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Revista Española de Nutrición Humana y Dietética

versión On-line ISSN 2174-5145versión impresa ISSN 2173-1292

Resumen

SOBRON MONGE, Ismael et al. Effective alternative to constipation medication in nursing home residents: Libera Study. Rev Esp Nutr Hum Diet [online]. 2017, vol.21, n.2, pp.164-173. ISSN 2174-5145.  http://dx.doi.org/10.14306/renhyd.21.2.355.

Introduction:

The aim of this study is to ascertain the impact of administering a dessert rich in fibre and sorbitol on the prescription of laxatives in nursing home residents with constipation.

Material and Methods:

Single-centre, interventional prospective study in elderly nursing home residents diagnosed with constipation and treated with laxatives, in which each patient is his/her own comparator. A dessert rich in fibre and sorbitol (high-fibre Resource® Fruit Purée) was given for 7 weeks. The main variable was the difference in days of pharmacological treatment with laxatives between the week before the start of the study and the last week of the study.

Results:

40 patients were studied with a median age of 88.5 years (range: 72-101). After 7 weeks, the residents required a mean of 3.5 fewer days per week of treatment with laxatives. Patients receiving pharmacological medication decreased by 40%. Weekly bowel movements increased by a mean of 2 while gastrointestinal discomfort decreased. The intervention did not change previous intake. Adherence to the prescribed regimen was over 94%. A decrease in the number of days with laxative therapy was associated with: consuming 5 or more desserts a week, being over 85, having poor oral health and not suffering from malnutrition or food disorders.

Conclusions:

Dispensing a dessert rich in fibre and sorbitol may be an effective and safe alternative to laxatives in elderly nursing home residents with constipation, and may help to reduce polymedication in these patients.

Palabras clave : Constipation; Dietary Fiber; Sorbitol; Laxatives; Aged; Nursing Homes..

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