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The objective of this study was to evaluate the relationship between FC and physical activity, dietary intake and malnutrition in the elderly. A cross-sectional study was conducted on 883 adults aged &gt;65 years from nursing homes and community health centers in Turkey. Constipation status was evaluated according to Rome IV criteria and Bristol Stool Form Scale. Dietary intake was assessed using a food consumption record (24-hour food recall). The dietary energy and nutrients were analyzed using the "Nutrition Information Systems Package Program”. The nutritional status of participants was evaluated using the Mini-Nutritional Assessment (MNA) test. The International Physical Activity Questionnaire (IPAQ, short form) was used to assess physical activity status. Among the 883 participants, 29.6% were classified into the FC group (32.2% of females, 25.8% of males). The FC group had significantly lower total energy, fluid, water, protein, carbohydrate, magnesium, zinc, phosphorus, potassium, soluble fiber, insoluble fiber, total fiber, and fiber (g)/1000 kcal intake than the non-FC group (p &lt; 0.05). The multivariate logistic regression analysis showed that total dietary fiber intake was significantly associated with a lower prevalence of FC (OR: 0.98, 95% Cl: 0.96–0.99). According to MNA, participants at risk of malnutrition (OR: 5.21, 95% Cl: 3.09–9.77) and malnourished participants (OR: 3.03, 95% Cl: 1.62–5.68) had a greater likelihood of FC compared with normal participants. Participants in the middle lower quartile of water intake (OR: 0.63, 95% CI: 0.42–0.95) had a decreased likelihood of FC compared with participants in the lowest quartile. FC is a common gastrointestinal disorder among the elderly in Turkey. Low dietary fiber intake, low water intake and malnutrition were important risk factors associated with FC in the elderly.

Functional Constipation in Elderly and Related Determinant Risk Factors: Malnutrition and Dietary Intake