Volume 24 Issue 3
Mar.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(3): 460-463
ZHU Xuemei, TAO Jie, TAN Juan. Prevalence and clinical characteristics of chronic constipation in elderly patients with type 2 diabetes mellitus under family doctor contract management[J]. Chinese Journal of General Practice, 2026, 24(3): 460-463. doi: 10.16766/j.cnki.issn.1674-4152.004419
Citation: ZHU Xuemei, TAO Jie, TAN Juan. Prevalence and clinical characteristics of chronic constipation in elderly patients with type 2 diabetes mellitus under family doctor contract management[J]. Chinese Journal of General Practice, 2026, 24(3): 460-463. doi: 10.16766/j.cnki.issn.1674-4152.004419
shu

Prevalence and clinical characteristics of chronic constipation in elderly patients with type 2 diabetes mellitus under family doctor contract management

doi: 10.16766/j.cnki.issn.1674-4152.004419
  • 1.

    Department of General Practice, Huaihai Community Health Center, Huaian, Jiangsu 223300, China

Funds:

 BJ24045

 LKM2022069

  • Received Date: 2025-02-19
    Available Online: 2026-06-02
    Abstract
  •   Objective  To investigate the prevalence of chronic constipation among community-dwelling elderly patients with type 2 diabetes mellitus (T2DM) and to analyze their clinical characteristics regarding metabolic profiles, lifestyle factors, and psychological status, aiming to provide scientific evidence for comprehensive interventions in this population.  Methods  A cross-sectional survey was conducted from June 2022 to June 2024 involving 293 elderly T2DM patients under contract management in Huaihai Community, Huaian City. Demographic characteristics, lifestyle, constipation symptoms, psychological scores, and biochemical indicators were collected and compared between the constipation and non-constipation groups.  Results  The prevalence of chronic constipation was 37.5% (110/293). Compared with the non-constipation group, the constipation group was older [(74.26±7.69) years vs. (70.66±6.25) years, P < 0.001] and had a longer diabetes duration [15.00(5.00, 20.00)years vs. 10.00(5.00, 18.50)years, P=0.016]. The rates of adequate coarse grain intake (47.71% vs. 61.67%, P=0.020), daily water intake (72.22% vs. 84.83%, P=0.010), sleep duration (38.89% vs. 52.51%, P=0.025), and physical activity (72.48% vs. 83.71%, P=0.022) were significantly lower in the constipation group. Additionally, the constipation group exhibited higher HbA1c levels [(7.82±1.70)% vs. (7.24±1.08)%, P=0.019] and anxiety/depression scores (P < 0.001), while estimated glomerular filtration rate was significantly lower [(79.97±21.81) mL/(min·1.73 m2) vs. (86.69±24.99) mL/(min·1.73 m2), P=0.023].  Conclusion  Community-dwelling elderly T2DM patients with chronic constipation are characterized by advanced age, longer diabetes duration, poor glycemic control, reduced renal function, significant anxiety and depression, and unhealthy lifestyle habits.

     

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