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Study of Relationship Between Food Habits and the Occurrence of Constipation Among Students in Ivory Coast

Received: 6 October 2024     Accepted: 29 October 2024     Published: 22 November 2024
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Abstract

The work of Amoikon et al. (2016) showed a high prevalence of constipation and dietary deviations in a student population in Ivory coast. In order to seek a probable relationship between dietary factors and this health problem, a study was carried out at the Felix Houphouët-Boigny University of Ivory Coast. It took place from October 15, 2016 to February 17, 2017 in a population of 1228 students, with an average age of 22.5 years, dominated by males. This is a prospective cross-sectional study, with a descriptive and analytical aim, with the main objective of studying the relationship between eating habits and the appearance of constipation among students. After analysing the relationship between their eating habits and the occurrence of constipation, it was blamed, on the one hand, the high consumption of certain foods such as red meat, carbonated drinks, sugary foods, foods containing eggs or milk and on the other hand a low consumption of water, fruits and vegetables. In view of these results we can conclude that certain inadequate dietary behaviors are responsible for constipation in students’ population and could have repercussions on their success rate in our universities. To this end, it would be important to organize nutritional awareness campaigns throughout the country and to educate students with a view to improve their eating habits and their health conditions.

Published in Journal of Food and Nutrition Sciences (Volume 12, Issue 6)
DOI 10.11648/j.jfns.20241206.13
Page(s) 270-278
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Students, Eating Habits, Constipation

1. Introduction
Constipation is a generally chronic digestive disorder whose causes vary but are often of food origin. It can have a serious consequence on the lives of patients . This is a rarefaction of the passing of stools with hard faeces that are difficult to evacuate (less than 3 times per week). Very common in general in the elderly, constipation is not negligible in young people (Tzeuton, 2000) . According to a nutritional epidemiological study carried out in a student population at the Felix Houphouët Boigny University in Abidjan in 2016, a high prevalence of the pathology was noted (72.6%), with serious impacts on their health conditions such as hemorrhoids . In order to contribute to the dietary management of patients and to prevent its occurrence among students, it seemed essential to us to research the dietary reasons, with a view to propose suitable and adapted solutions. It is in this context that a health and nutritional epidemiological survey was carried out, in order to analyze their implications in the occurrence of constipation.
2. Materials and Methods of the Study
2.1. Material
2.1.1. Framework of the Study
The study was carried out in West Africa, in Ivory Coast at the Félix Houphouët Boigny University of Cocody in Abidjan. It is part of the perspectives of the work of Amoikon et al (2016) and N’guessan et al. (2024) who studied the eating habits and health status of students at the University and who found among them a significant prevalence of constipation, and poorly balanced diet.
2.1.2. Study Population (Inclusion and Non-Inclusion Criteria)
A total of 1228 males and females students volunteered to participate in the study. Any student enrolled in the second year of Chemistry Biology Geology (CBG) at Félix Houphouët-Boigny University who wished to participate in the study was included. They were not included, all other people whom did not respect the conditions raised.
2.1.3. Data Collection Tools
A questionnaire was designed and pre-validated by a pilot survey with 45 students from the Agrhymet Regional Center of NIAMEY (NIGER). It is composed of three parts: (i) the first part retraced the socio-demographic characteristics of the study population (ii) the second revealed the medical histories regularly experienced by the patients over a period of one year while (iii) the third part was reserved for eating habits (Frequency of food consumption).
2.2. Methods
2.2.1. Type of Study
This is a prospective cross-sectional study with descriptive and analytical aims.
2.2.2. Sampling
The convenience sampling technique was chosen. A total of 1228 male and female students volunteered to participate in the study.
2.2.3. Diagnosis of Constipation
The diagnosis of constipation is primarily clinical. So, we based our investigation on a clinical examination consisting of questioning, abdominal palpation in search of organic mass. Any respondent who frequently presented a rarefaction of the emission of stools with hard faeces and difficult to evacuate (less than 3 times per week) were considered sick. Objective bloating, a feeling of incomplete evacuation or pushing efforts reinforced the diagnostic criteria . The existence of an abdominal mass on palpation motivates paraclinical investigations such as abdominal ultrasound, colonoscopy or abdominal CT.
2.2.4. Statistical Analysis
- Quantification of the frequency of food consumption:
We based ours study on the methods used by Amoikon et al, (2016) and Kouakou Ossei (2010) for the classification of the level of food consumption. Thus, food consumption was assessed by the food consumption frequency method and by retrospective analysis of eating behavior, readjusted by week. So:
(1) Consumption of a food less than once to once a week was considered low,
(2) Consumption of twice a week was considered medium,
(3) When consumption was 3 to 4 times per week, it was reported as high,
(4) When it was 5 to 7 times per week, it was considered very high.
- Quantification of the frequency of water consumption:
(1) Water consumption of less than one liter per day was considered low.
(2) Water consumption of 1 to less than 1.5 liters per day was reported as medium and water consumption of 1.5 to 2 liters was considered very high.
(i). Processing of Qualitative and Quantitative Data
The analysis of the quantitative and qualitative data collected was done with SPSS 20.0 software. For quantitative variables, the average and extreme values were highlighted. At the level of qualitative variables, the distribution and comparison of proportions was retained. The relationship between food habit and the pathology has been searched by the Chi square test.
(ii). Ethical Aspects
With regard to ethical considerations, the volunteers were informed of all stages before the start of the investigation and were interviewed or examined after free and informed consent. Confidentiality was assured by assigning an anonymity number to each survey sheet. This study was approved by the Felix Houphouët Boigny University of Côte d’Ivoire and the ethical principles of the Declaration of Helsinki were respected.
3. Results
3.1. Socio-Demographic Characteristics
In terms of sociodemographic characteristics, three indicators were analyzed, namely ethnic group, age and gender. Regarding the ethnic group, the Akans are the most represented with a number of 621 people, the Krous, the Northern Mandé and the Gour are respectively 161, 109 and 182 and the foreigners are the least represented with a workforce of 31 people (figure 1). Regarding the age of the respondents, the age of the population was subdivided into 3 groups. Thus, respondents aged 17 to 19 years old are 20% and those aged 20 to 24 years old and 25 and over are respectively 77% and 3% (Figure 2). And in this population, 74% are men compared to 26% women (Figure 3).
a. Ethnic group
Figure 1. Distribution of respondents according to ethnic group.
b. Age of respondent
Figure 2. Distribution of respondents by age.
c. Sex of respondent
Figure 3. Distribution of respondents by gender.
3.2. Prevalence of Constipation Among Students
The health assessment in the study population revealed a prevalence of 53.1% of constipation in the population.
Figure 4. Distribution of respondents according to their pathological status.
3.3. Eating Habits and Occurrence of Constipation
The analysis of the relationship between eating habits and the occurrence of constipation in the study population revealed the implication on the one hand of the high consumption of certain categories of food such as red meat/animal fat, starchy foods, and carbonated drinks, spicy foods, sweet foods containing eggs or milk, non-alcoholic exciting products, flavor enhancers and on the other hand a low level of water consumption (P < 0.05).
When it comes to fruits and vegetables, we can see that the lower level of consumption lead to the higher frequency of constipation. The level of consumption of fish, white meat, vegetable fat, cereals and alcoholic products is not linked to the occurrence of constipation in the population (P > 0.05).
Table 1. The relationship between the level of red meat/animal fat consumption and the occurrence of constipation.

Constipation

Consumption frequency N (%)

Total

P value

Low

Medium

High

Very high

No sick

143

82

174b

177

576

P = 0.010

40.6%

48.0%

48.2%

51.5%

46.9%

Sick

209

89

187

167

652

59.4%

52.0%

51.8%

48.5 %

53.1%

TOTAL

352

171

361

344

1228

100%

100%

100%

100%

100%

N= 1228
P= 0.003
Table 2. The relationship between the level of consumption of food containing eggs and the occurrence of constipation.

Constipation

Consumption frequency N (%)

Total

P value

Low

Medium

High

Very high

No sick

15

30

51b

479

576

P = 0.010

42.9%

37.5%

44.0%

48.1%

46.9%

Sick

20

50

65b

516

652

57.1%

62.5%

56.0%

51.9 %

53.1%

TOTAL

35

80

116

995

1228

100%

100%

100%

100%

100%

N= 1228
P= 0010
Table 3. The relationship between the level of tuber consumption and the occurrence of constipation. The relationship between the level of tuber consumption and the occurrence of constipation. The relationship between the level of tuber consumption and the occurrence of constipation.

Constipation

Consumption frequency N (%)

Total

P value

Low

Medium

High

Very high

No sick

0

4

16

555

576

P = 0.010

0%

33.3%

32.7%

47.6%

46.9%

Sick

0

8

33b

611

652

0%

66.7%

67.3%

52.4 %

53.1%

TOTAL

0

12

49

1166

1228

100%

100%

100%

100%

100%

N= 1228
P= 0.010
Table 4. The relationship between the level of soft drink consumption and the occurrence of constipation. The relationship between the level of soft drink consumption and the occurrence of constipation. The relationship between the level of soft drink consumption and the occurrence of constipation.

Constipation

Consumption frequency N (%)

Total

P value

Low

Medium

High

Very high

No sick

287

64

186

39

576

P = 0.010

45.1%

40.5%

50.3%

60.9%

46.9%

Sick

349

94

184b

25

652

54.9%

59.5%

49.7%

39.1 %

53.1%

TOTAL

636

158

370

64

1228

0%

100%

100%

100%

100%

N= 1228
P= 0.010
Table 5. The relationship between the level of consumption of flavor enhancing products and the occurrence of constipation. The relationship between the level of consumption of flavor enhancing products and the occurrence of constipation. The relationship between the level of consumption of flavor enhancing products and the occurrence of constipation.

Constipation

Consumption frequency N (%)

Total

P value

Low

Medium

High

Very high

No sick

117

0

112

347

576

P = 0.001

56.5%

0%

46.7%

44.5%

46.9%

Sick

90

1

128

433

652

43.5%

100%

53.3%

55.5 %

53.1%

TOTAL

207

1

240

780

1228

100%

100%

100%

100%

100%

N= 1228
P= 0.001
Table 6. The relationship between the level of spicy food consumption and the occurrence of constipation.

Constipation

Consumption frequency N (%)

Total

P value

Low

Medium

High

Very high

No sick

73

35

160

308

576

P = 0.043

52.1%

48.1%

50.0%

44.5%

46.9%

Sick

67

41

160

384

652

47.9%

53.9%

50.0%

55.5 %

53.1%

TOTAL

140

76

320

692

1228

100%

100%

100%

100%

100%

N= 1228
P= 0.043
Table 7. The relationship between the level of consumption of non-alcoholic exciting product and the occurrence of constipation.

Constipation

Consumption frequency N (%)

Total

P value

Low

Medium

High

Very high

No sick

258

74

106

138

576

P = 0,002

44.3%

43%

46.9%

55.9%

46.9%

Sick

325a

98

120b

109

652

55.7%

57.0%

53.1%

44.1 %

53.1%

TOTAL

583

172

226

247

1228

100%

100,0%

100,0%

100%

100,0%

N= 1228
P= 0.002
Table 8. The relationship between the level of water consumption and the occurrence of constipation.

Constipation

Consumption frequency N (%)

Total

P value

Low

Medium

High

Very high

No sick

108

399

64

5

576

P = 0.014

32.1%

50.3%

68.8%

83.3%

46.9%

Sick

228

394

29

1

652

67.9%

49.7%

31.2%

16.7 %

53.1%

TOTAL

336

793

93

6

1228

100%

100%

100%

100%

100%

N= 1228
P= 0.014
4. Discussion
During this study, the predominant ethnic group was that of the Koua Akan with 51% of respondents. This could be explained by the geographical location of the Félix Houphouët Boigny University of Abidjan, which is more accessible to this ethnic group, especially because the biosciences specialty is found in other universities in the country located in the North and the center-West. These results are comparable to those of Amoikon et al in 2016 . The study population was young with an average age of 22.5 years and dominated by men with a sex ratio of 2.84 in favor of men. This could be explained by the fact that in Ivory Coast the level of education of young boys is higher than that of young girls. (INS, 2015) . In the population a prevalence of 53.1% of constipation was recorded. These results are superimposable to those of Amoikon et al. 2016 .
According our previous work, N'guessan et al. (2024) , the diet of students is unbalanced, unstructured, little varied and poorly hydrated with a predominance of foods low in fiber. The analysis of the relationship between eating habits and the occurrence of constipation in the study population revealed the implication on the one hand of the high consumption of certain categories of food such as red meat/animal fat, tubers, carbonated drinks, spicy foods, sweet foods containing eggs or milk, non-alcoholic exciting products, flavor enhancers and on the other hand a low level of water consumption (P < 0.05) and the occurrence of the pathology. Furthermore, we note that the lower level of fruit and vegetable consumption, leads to the increasing of frequency of constipation.
In terms of the red meat/animal fat category, there is a relationship between high consumption (more than 3 times per week) and the occurrence of the disease. These results are identical to those of Dembélé (2009) . Furthermore, according to Dabo (2006) , meat consumption is one of the factors most associated with constipation in Mali and could be justified by the fact that it is difficult to be digest due to its low fiber and its richness in lipids (Dukan, 2011) . This slow digestibility then leads to a slow progression of the food bolus and a long stay of food in the digestive tract, capable of leading to bouts of constipation in the event of heavy consumption.
Concerning carbonated drinks, sweet foods, spicy products, foods containing eggs or milk and non-alcoholic exciting products, these are foods with a known inflammatory and food with allergenic effect on the digestive tract . Food allergies, in fact, are immune reactions of intolerance of the body to the ingestion of a food that is usually well tolerated by the majority characterized by inflammation of the digestive tract . In the event of prolonged exposure to causal dietary factors in subjects, these chronic inflammatory immune reactions promote a reduction in the intensity of intestinal peristalsis which could lead to a slow progression of the food or fecal bolus thus leading to the occurrence of constipation .
This phenomenon could be similar to what happens with flavor enhancing products, in particular potash. Indeed, studies have proven that the consumption of potassium bicarbonate (potash) accidentally or intentionally, in small cumulative doses, in the diet, is responsible for corrosive digestive lesions which could lead to segmental narrowing of the digestive tract in sensitive subjects’ population . These lesions also lead to a weakening of peristaltic movements, a slowing down of food or fecal bolus and induce constipation. Moreover, several studies in Mali such us Diallo, (2008) ; Diarra et al., (2009) and Kanouté, (2010) revealed that the high consumption of potash and salt in the preparation of corn toh was a contributing factor to colorectal cancer, which is a disease strongly associated with constipation.
In terms of water, fruits and vegetables, we can see that the lower level of consumption lead to an higher frequency of constipation. Indeed, fruits and vegetables are rich in water and fiber , and they have been recognized for several centuries as food-medicines for constipation . Furthermore, consumption of more than one and a half liters of water per day is the best way to combat constipation . In fact, these foods reduce digestive inflammation, soften stools, increase volume and facilitate the elimination of the fecal bolus .
The level of consumption of fish, white meat, vegetable fat and cereals is not linked to the occurrence of constipation in the population. This trend could be justified by the easy digestion of some of these foods which constitute the basis of the dietary treatment of constipation attacks (Dukan, 2011) . Furthermore, the low involvement of certain foods such as alcohol, identified in certain studies as highly constipatogenic foods could be justified by their low level of consumption in our population.
5. Conclusion
This study revealed the existence of a relationship between eating habits and the occurrence of constipation in the study population. Indeed, the high consumption of red meat/animal fat, tubers, carbonated drinks, spicy foods, sweet foods containing eggs or milk, non-alcoholic exciting products, flavor enhancers were involved in the occurrence of the disease among students. It also made it possible to understand that a low level of water consumption from fruits and vegetables also led to pathology. On the other hand, certain foods such as fish, white meat, vegetable fats, flavor enhancing products, cereals, carbonated drinks, spicy products, non-alcoholic exciting products, alcoholic products are not linked to the occurrence of constipation in the population. In view of these results, it would be wise to rationalize the consumption of different causal foods according to personal sensitivity and seasonal availability, so as to obtain a balance and food security, capable of ensuring lasting digestive homeostasis in students population.
Abbreviations

CBG

Chemistry Biology Geology

WHO

World Health Organization

FAO

Food and Agriculture Organization

INS

National Institute of Public Health

Author Contributions
Anon Franck-Donald N’Guessan: Conceptualization, Data curation, Formal Analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision Validation, Visualization, Writing – original draft
Francis Beranger Angelo Aka: Conceptualization Formal Analysis, Investigation, Resources, Writing – original draft
Kouame Hermann Yeboue: Conceptualization, Data curation, Formal Analysis, Resources
Purifine Sassor Odile Ake-Tano: Formal Analysis, Methodology, Project administration, Supervision, Writing – original draft
Ahoua Yapi: Conceptualization, Data curation, Investigation Methodology, Supervision
Conflicts of Interest
The authors declare no conflicts of interest.
References
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[3] Dembélé A. I., 2009. Etude des facteurs de risque de la maladie hémorroïdaire dans le service de médecine interne du chu du point G. Thèse de Doctorat de Médecine, Faculté de médecine, de Pharmacie et d’Odontostomatologie, Université de Bamako, Mali; 84 pages.
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Cite This Article
  • APA Style

    N’Guessan, A. F., Aka, F. B. A., Yeboue, K. H., Ake-Tano, P. S. O., Yapi, A. (2024). Study of Relationship Between Food Habits and the Occurrence of Constipation Among Students in Ivory Coast. Journal of Food and Nutrition Sciences, 12(6), 270-278. https://doi.org/10.11648/j.jfns.20241206.13

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    ACS Style

    N’Guessan, A. F.; Aka, F. B. A.; Yeboue, K. H.; Ake-Tano, P. S. O.; Yapi, A. Study of Relationship Between Food Habits and the Occurrence of Constipation Among Students in Ivory Coast. J. Food Nutr. Sci. 2024, 12(6), 270-278. doi: 10.11648/j.jfns.20241206.13

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    AMA Style

    N’Guessan AF, Aka FBA, Yeboue KH, Ake-Tano PSO, Yapi A. Study of Relationship Between Food Habits and the Occurrence of Constipation Among Students in Ivory Coast. J Food Nutr Sci. 2024;12(6):270-278. doi: 10.11648/j.jfns.20241206.13

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  • @article{10.11648/j.jfns.20241206.13,
      author = {Anon Franck-Donald N’Guessan and Francis Beranger Angelo Aka and Kouame Hermann Yeboue and Purifine Sassor Odile Ake-Tano and Ahoua Yapi},
      title = {Study of Relationship Between Food Habits and the Occurrence of Constipation Among Students in Ivory Coast
    },
      journal = {Journal of Food and Nutrition Sciences},
      volume = {12},
      number = {6},
      pages = {270-278},
      doi = {10.11648/j.jfns.20241206.13},
      url = {https://doi.org/10.11648/j.jfns.20241206.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfns.20241206.13},
      abstract = {The work of Amoikon et al. (2016) showed a high prevalence of constipation and dietary deviations in a student population in Ivory coast. In order to seek a probable relationship between dietary factors and this health problem, a study was carried out at the Felix Houphouët-Boigny University of Ivory Coast. It took place from October 15, 2016 to February 17, 2017 in a population of 1228 students, with an average age of 22.5 years, dominated by males. This is a prospective cross-sectional study, with a descriptive and analytical aim, with the main objective of studying the relationship between eating habits and the appearance of constipation among students. After analysing the relationship between their eating habits and the occurrence of constipation, it was blamed, on the one hand, the high consumption of certain foods such as red meat, carbonated drinks, sugary foods, foods containing eggs or milk and on the other hand a low consumption of water, fruits and vegetables. In view of these results we can conclude that certain inadequate dietary behaviors are responsible for constipation in students’ population and could have repercussions on their success rate in our universities. To this end, it would be important to organize nutritional awareness campaigns throughout the country and to educate students with a view to improve their eating habits and their health conditions.
    },
     year = {2024}
    }
    

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    T1  - Study of Relationship Between Food Habits and the Occurrence of Constipation Among Students in Ivory Coast
    
    AU  - Anon Franck-Donald N’Guessan
    AU  - Francis Beranger Angelo Aka
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    Y1  - 2024/11/22
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    DO  - 10.11648/j.jfns.20241206.13
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    JF  - Journal of Food and Nutrition Sciences
    JO  - Journal of Food and Nutrition Sciences
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    AB  - The work of Amoikon et al. (2016) showed a high prevalence of constipation and dietary deviations in a student population in Ivory coast. In order to seek a probable relationship between dietary factors and this health problem, a study was carried out at the Felix Houphouët-Boigny University of Ivory Coast. It took place from October 15, 2016 to February 17, 2017 in a population of 1228 students, with an average age of 22.5 years, dominated by males. This is a prospective cross-sectional study, with a descriptive and analytical aim, with the main objective of studying the relationship between eating habits and the appearance of constipation among students. After analysing the relationship between their eating habits and the occurrence of constipation, it was blamed, on the one hand, the high consumption of certain foods such as red meat, carbonated drinks, sugary foods, foods containing eggs or milk and on the other hand a low consumption of water, fruits and vegetables. In view of these results we can conclude that certain inadequate dietary behaviors are responsible for constipation in students’ population and could have repercussions on their success rate in our universities. To this end, it would be important to organize nutritional awareness campaigns throughout the country and to educate students with a view to improve their eating habits and their health conditions.
    
    VL  - 12
    IS  - 6
    ER  - 

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Author Information
  • Department of Nutrition, National Institute of Public Health, Abidjan, Ivory Coast

    Research Fields: Food toxicology and pharmacology, nutrition and health policy, nutrition and public health care, Nutrition and no communicable diseases, nutrition and food formulation, Food security

  • Department of Nutrition, National Institute of Public Health, Abidjan, Ivory Coast

    Research Fields: Nutrition and no communicable diseases, Interaction between food and health, Quality control of food and medicines, Human / animal nutrition and food formulation, Plants and pathology, Food toxicology, Human dietetics

  • Department of Biosciences, Felix Houphouet Boigny University, Abidjan, Ivory Coast

    Research Fields: Nutrition and no communicable diseases, Interaction between food and health, Quality control of food, Human / animal nutrition and food formulation, Plants and pathology, Food toxicology, Human dietetics

  • Department of Nutrition, National Institute of Public Health, Abidjan, Ivory Coast

    Research Fields: Nutrition and no communicable diseases, Nutrition and pediatric care, Nutrition policy, Human / animal nutrition and food formulation, Quality control of food and medicines, Food toxicology, Human dietetics

  • Department of Biosciences, Felix Houphouet Boigny University, Abidjan, Ivory Coast

    Research Fields: Plants and pathology, Food toxicology Human dietetics, parasitology, Human Nutrition and Neuro Psychological pathologyAnimal Nutrition