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Chronic functional constipation is strongly linked to vitamin D deficiency

World Journal of Gastroenterology 2019年第14期25卷 1729-1740页

作者： Alba Panarese Francesco Pesce Piero Porcelli Giuseppe Riezzo Palma Aurelia Iacovazzi Carla Maria Leone Massimo De Carne caterina mammone rinaldi Endrit Shahini Department of Gastroenterology and Digestive Endoscopy Scientific Institute for Digestive Disease "Saverio de Bellis" Hospital Nephrology section Department of Emergency and Organ TransplantationUniversity of Bari Department of Psychological Health and Territorial Sciences D'Annunzio University of Chieti-Pescara Department of Clinical Pathology Scientific Institute for Digestive Disease "Saverio de Bellis" Hospital Department of Radiology Scientific Institute for Digestive Disease "Saverio de Bellis" Hospital Department of Emergency and Organ Transplantation University of Bari

BACKGROUND Few studies have examined intestinal motility disorders, which are disabling conditions associated with chronic functional constipation, whose pathogenesis is actually not *** To investigate the relationship between serum 25-hydroxyvitamin D levels and functional chronic constipation associated to intestinal motility *** We performed a prospective case-control study, from May-June to November2017. Glucose/lactulose breath tests, radiopaque markers(multiple capsule techniques) and wireless motility capsule analysis were used to assess colonicand oro-cecal transit time, after excluding small-intestinal bacterial overgrowth condition. Then, we measured 25-hydroxyvitamin D levels in patients with intestinal motility disorders and we further evaluated the influence of intestinal motility disorders on psychological symptoms/quality of life using validated questionnaires, the Irritable Bowel Syndrome Quality of life(IBS-QOL), the Short Form Health Survey 12, and the Hospital Anxiety and Depression Scale 14(HADS-14 A and HADS-14 D).RESULTS We enrolled 86 patients with chronic functional constipation associated to intestinal motility disorders and 86 matched healthy subjects. Patients with intestinal motility disorders had lower 25-hydroxyvitamin D levels(P < 0.001), and they showed a significant impairment of all health-related quality of life and psychological tests(IBS-QOL, Short Form Health Survey 12-Physical Component Summary, Short Form Health Survey 12-Mental Component Summary, HADS-14 A and HADS-14 D), as compared to the control group(P < 0.001), which significantly correlated with low vitamin D levels(r =-0.57, P < 0.001; r = 0.21, P = 0.01; r =-0.48, P < 0.001; r =-0.57, P < 0.001; r =-0.29, P < 0.001, respectively). At multivariate analysis vitamin D low levels remained a significant independent risk factor for the occurrence of intestinal motility disorder(odds ratio = 1.19; 95% confidence interval: 1.14-1.26, P < 0.001).CONC

关键词： Chronic constipation Intestinal motility Vitamin D Quality of life Anxiety Depression

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