Volume 28, Issue 149, July 2024

Exploring the Prevalence of Constipation in Diabetic Individuals in Qassim Region, Saudi Arabia 2024

Muath A Aloufi¹, Qobayel Q Alqahtani², Bashaer A Albedah²

¹Family Medicine Consultant, AlQassim Cluster, Ministry of Health, Riyadh, Saudi Arbia
²Family Medicine Resident, AlQassim Cluster, Ministry of Health, Buraidah, Saudi Arbia

ABSTRACT

Introduction: Constipation is prevalent worldwide (6.6%-10.1%). Its association with diabetes mellitus (DM) is clear; it affects the quality of life, and diabetic complications could potentially worsen. Although recognized, data on the prevalence of constipation in diabetic populations is lacking. Especially regionally, is scarce. This study aims to fill this gap and provide insights for targeted interventions to enhance management. Material and Methods: The study employed a cross-sectional design. Participants were recruited from diverse healthcare establishments across urban and rural regions. Data collection involved two parts of questionnaires: One structured questionnaire, and the other gastrointestinal Quality of Life Index (GIQLI), analyzed using the SPSS program. Results: This study included 289 diabetic patients in Saudi Arabia’s Qassim region. Constipation was prevalent in 30.4% of participants. Type 2 diabetes was more prevalent (93.8%), with an average duration of 18.81 years and a mean HbA1c level of 7.47%. Constipated patients reported significantly lower gastrointestinal Quality of Life Index (GIQLI) scores (65.8) compared to nonconstipated individuals (87.2). Multiple logistic regression analysis identified advanced age as slightly decreasing the risk of constipation at, the same time, longer diabetes duration, presence of coronary heart disease, insulin therapy, and lower GIQLI scores were significant independent risk factors for constipation symptoms. Conclusion: Constipation symptoms were prevalent in nearly onethird of diabetic patients. Independent risk factors, including advanced age, longer diabetes duration, presence of coronary heart disease, insulin therapy, and lower gastrointestinal quality of life scores, emphasize the necessity for targeted strategies to manage constipation in diabetic populations.

Keywords: Constipation prevalence, diabetes mellitus, gastrointestinal quality of life, risk factors

Medical Science, 2024, 28, e86ms3396

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DOI: https://doi.org/10.54905/disssi.v28i149.e86ms3396

Published: 29 July 2024