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Water supplementation enhances the effect of high-fiber diet on stool frequency and laxative consumption in adult patients with functional constipation.
Hepatogastroenterology. 1998 May-Jun; 45(21):727-32.H

Abstract

BACKGROUND/AIMS

The purpose of this study was to determine the effects of a high-fiber diet and fluid supplementation in patients with functional chronic constipation.

METHODOLOGY

One hundred and seventeen patients with chronic functional constipation (aged 18-50 years) were randomly divided into two treatment groups. For two months both groups consumed a standard diet providing approximately 25 g fiber per day. Group 1 (58 patients) was allowed ad libitum fluid intake, while Group 2 was instructed to drink 2 liters of mineral water per day. Compliance was monitored throughout the study and results were assessed in terms of bowel-movement frequency and laxative use.

RESULTS

Fiber intake was similar in the two groups, while total daily fluid intake in Group 2 (mean 2.1 liters) was significantly greater than that of Group 1 (1.1 liters)(p < 0.001). In both groups, there were statistically significant increases in stool frequency and decreases in laxative use during the two-month trial, but both changes were greater in Group 2 (stool frequency: p < 0.001 vs. Group 1; laxative use: p < 0.001 vs Group 1).

CONCLUSIONS

A daily fiber intake of 25 g can increase stool frequency in patients with chronic functional constipation, and this effect can be significantly enhanced by increasing fluid intake to 1.5-2.0 liters/day.

Authors+Show Affiliations

Anti M
Department of Internal Medicine, Catholic University, Policlinico A. Gemelli, Rome.
Pignataro G
No affiliation info available
Armuzzi A
No affiliation info available
Valenti A
No affiliation info available
Iascone E
No affiliation info available
Marmo R
No affiliation info available
Lamazza A
No affiliation info available
Pretaroli AR
No affiliation info available
Pace V
No affiliation info available
Leo P
No affiliation info available
Castelli A
No affiliation info available
Gasbarrini G
No affiliation info available

MeSH

AdolescentAdultCatharticsConstipationDietary FiberDrinkingHumansMiddle Aged

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

9684123

Citation

Anti, M, et al. "Water Supplementation Enhances the Effect of High-fiber Diet On Stool Frequency and Laxative Consumption in Adult Patients With Functional Constipation." Hepato-gastroenterology, vol. 45, no. 21, 1998, pp. 727-32.
Anti M, Pignataro G, Armuzzi A, et al. Water supplementation enhances the effect of high-fiber diet on stool frequency and laxative consumption in adult patients with functional constipation. Hepatogastroenterology. 1998;45(21):727-32.
Anti, M., Pignataro, G., Armuzzi, A., Valenti, A., Iascone, E., Marmo, R., Lamazza, A., Pretaroli, A. R., Pace, V., Leo, P., Castelli, A., & Gasbarrini, G. (1998). Water supplementation enhances the effect of high-fiber diet on stool frequency and laxative consumption in adult patients with functional constipation. Hepato-gastroenterology, 45(21), 727-32.
Anti M, et al. Water Supplementation Enhances the Effect of High-fiber Diet On Stool Frequency and Laxative Consumption in Adult Patients With Functional Constipation. Hepatogastroenterology. 1998 May-Jun;45(21):727-32. PubMed PMID: 9684123.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Water supplementation enhances the effect of high-fiber diet on stool frequency and laxative consumption in adult patients with functional constipation. AU - Anti,M, AU - Pignataro,G, AU - Armuzzi,A, AU - Valenti,A, AU - Iascone,E, AU - Marmo,R, AU - Lamazza,A, AU - Pretaroli,A R, AU - Pace,V, AU - Leo,P, AU - Castelli,A, AU - Gasbarrini,G, PY - 1998/7/31/pubmed PY - 1998/7/31/medline PY - 1998/7/31/entrez SP - 727 EP - 32 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 45 IS - 21 N2 - BACKGROUND/AIMS: The purpose of this study was to determine the effects of a high-fiber diet and fluid supplementation in patients with functional chronic constipation. METHODOLOGY: One hundred and seventeen patients with chronic functional constipation (aged 18-50 years) were randomly divided into two treatment groups. For two months both groups consumed a standard diet providing approximately 25 g fiber per day. Group 1 (58 patients) was allowed ad libitum fluid intake, while Group 2 was instructed to drink 2 liters of mineral water per day. Compliance was monitored throughout the study and results were assessed in terms of bowel-movement frequency and laxative use. RESULTS: Fiber intake was similar in the two groups, while total daily fluid intake in Group 2 (mean 2.1 liters) was significantly greater than that of Group 1 (1.1 liters)(p < 0.001). In both groups, there were statistically significant increases in stool frequency and decreases in laxative use during the two-month trial, but both changes were greater in Group 2 (stool frequency: p < 0.001 vs. Group 1; laxative use: p < 0.001 vs Group 1). CONCLUSIONS: A daily fiber intake of 25 g can increase stool frequency in patients with chronic functional constipation, and this effect can be significantly enhanced by increasing fluid intake to 1.5-2.0 liters/day. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/9684123/Water_supplementation_enhances_the_effect_of_high_fiber_diet_on_stool_frequency_and_laxative_consumption_in_adult_patients_with_functional_constipation_ L2 - http://www.diseaseinfosearch.org/result/1885 DB - PRIME DP - Unbound Medicine ER -