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Chronic constipation management for institutionalized older adults.

L V Howard1, D West, D J Ossip-Klein

  • 1Department of Community and Preventive Medicine, Cancer Center, University of Rochester School of Medicine, USA.

Geriatric Nursing (New York, N.Y.)
|April 19, 2000
PubMed
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Dietary bran effectively reduced bowel medication needs for older men with chronic constipation. Patients saw an 80% decrease in medication use without impacting bowel regularity.

Area of Science:

  • Gerontology
  • Gastroenterology
  • Clinical Nutrition

Background:

  • Chronic constipation is a common issue in older adults, often managed with medications.
  • Bowel medications can have side effects and increase healthcare costs.
  • Dietary interventions are sought to manage constipation and reduce medication dependence.

Purpose of the Study:

  • To evaluate the efficacy of dietary bran in reducing bowel medication requirements for older patients with chronic constipation.

Main Methods:

  • A randomized controlled trial was conducted with twelve older men experiencing chronic constipation and medication use.
  • Participants were matched and assigned to either a bran supplement group or a usual care control group.
  • The bran group received gradually increasing doses of a bran mixture over four months.

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Main Results:

  • Patients receiving bran completely discontinued oral laxative use.
  • Total bowel medication use decreased by 80% in the bran group.
  • No adverse effects on bowel frequency were observed in the bran group; controls showed no changes.

Conclusions:

  • Dietary bran is an effective intervention for reducing laxative dependence in older adults with chronic constipation.
  • Bran supplementation offers a non-pharmacological approach to managing constipation and associated medication use.
  • This dietary strategy improved medication adherence and reduced overall medication burden in the study population.