The effects of a nutritional guidance on outpatients with chronic constipation

• Published in: Journal of the Japan Dietetic Association Vol. 67; no. 9; pp. 468 - 475
• Main Authors: Tuda, Momoko, Kato, Mototsugu, Inoue, Takuto
• Format: Journal Article
• Language: Japanese
• Published: The Japan Dietetic Association 2024; 公益社団法人 日本栄養士会
• Subjects: BSFS; chronic constipation; CSS; nutritional guidance; 慢性便秘症; 栄養指導
• ISSN: 0013-6492; 2185-6877
• DOI: 10.11379/jjda.67.468

Dietary therapy for chronic constipation has not yet been established, and there are few reports on the effects of nutritional guidance. The purpose of this study was to investigate whether nutritional guidance could improve the symptoms of chronic constipation. In addition, we investigated the effects of constipation symptoms and food intake as secondary endpoints. The subjects were 9 patients (3 males, 6 females) with chronic constipation, who had agreed and been selected from among outpatients at our hospital's constipation outpatient clinic that required dietary therapy. First, we conducted a dietary survey, Constipation Scoring System (CSS), and Bristol Stool Form Scale (BSFS), and then we provided nutritional guidance by registered dietitians. CSS and BSFS surveys were conducted again on the day of re-examination after nutritional guidance, and comparisons were made before and after guidance. All 4 patients with Infrequent Bowel Motion type (IBM type) improved in CSS after nutritional guidance. In terms of CSS sub-items, a significant improvement was observed in the feeling of incomplete bowel movements. This indicates that improving the feeling of incomplete bowel movements for chronic constipation may be obtained through nutritional guidance.