both decreased and increased sleep correlated with constipation among u.s. adults in a nationwide survey, with too little sleep persistently increasing risk by 30% after adjusting for other factors, according to data from digestive disease week. we know that among shift workers that ibs symptoms tend to be worse among those that work alternating [shifts] that don’t match with their circadian rhythm and we know that people with ibs also tend to have worsened symptoms after a bad night of sleep. this adds further credence to the idea that sleep and bowels are very intimately connected. targeting sleep and central mechanisms may have an impact on bowel functions.” staller and colleagues identified 14,590 adults who completed both sleep and bowel health questionnaires in the national health and nutrition examination survey. investigators collected data on known and putative factors correlated with bowel function and sleep, including demographics, comorbid diseases, lifestyle factors, use of constipation-inducing medications and dietary intake.
investigators found patients with normal sleep duration had a lower prevalence of constipation compared with those with short and long duration of sleep (8.3% vs. 11% and 12.5%, respectively; p < .0001). shortened sleep duration correlated with 38% increased risk of constipation (cor: 1.38 [1.2-1.59], p < .0001), which was persistent after demographics, comorbidities, lifestyle factors and dietary factories were adjusted (aor: 1.26 [1.07-1.48], p = .006). staller noted sleep duration was not correlated with diarrhea. sleep duration did not impact relationship between comorbidity factors and constipation “in patients who have bowel disfunction [does] the bowel disfunction has negative impact on their sleep? i think it is likely both,” he said. presented at: digestive disease week; may 2-5, 2020; chicago (meeting canceled).
the epub format is best viewed in the ibooks reader. in 1993, goldsmith and levin brought to our attention that disturbed sleep could have an adverse effect on bowel functions.1 they employed a diary to record the relationship between sleep disturbance and bowel symptoms in subjects with irritable bowel syndrome (ibs). while disruption of biologic rhythms secondary to night shift work has been associated with gastrointestinal symptoms, these studies have not specifically examined the effects on bowel habits.3 to study the effects of disturbed sleep on bowel functions, we recruited healthy female full time nurses working in a tertiary hospital to keep a bowel and sleep diary for 2 weeks. based on these observations, we hypothesized that disturbed sleep could affect bowel functions in healthy individuals. not surprisingly, they did not find any differences in sensitivity to rectal distension between good and poor sleepers.
what this means is that the poorer the sleep, the greater the rectal compliance. the implication is that poor sleep may predispose a previously healthy individual to constipation. in order to explore the role of sleep disturbance in constipation, we would need to study in a prospective manner the effects of sleep deprivation on anorectal physiology, and correlate these changes with the quality of defecation. unfortunately, this study did not examine in detail the effects of sleep on constipation. however, if we examine their data carefully, in their sleep deprived group there was actually a trend for an increase in rectal compliance that was not discerned in the control group. thus, it is important that more, and better planned, studies are conducted to define the effects of sleep disturbances and chronobiological factors on bowel functions.
both decreased and increased sleep correlated with constipation among u.s. adults in a nationwide survey, with too little sleep persistently increased rectal compliance has been proposed to be a contributing mechanism underlying constipation. the implication is that poor sleep may predispose a insomnia linked with irritable bowel syndrome, indigestion, heartburn such as bloating, gas, constipation, or diarrhea., .
all models showed a strong association between the prevalence of insomnia and constipation, and the respective analysis for each center also shows a significant relationship between constipation symptom and insomnia. having chronic constipation may be a sign of another underlying condition. excessive worry; restlessness; insomnia; irritability insomnia is difficulty falling asleep, or experiencing disturbed sleep which is often associated with irritable bowel syndrome (ibs). this in turn can lead to many reasons cause insomnia like stress, type, quantity and timing of ingestion of food and coffee etc. many reasons cause constipation mostly diet, lack of, .
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