996): Assessment of dietary fiber intake in Korean college students. J Korean Soc Food Nutr 25 (2): 205-213
  13. Irvine EJ. Ferrazzi S. Pare P. Thompson WG, Rance L (2002): Health-related quality of life in functional GI disorders: Focus on constipation and resource utilization. Am J Gastroenterol 97 (8): 1986-1993 https://doi.org/10.1111/j.1572-0241.2002.05843.x
  14. Jeon SG. Shon CI. Kim JE. Park JE, Park SR. Park KH. Whang IS. Kim EJ. Park CY. Kim BI, Jeon WG, Chung ES. Rhee PL, Rhee JC. Choi KW (1999): Bowel habits in routine check-up subjects. Korean J Med 57 (1) : 36-41
  15. Ji SW. Park HJ. Lee JI, Oh HY. Lee SI, Park IS (2002): A comparison and validity of various diagnostic criteria of irritable bowel syndrome. Korean J Gastrointestinal 8 (1) : 21-30
  16. Kim JH (2003): Psychological factors associated with symptoms related with bowel movement in college women. The Korean J Health Psychology 8 (2) : 375-397
  17. Kim KY, Haa WG, Lee SY (1990): Surgical treatment of chronic constipation (Final Report). Korean J Surgery 38(2) : 243-251
  18. Lee SR, Kim WY, Choi SS. Sung CJ. Oh MS. Kim DJ (1996): Clinical studies on the effect of yogurt toward the constipation of female college students in korea. Korean J Nutr 29 (6): 634-641
  19. Lee YN. Lee JS. Ko YM. Woo JS. Kim BH, Choi HM (1996): Study on the food habits of college students by residences. Korean J Comm Nutr 1(2): 189-200
  20. Na HJ, Kim YN (2000): The prevalence of constipation and dietary fiber intake of 3rd grade high school girls.-Kangnung and Seoul regions-Korean J Nutr 33(6) : 675-683
  21. Nutrition Research Council (1990): Recommended dietary allowances. 10th edition, National Academy of Science, Washington DC
  22. Pare P, Ferrazzi S, Thompson WG. Irvine EJ. Rance L (2001): An epidemiological survey of constipation in Canada: Definitions. rates. demographics, and predictors of health care seeking. Am J Gastroenterol 96 (11) : 3130-3137 https://doi.org/10.1111/j.1572-0241.2001.05259.x
  23. Park YS, Lee YW. Hyun TS (1995): Comparison of dietary behaviors by type of residence among college students. Korean J Dietary Culture 10(5): 391-404
  24. Saito YA. Schoenfeld P, Locke GR 3rd (2002): The epidemiology of irritable bowel syndrome in North America: a systematic review. Am J Gastroenterol 97: 1910-1915
  25. Shin JR. Ly SY (2003): Dietary habits and factors related to lifestyle in constipated female students. Korean J Comm Nutr 8(5) : 675-688
  26. Stewart WF, Liberman JN, Sandler RS. Woods MS, Stemhagen A, Chee E. et al (1999): Epidemiology of constipation (EPOC) study in the United States: relation of clinical subtypes to sociodemographic features. Am J Gastroenterology 94: 3530-3540 https://doi.org/10.1111/j.1572-0241.1999.01642.x
  27. Talley NJ (1999) : Irritable bowel syndrome: definition. diagnosis and epidemiology. Baillieres Best Pract Res Clin Gastroenterol 13: 371-384 https://doi.org/10.1053/bega.1999.0033
  28. Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Muller-Lissner SA (1999) : Functional bowel disorders and functional abdominal pain. Gut 45 (Suppl 2) : 43-47
  29. Whitehead WE. Crowell MD. Robinson JC, Heller BR, Schuster MM (1992) : Effects of stressful life events on bowel symptoms: subjects with irritable bowel syndrome compared with subjects without bowel dysfunction. Gut 33 (6) : 825-830 https://doi.org/10.1136/gut.33.6.825