Obstipation är ett vanligt omvårdnadsproblemsom påverkar patientens livskvalitet negativt. Obstipation orsakar ett lidande hos patienten och kan dessutom leda till komplikationer. Syftet med studien var att beskriva möjligheterna för prevention och kurativ behandling hos vuxna patienter med obstipation. Studien genomfördes som en litteraturstudie, vetenskapliga artiklar bearbetades och granskades. Tjugoen artiklar påvisade god och medelgod vetenskaplig kvalitet och stämde överens med syftet, dessa användes i resultatet. I resultatet framkom att laxantia är lämpat som korttidsbehandling och att det finns andra metoder än laxantia som ger bättre effekt vid en långtidsbehandling. Kosten är en stor del i både prevention och behandling av obstipation, då en stor påverkan på tarmen har noterats. Om en behandling misstänks leda till obstipation bör en förebyggande åtgärd mot detta ordineras, innan obstipation är ett faktum. Nya läkemedels- substanser är framtagna och god effekt har observerats vid användning av dessa. Sjuksköterskan bör ha en fördjupad kunskap om problemet och hur det kan förebyggas och behandlas. Laxantia används allt för ofta inom sjukvården, mer kunskap om andra alternativ bör introduceras redan i sjuksköterskeutbildningen. / Constipation is a common nursing problem that negatively affects a patient's quality of life. It causes suffering and can lead to complications for the patient. The aim of this study was to describe the possibilities for prevention, and curative treatments for constipation in adults. This study was conducted as a literature review; research articles were read, processed and examined. Twenty one articles were found to provide information pertinent to the study and these were used to formulate the result. What the articles showed, is that in the short term, laxatives are a suitable treatment, whereas in the long term, there are more effective treatments for constipation than laxatives. Diet, and the way it affects the intestine, plays a big part in both the prevention and treatment of constipation. If clinical treatments are suspected of causing constipation, then preventative measures must be taken to avoid onset of the condition. New drugs have been developed and successfully used to this end. Nurses should have a deeper understanding of the problem and how it can be prevented and treated. Laxatives are seen as the first option far too often and alternatives to these should be part of nurses' education.

Constipation is a serious problem in the pediatric population and often requires medical management with laxatives and enemas. Participants (2-10 years of age, n=13) with a history of mild constipation were assigned randomly to a fibre treatment or placebo group. After three weeks, subjects were crossed over to the other treatment. Pea hull fibre (4.0-7.6 g/day = 3.6-6.8 g/day of dietary fibre) was added to snack foods and an inulin supplement (5.0 g/day = 4.5 g/day of dietary fibre) was given, whereas the placebos were non-fortified snacks and maltodextrin (5.0 g/day).<p> Subjects or their parents documented stool frequency, stool consistency, occurrence of abdominal pain and intake of snack foods and the supplement. Over the final two weeks, there was a trend towards an increase in the mean number of daily bowel movements in the fibre treatment group compared to the placebo group (n=11, 0.68 ± 0.18 vs. 0.59 ± 0.26, p=0.064). Exclusion of one subject with diarrhea-type stools led to a significant difference between groups (n=10, 0.54 ± 0.18 vs. 0.67 ± 0.22, p=0.002). Stool consistency, using the Bristol Stool Form Rating Scale, showed no significant differences in stool consistency between groups (p=0.379) nor was there a difference in the incidences of abdominal pain (p=0.129). Not all subjects experienced abdominal pain. The inulin supplement (91% compliance rate; 1 serving per day) was consumed more consistently than were the snack foods fortified with pea hull fibre (77% compliance rate; 2 servings per day). There were no significant differences in the intake of the snacks or supplement when the placebo and treatment groups were compared. Energy intake was significantly lower during the fibre treatment period compared to placebo (n=12, 1307 ± 296 kcal/day vs. 1441 ± 285 kcal/day, p=0.035). The addition of pea hull fibre to typical snack foods and an inulin supplement to beverages were well accepted by children and no adverse effects were reported. Fibre fortification of snack foods with pea hull fibre and fibre supplementation of beverages with inulin may provide an alternative means to treat pediatric constipation.

Constipation is the most common gastrointestinal complaint in the United States, resulting in about 2 million annual visits to the doctor. The purposes of this dissertation were to: 1) describe four theories of traditional Korean medicine; 2) review mechanisms of acupuncture and moxibustion and develop a conceptual model; 3) review findings from randomized controlled trials that tested the effects of acupressure used for the management of symptoms such nausea, pain, and dyspnea; 4) examine the reliability and validity of the Patient Health Questionnaire-9 (PHQ-9) in heart failure patients with constipation compared to those with gastrointestinal disease; 5) describe how Korean women experienced constipation and how constipation affected the quality of life and the experience of using complementary and alternative medicine for constipation; 6) test the effect of acupressure on constipation and to examine the quality of life and depressive symptoms in cancer patients with constipation. Meridian theory explains that acupressure stimulates meridians, a network of energy pathways in the body to increase the flow of bio-energy. Authors of 48 studies supported that acupressure reduced nausea and vomiting during pregnancy, pain, fatigue, and dyspnea. The Patient Health Questionnaire-9 (PHQ-9) was used to examine the depressive symptoms in cancer patients with constipation, but has not been tested in patients with constipation. Therefore, in this study, the psychometric properties of PHQ-9 were tested in patients with constipation. Cronbach’s alphas for the Patient Health Questionnaire were .89 and the correlation between the PHQ-9 and the BDI-II (Beck Depression Inventory) was .81 (p<.01) in 382 heart failure patients with constipation. Ten Korean women reported that living with constipation is a stressful and uncomfortable experience which impacts daily activity, lifestyle, social relationships, and diet. In this pilot study, three out of five patients in the acupressure group reported that acupressure was effective in improving constipation. Cancer patients with less than a four-month history of constipation had less depressive symptoms and higher quality of life compared to patient with more than a four-month history of constipation. In conclusion, acupressure can be a safe and cost effective alternative medicine for constipation.

I den akutte postoperative fase er obstipation et forsømt problem. International forskning er sparsom, selvom det er vist, at obstipation kan forringe livskvaliteten for patienterne. Symptomerne er mavesmerter, oppustethed, kvalme, anstrengelse ved defækation, alment ubehag for patienterne. Obstipation øger risikoen for postoperative komplikationer, kan forlænge hospitalsindlæggelsen, øge de økonomiske udgifter samt antallet af plejetimer per patient.Formål: At beskrive proportionen af patienter der påvirkes af postoperativ obstipation under indlæggelsen og de første 30 dage postoperativt. At beskrive hvornår obstipation udvikles. At beskrive patientens gener ved postoperativ obstipation og om de påvirker patienternes dagligliv.Metode: En prospektiv forløbsundersøgelse blev valgt. Hvor patienter indlagt til thoraxkirurgi, indgår konsekutivt. Ved indlæggelse, udskrivelse og en måned efter operation blev defækationsmønster, afføringsform og konsistens vurderet ved hjælp af Bristol Stool Scale og et selvudviklet interviewskema. Data er indsamlet af forfatteren som led i MPH - uddannelsen.Resultater: 139 patienter med en gennemsnitsalder på 60 år (+/-14) deltog. 69 % var mænd. 18 % var obstiperede ved indlæggelsen. Efter operationen var 67,2 % obstiperede, og 31,5 % angav, tendens til obstipation en måned postoperativt. Normalt defækationsmønster blev reetableret 11 dage postoperativt med en spredning fra 2 – 30 dage. 22,5 % angav, ifølge Bristol Stool Skalaen at deres fæces ikke havde normaliseret sig en måned efter operationen. Ingen signifikant forskel i angivelse af postoperativ obstipation mellem mænd og kvinder. Patienterne rapporterede mange symptomer på grund af obstipation.Konklusion: Resultaterne af dette studie viser, at postoperativ obstipation påvirker op mod 70 % af patienterne og komplicerer den postoperative fase for patienterne. Resultaterne viser at obstipation påføres patienten under indlæggelsen og at de også har problemer efter udskrivelsen. Litteraturens beskrivelse af, at kvinder har to gange højere risiko for obstipation end mænd, er i kontrast til dette studies resultater. Mere forskning må afgøre om litteraturens resultater kan overføres til patienter, der gennemgår kirurgi. Resultaterne viser at der er behov for systematiske sygeplejeinterventioner i den første postoperative fase og efter udskrivelsen. / In the acute postoperative phase constipation is a neglected problem. International research is sparse, eventhough constipation is shown to reduce quality of life for patients. Symptoms are abdominal pain, bloating,nausea, straining to defecate and a general discomfort for the patients. Constipation increases the risk forpostoperative complications, can prolong hospital stay, increase financial cost, and staff nursing care time.Purposes: To describe the proportion of patients experiencing postoperative constipation during hospital stayand first 30 days after surgery. To describe when constipation develops. To describe the inconvenience patientsfeel with postoperative constipation and if it effects patients daily life.Method: A prospective follow up survey was chosen. Were patients consecutive admitted for cardiothoracicsurgery was included. At admission, discharge and 30 days after surgery defecation pattern, stool form andconsistency were assessed using Bristol Stool scale and a self-developed questionnaire. The data was collectedby the writer as a MPH-education.Results: 139 patients mean age 60(+/-14) participated. 69 % were men. 18 % reported to be constipated whenadmitted. The first period after surgery 67,2 % reported they were constipated and 31,5 % reported tendency toconstipation one month after surgery. Normal pattern of defecation was established at 11 days postoperative(range 2–30 days) and 22,5 % indicated that there stools, had not normalized 30 days after surgery according toBristol Stool Scale. No significant difference in report of postoperative constipation between men and women.The patients reported a number of complaints due to constipation.Conclusion: This survey shows that postoperative constipation affected up to 70% of the patients andcomplicates the postoperative phase for the patients. Results show that constipation is induced the patients atadmission and that they also have problems after discharge. The literatures description of women having 2times higher risk of constipation than men, are in contrast with this survey’s results. More resurge must decideif literatures results can be applied to patients who undergo surgery. Therefore there is a need for systematicnursing intervention in the acute postoperative phase after cardiothoracic surgery and after discharge. / <p>ISBN 978-91-85721-44-3</p>

Thesis (MAppSc--Applied Science)--Auckland University of Technology, 2003. / Also held in print (100 leaves, 30 cm.) in Wellesley Theses Collection. (T 613.28 PAT).

Thesis (M.Tech.:Chiropractic)-Dept. of Chiropractic, Durban Institute of Technology, 2006 148 leaves / Chronic Idiopathic Constipation (CIC) is a common patient complaint (Browning 1999) and as such is defined as : “Constipation” being the infrequent or difficult evacuation of faeces, “idiopathic”, denoting the condition occurs in the absence of any known cause and “chronic”, implying a problem that has persisted for a long time (Anderson 1989). It has been suggested that the bony subluxation or motion segment dysfunction in the spine, could produce these symptoms (e.g. altered visceral function) in the segmentally related visceral structures (Korr 1976, Nansel and Slazak 1995, Budgell 2000). In support of this three case reports in the literature suggest that spinal manipulative therapy to effect removal of these bony subluxations or motion segment dysfunctions, may relieve chronic idiopathic constipation (Hewitt 1993, Marko 1994, Redly 2000). However all three cases involved a single patient case analysis, where patients received spinal manipulation and a vast improvement in bowel function within three weeks of the initiation of the intervention was noted. Only one case report measured global wellbeing outcomes and was able to document a steady increase in the patient’s sense of wellbeing (Redly 2000). As a result of the above evidence in the literature, the researcher was led to the following hypotheses regarding spinal manipulation and chronic idiopathic constipation: • That spinal manipulation would affect a decrease in the subject’s abdominal pain intensity and level of constipation and an increase in the subject’s sense of wellbeing and spinal range of motion. • That placebo would affect an increase in the subject’s abdominal pain intensity and level of constipation and a decrease in the subject’s sense of wellbeing and spinal range of motion. • That spinal manipulation would be more effective than placebo in bringing about a decrease in the subject’s abdominal pain intensity and level of constipation and an increase in the subject’s sense of wellbeing and spinal range of motion.

Made available in DSpace on 2014-06-11T19:27:19Z (GMT). No. of bitstreams: 0 Previous issue date: 2007-02-16Bitstream added on 2014-06-13T19:55:46Z : No. of bitstreams: 1 capelari_sm_me_botfm.pdf: 368039 bytes, checksum: c9d7d294e754bf11134dfc77a8dd0e09 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / No presente estudo, foi avaliado a influência do sintoma predominante ou somatório de sintomas da constipação funcional (CF), na resposta desta ao tratamento com fibra dietética (FD). Setenta e um pacientes com diagnóstico de CF foram estudados, sete homens e sessenta e quatro mulheres, idade média de 44 anos. Todos previamente submetidos a rigoroso exame médico, para exclusão de constipação orgânica e a seguir entrevistados por meio de questionário e ficha clinica, onde eram caracterizados os diferentes sintomas da CF (infreqüência evacuatória, fezes ressecadas, esforço evacuatório, sensação de evacuação incompleta e auxílio digital para evacuação). Após esta fase, os pacientes eram colocados num programa de ingestão de fibra a base de farelo de trigo, onde doses crescentes eram adicionadas a cada 15 dias, até que melhorasse a constipação ou o caso fosse considerado como refratário a tratamento. A utilização de fibras apresentou resultados bastante favoráveis na maioria dos constipados (>85%). Não foi possível, contudo, detectar influência evidente dos sintomas predominantes ou do seu somatório, no desfecho do tratamento. Investigação paralela do tempo de duração da constipação, também não revelou associação entre duração e os efeitos da FD. É possível, que a pouca capacidade discriminativa dos diferentes sintomas sobre o efeito da FD na CF, encontrado em nosso estudo, tenha decorrido parcialmente do número limitado de indivíduos participantes de alguns dos subgrupos de sintoma. Outro fator contribuinte relevante, reconhecido por vários autores, é a dificuldade em separar subgrupos homogêneos de desordens funcionais baseado, quer em aspectos clínicos, fisiopatológicos ou psicopatológicos, o que certamente prejudica uma abordagem terapêutica específica. / The aim of this study was to evaluate the influence of the main symptom or the amount of symptoms of functional constipation (FC) in response to the treatment with dietetic fiber (FD). Seventy one FC patients were studied, seven men and sixty four women, 44 years old in average. All patients were submitted to medical evaluation to the exclusion of organic constipation. After this they answered a clinical record and they where classified according to different symptoms (evacuate infrequency, parched fecal, evacuation effort, incomplete evacuation sensation, and digital assist to evacuate). After this phase the patients started a fiber consume program (with wheat bran). The fiber quantity was increased every 15 days, until the patients improved the constipation or the patient case was assumed unsuccessful to the treatment. The fiber consume showed favorable results in most of constipated patients (>85%). The detection of the influence of the predominant symptoms or in the sum of the symptoms to conclude the treatment was not clear. A parallel investigation of constipation time duration did also not reveal association between this time and the fiber effects. It is possible that the small number of individuals in this study did not allow the discrimination of different symptoms in the results with fiber utilization in FC. Another relevant issue is that it is difficult to separate functional disorder homogeneous subgroups based in clinical, physiopathologic or psychopathologic aspects, corroborating many authors. This difficulty also interferes with a suitable therapeutic intervention.

Orientador: Elizete Aparecida Lomazi da Costa Pinto / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-11T16:13:23Z (GMT). No. of bitstreams: 1 Fernandes_MarliElisaNascimento_M.pdf: 1571742 bytes, checksum: 4b3a46e1eae73a74cb8cde35bb206ed6 (MD5) Previous issue date: 2008 / Resumo: Nas crianças com constipação, garantir a adesão às orientações terapêuticas representa um desafio para o pediatra. Em estudos internacionais sobre tratamento da constipação, a recuperação dos pacientes pediátricos ocorre em tempo menor que o visto em pacientes acompanhados num serviço terciário no Brasil. Foi realizado estudo observacional, com desenho transversal e descritivo, sendo elegíveis todos os pacientes com diagnóstico de constipação intestinal crônica grave, em acompanhamento no ambulatório de Gastroenterologia Pediátrica do Hospital de Clínicas da Universidade Estadual de Campinas (UNICAMP), no período fevereiro de 2004 a fevereiro de 2007. Os responsáveis cuidadores de 75 pacientes foram entrevistados e a resposta ao tratamento, identificada pelos dados anotados pelos médicos nos prontuários, foi estudada com base em presença de associação a variáveis clínicas e sociais. A resposta ao tratamento foi categorizada em abandono, favorável e desfavorável. Em 49% dos pacientes, a resposta ao tratamento foi definida como favorável, 14,7% abandonou o serviço e 36% foram categorizados em resposta desfavorável. Não houve associação significativa da variável resposta ao tratamento da constipação em relação à escolaridade do cuidador, informação prestada pela mãe e/ou responsável à respeito da importância do uso de fibra alimentar; consumo de fibras alimentares pela criança, se apreciava fibras, idade da criança no primeiro atendimento, idade de início da constipação, retardo na eliminação de mecônio e início da constipação quando da introdução de fórmulas artificiais. Relato de seguimento de todas as orientações terapêuticas foi significativamente associado à resposta favorável (p=0,019), assim como a menor média no número de recidivas (p=0,00). Nesse grupo de pacientes, as características clínicas e o número de recidivas estudadas se associaram ao tipo de resposta ao protocolo de tratamento. As condições sociais dos pacientes indicam a necessidade de acompanhamento clínico que identifique e considere possíveis situações de vulnerabilidade social / Abstract: In children with constipation, treatment adherence is a challenge for pediatricians. International studies on constipation therapy report higher success rates than those found in a Brazilian pediatric tertiary care unit. A cross-sectional and descriptive study was conducted in patients followed up in an outpatient clinic of pediatric gastroenterology at Hospital de Clínicas da Universidade Estadual de Campinas (UNICAMP), from February 2004 to February 2007. Parents of 75 patients were interviewed regarding on social and clinical variables. Clinical outcome was defined as successful or unsuccessful according patient¿s charts during follow up. Patient¿s outcome was categorized as successful in 49% of children, 14.7% patients abandoned treatment and 36% were classified as unsuccessful evolution. There was no significant association between patient¿s evolution and following social variables: mothers¿ education level, income by person, patient¿s dietary fiber ingestion, family dietary fiber appreciation, age of constipation first symptoms, constipation duration, delay in meconium elimination, and constipation beginning with artificial formula administration. Reference of adherence to all clinical recommendations (p=0.019) and fewer number of relapse episodes (p<0.000) were associated to successful evolution. In this group of patients, most clinical characteristic the number relapse episodes were associated to clinical outcome; social conditions indicated a vulnerable condition that should be considered in functional constipation management / Mestrado / Saude da Criança e do Adolescente / Mestre em Saude da Criança e do Adolescente

CoordenaÃÃo de AperfeiÃoamento de NÃvel Superior / O objetivo à verificar a aplicabilidade de uma nova tÃcnica, com quantificaÃÃo de valores numÃricos para o diagnÃstico do descenso perineal, utilizando o ultrassom anorretal tri-dimensional dinÃmico (ecodefecografia), comparando com a proctografia evacuatÃria dinÃmica convencional. Secundariamente, foram comparados os achados das demais alteraÃÃes anÃtomo-funcionais do assoalho pÃlvico ocorridas no compartimento posterior (anismus, retocele e intussuscepÃÃo retal) diagnosticadas pela proctografia evacuatÃria dinÃmica e pela ecodefecografia. Foram avaliadas 29 mulheres adultas, com idade mÃdia de 47,7 anos (23-74) e sintomas de evacuaÃÃo obstruÃda, com escore mÃdio de 10 pontos (7-14), segundo o Sistema de ClassificaÃÃo da Cleveland Clinic para constipaÃÃo. Todas as pacientes foram submetidas à proctografia evacuatÃria dinÃmica e à ecodefecografia. Os parÃmetros avaliados, comparativamente, incluÃram a determinaÃÃo, em centÃmetros, dos valores do limite mÃximo de descenso perineal fisiolÃgico e do limite mÃnimo de descenso perineal excessivo, para a padronizaÃÃo de valores numÃricos à ecodefecografia, e a determinaÃÃo das demais alteraÃÃes anÃtomo-funcionais do compartimento posterior do assoalho pÃlvico (anismus, retocele e intussuscepÃÃo retal). à ecodefecografia, a tÃcnica para descenso perineal consistiu em escaneamento com transdutor posicionado na borda proximal do mÃsculo puborretal, por trÃs segundos, seguindo-se o esforÃo evacuatÃrio mÃximo. Com transdutor em posiÃÃo fixa, seguia-se no monitor a visualizaÃÃo da seqÃÃncia automÃtica das imagens, sendo evidenciada a borda proximal do puborretal no repouso atà a identificaÃÃo do puborretal no seu mÃximo deslocamento. 12 pacientes foram diagnosticadas com descenso perineal excessivo à proctografia evacuatÃria dinÃmica. Destas, 10 apresentaram o deslocamento do mÃsculo puborretal, no esforÃo evacuatÃrio mÃximo, maior que 2,5cm, à ecodefecografia. Portanto, estabeleceu-se que a descida do puborretal maior que 2,5cm determina o diagnÃstico de descenso perineal excessivo à ecodefecografia. 17 pacientes foram diagnosticadas sem descenso perineal tanto à proctografia evacuatÃria dinÃmica quanto à ecodefecografia. O Ãndice Kappa de concordÃncia entre os dois exames, para este parÃmetro, foi quase perfeito, de 0,854 (IC95%: 0,494â1,0; p<0,001). A avaliaÃÃo das demais alteraÃÃes anÃtomo-funcionais do compartimento posterior pÃlvico, quando comparados os exames, demonstrou Ãndice Kappa de concordÃncia substancial, de 0,649 (IC95%: 0,286â1,0; p<0,001) para avaliaÃÃo do anismus; Kappa de concordÃncia quase perfeita, de 0,868 (IC95%: 0,508â1,0; p<0,001) para avaliaÃÃo da presenÃa de retocele; Kappa de concordÃncia moderada, de 0,455 (IC95%: 0,174â0,798; p<0,007) para avaliaÃÃo da presenÃa de intussuscepÃÃo retal. Conclui-se que a ecodefecografia demonstrou ser mÃtodo aplicÃvel para avaliar descenso perineal, sendo padronizados tÃcnica e valores para o diagnÃstico de descenso perineal fisiolÃgico e excessivo, e para avaliar as demais disfunÃÃes do assoalho pÃlvico no compartimento posterior. / The main purpose of the study was to describe a novel 3-D dynamic anorectal ultrasonography technique (3-DAUS, or echodefecography) for the assessment of perineal descent and establishment of normal range values compared to dynamic evacuation proctography (DEP). Secondarily, the study compared the ability of the two techniques to identify various pelvic floor dysfunctions, including anismus, rectocele and rectal intussusception. Twenty-nine women aged 47.7 years (range: 23â74) with symptoms of obstructed evacuation were evaluated. The mean Cleveland Clinic Constipation Score was 10 (range: 7â14). All patients were submitted to DEP and 3-DAUS. Based on a comparison with DEP, normal range values (cm) of perineal descent were established for the 3-DAUS technique; anismus, rectocele and intussusceptions were also evaluated. The technique for the assessment of perineal descent at 3-DAUS started with a 3-second scan with the transducer positioned at the proximal border of the puborectal muscle (PR). The patient was then asked to strain maximally. Without displacing the transducer, a series of images were acquired and recorded automatically until the PR returned into view. Twelve patients were diagnosed with excessive perineal descent on DEP. Of these, 10 presented perineal descent >2.5cm during maximal straining on 3-DAUS. Thus, a displacement of the puborectal muscle >2.5cm was considered diagnostic of excessive perineal descent on 3-DAUS. Seventeen patients had no excessive perineal descent with either scanning technique. The Kappa index showed an almost perfect agreement between the techniques for the diagnosis of perineal descent: 0.854 (CI95%: 0,494-1,0; p<0.001). Likewise, agreement between the techniques was substantial for animus (Kappa: 0.649; CI95%: 0,286-1,0; p<0.001), almost perfect for rectocele (Kappa: 0.868; CI95%: 0,508-1,0; p<0.001) and moderate for rectal intussusception (Kappa: 0.455; CI95%: 0,174-0,798; p<0.007). In conclusion, 3-DAUS was shown to be a reliable technique for the assessment of perineal descent and pelvic floor dysfunctions, with findings confirmed by DEP.

Constipação é compreendida como um problema crônico relacionado a uma desordem multifuncional que afeta cerca de 20% da população mundial, sendo mais prevalente em mulheres e em idosos. Objetivos: Verificar a prevalência de constipação intestinal (CI) em idosos residentes no município de São Paulo, os fatores associados a essa condição e a relação dessa com sua qualidade de vida.Métodos: Trata-se de um estudo transversal que utilizou a base de dados do Estudo SABE (Saúde, Bem estar e Envelhecimento) do ano de 2010 com uma amostra probabilística de 1345 idosos ( 60 anos) de ambos os sexos, residentes no município de São Paulo. A regressão logística foi utilizada para identificar os fatores associados à CI. A análise da qualidade de vida se deu através de diferenças de médias das variáveis verificando seu impacto quando relacionada a CI. Scores acima da mediana, foram considerados como uma melhor QV. Resultados e Conclusão: Prevalência de CI em pessoas idosas é de 15,24%. Os fatores associados encontrados foram dor articular, osteoporose, uso de laxantes e opióides e, em mulheres, antidepressivos e diuréticos. Ingestão de embutidos e baixa consumo de líquidos (inferior a 3 copos por dia) também se mostraram risco para CI. Na análise da qualidade de vida, observou-se uma menor QVRS na avaliação do componente físico (CF) para os idosos constipados. Para ambos os sexos a média observada foi de 47,6 sendo nos homens, a média para CI 45,5 e nas mulheres, 43,7. A idade para o CF da QVRS, apresenta maior destaque, observando-se uma piora na QV do CF para os idosos constipados ao longo dos anos (45,2 e 38,2). / Introduction: Constipation is understood as a chronic problem related to a multi-functional disorder that affects about 20% of the world population, being more prevalent in women and in the elderly. Objective: Check the prevalence of constipation in elderly people living in São Paulo, the factors associated with this condition and the relationship of this with their quality of life. Methods: This is a cross-sectional study using the SABE Study database (Health, Wellbeing and Aging) of 2010 with a probabilistic sample of 1345 elderly ( 60 years) living in São Paulo city, both male and female. Logistic regression was used to identify factors associated with IC. The analysis of quality of life was through differences in mean variables checking its impact when related to IC. Scores above the median were considered as a better QOL. Results and Conclusion: IC prevalence in older people is 15.24%. The associated factors were joint pain, osteoporosis, use of laxatives and opioids, and in women, antidepressants and diuretics. Ingestion of embedded and low fluid intake (less than 3 cups per day) also showed risk for IC. In the analysis of quality of life, we observed a lower the HRQoL in evaluating the physical component (CF) for constipated elderly. For both sexes the observed average was 47.6. In men, the average for IC were 45.5 and women 43.7. The age for CF related to HRQoL, is more prominent, observing result in a diminished QOL for the elderly constipated over the years (45.2 and 38.2).