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Fruit and fibre (Pajala porridge) in the prevention of constipation.
Scand J Caring Sci. 2005 Mar; 19(1):71-6.SJ

Abstract

BACKGROUND AND AIMS

Constipation is a common problem in geriatric wards and in the elderly population. Although high-fibre diets can help relieve constipation non-pharmacologically in many patients, traditional laxatives still remain the standard treatment. A fibre supplement in the form of raw bran is not always well tolerated. We wanted to study the effects of a daily consumption of a fruit- and fibre-rich porridge on stool frequency, perceived well-being and the costs for laxatives, when compared with traditional treatment with laxatives, in geriatric patients.

METHODS

Twenty patients in secondary geriatric wards (hospital rehabilitation wards) were randomized into an intervention group (porridge group) and a control group (standard diet without porridge) for a 1-week run-in and 2-week study, with registration of clinical data, e.g. medical treatment, laxative consumption, stool frequency and perceived well-being.

RESULTS

The patients in the porridge group had a daily defaecation without laxatives on average 76% of the time (10.7/14 days) compared with 23% of the time (3.3/14 days) in the non-porridge group (p = 0.003). The discomfort was less in the porridge group (2.5 vs. 6.5 on a 10-degree visual analogue scale, p = 0.008) when compared with the control group. The cost for laxatives was 93% lower in the intervention group (2.5 vs. 37.5) for the 2-week study.

CONCLUSIONS

A fibre-rich porridge was effective, well liked and tolerated and reduced the need for laxatives in geriatric patients. We conclude that a daily fibre-rich meal ought to be included in the treatment strategies of constipation in hospital wards.

Authors+Show Affiliations

Section of Geriatrics and Rehabilitation, Department of Internal Medicine, Sunderby Hospital, Luleå, Sweden. aasewisten@hotmail.comNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15737169

Citation

Wisten, Aase, and Torbjörn Messner. "Fruit and Fibre (Pajala Porridge) in the Prevention of Constipation." Scandinavian Journal of Caring Sciences, vol. 19, no. 1, 2005, pp. 71-6.
Wisten A, Messner T. Fruit and fibre (Pajala porridge) in the prevention of constipation. Scand J Caring Sci. 2005;19(1):71-6.
Wisten, A., & Messner, T. (2005). Fruit and fibre (Pajala porridge) in the prevention of constipation. Scandinavian Journal of Caring Sciences, 19(1), 71-6.
Wisten A, Messner T. Fruit and Fibre (Pajala Porridge) in the Prevention of Constipation. Scand J Caring Sci. 2005;19(1):71-6. PubMed PMID: 15737169.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fruit and fibre (Pajala porridge) in the prevention of constipation. AU - Wisten,Aase, AU - Messner,Torbjörn, PY - 2005/3/2/pubmed PY - 2005/5/11/medline PY - 2005/3/2/entrez SP - 71 EP - 6 JF - Scandinavian journal of caring sciences JO - Scand J Caring Sci VL - 19 IS - 1 N2 - BACKGROUND AND AIMS: Constipation is a common problem in geriatric wards and in the elderly population. Although high-fibre diets can help relieve constipation non-pharmacologically in many patients, traditional laxatives still remain the standard treatment. A fibre supplement in the form of raw bran is not always well tolerated. We wanted to study the effects of a daily consumption of a fruit- and fibre-rich porridge on stool frequency, perceived well-being and the costs for laxatives, when compared with traditional treatment with laxatives, in geriatric patients. METHODS: Twenty patients in secondary geriatric wards (hospital rehabilitation wards) were randomized into an intervention group (porridge group) and a control group (standard diet without porridge) for a 1-week run-in and 2-week study, with registration of clinical data, e.g. medical treatment, laxative consumption, stool frequency and perceived well-being. RESULTS: The patients in the porridge group had a daily defaecation without laxatives on average 76% of the time (10.7/14 days) compared with 23% of the time (3.3/14 days) in the non-porridge group (p = 0.003). The discomfort was less in the porridge group (2.5 vs. 6.5 on a 10-degree visual analogue scale, p = 0.008) when compared with the control group. The cost for laxatives was 93% lower in the intervention group (2.5 vs. 37.5) for the 2-week study. CONCLUSIONS: A fibre-rich porridge was effective, well liked and tolerated and reduced the need for laxatives in geriatric patients. We conclude that a daily fibre-rich meal ought to be included in the treatment strategies of constipation in hospital wards. SN - 0283-9318 UR - https://www.unboundmedicine.com/medline/citation/15737169/Fruit_and_fibre__Pajala_porridge__in_the_prevention_of_constipation_ L2 - https://doi.org/10.1111/j.1471-6712.2004.00308.x DB - PRIME DP - Unbound Medicine ER -