Evidence map›Paper›PMID 41373072›Full record

Observational studyNutrition & dietetics : the journal of the Dietitians Association of Australia2026

Laxative use and chronic diarrhoea in older adults living in residential care.

Leigh O'Brien, Catherine Wall, Tim J Wilkinson, Chris Frampton, Richard B Gearry

Abstract readObservational Study
In one paragraph

Observational study in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Placement poverty: Why it matters to all dietitians.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Leigh O'BrienDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Catherine WallDepartment of Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-1160-3865
Tim J WilkinsonDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Chris FramptonDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Richard B GearryDepartment of Medicine, University of Otago, Christchurch, New Zealand.ORCID https://orcid.org/0000-0002-2298-5141

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsChronic diarrhoea in older adults in residential care is underreported. This study examined its prevalence, contributing factors, and impacts on the quality of life of older adults living in care throughout New Zealand.

methodsThis study had two components: (1) a retrospective observational study of resident clinical, medication, bowel chart and health care data from 36 residential care facilities electronically entered by nursing or care staff, and (2) an observational study in six facilities where residents completed validated gastrointestinal and quality of life questionnaires. Residents were categorised by bowel pattern (normal, constipation, and diarrhoea) using Rome IV criteria. Chi-square tests compared bowel patterns with quality of life outcomes. Associations between bowel symptom reporting in parts one and two were assessed using contingency tables.

resultsThe retrospective data of 2411 residents revealed that 26% (618/2411) experienced chronic diarrhoea, most of whom were taking laxatives (402/618), presumably for constipation. The prevalence of chronic diarrhoea in non-laxative users was 8.8% (214/2411). Proportions were similar in part two: 21% (23/110) of residents experienced chronic diarrhoea, half of whom were also charted laxatives (12/23). Chronic diarrhoea was negatively associated with quality of life (p < 0.001) and associated with an increased risk of pressure injuries (n = 80, 12.9%) compared to having normal bowel motions (n = 20, 7%) (p < 0.001).

conclusionsChronic diarrhoea commonly affects older adults living in residential care, with laxative use appearing a significant contributor. Living with chronic diarrhoea can negatively impact quality of life and may be associated with an increased risk of pressure injury.

Indexed as

ConstipationDiarrheaHomes for the AgedLaxativesNursing Home ResidentsAgedAged, 80 and overChronic DiseaseFemaleHumansMaleNew ZealandNursing HomesPrevalenceQuality of LifeRetrospective StudiesLaxativesaged carebowel functiongeriatric carehomes for the agednursing homes

Identifiers

PMID41373072
PMCPMC13575696

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.