Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
권호 표지

Effect of Prune Supplementation on Dietary Fiber Intake and Constipation Relief

건자두 제품의 보충이 식이섬유 섭취량 및 변비증상에 미치는 영향

  • Han, Young-Hee (Department of Food and Nutrition, Chungbuk National University) ;
  • Yon, Mi-Yong (Department of Food and Nutrition, Chungbuk National University) ;
  • Hyun, Tai-Sun (Department of Food and Nutrition, Chungbuk National University)
  • Published : 2008.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine bowel habits, dietary habits, and nutrient intake of constipated adults, and the effects of prune products on relieving constipation symptoms. Fifty one adults with self-reported constipation (mean age 23 years, range 19-41 years, 10 males and 41 females) participated in this study. After a baseline survey on bowel habits and dietuy habits, participants were asked to consume at least 50 g of prune and 200 ml of prune juice per day during a 4-week period in addition to usual diet. Nutrient intake was estimated by a 24 hour recall at the baseline and once every week by diet records during the intervention. Data were analyzed after classifying the subjects into mild constipation group and severe constipation group by the severity of the symptoms. During the intervention, the subjects with mild constipation consumed 56 g of prunes (about 5.6 fruits) and 200 ml of prune juice, and the subjects with severe constipation consumed 59 g of prunes (about 5.9 fruits) and 207 ml of prune juice. Average intakes of energy, dietary fiber and water of the subjects in the mild constipation and severe constipation group increased during the intervention compared to the baseline. Average dietary fiber intake of the mild constipation and severe constipation groups significantly increased from 12.5 g and 11.6 g at the baseline to 18.5 g and 16.8 g after consuming prune products, respectively. These changes were accompanied by an increase in the number of bowel movements, a decrease of defecation time, a change to a softer stool consistency, and a decrease of abdominal pain during defecation. Seventy two subjects answered that prune products were effective to improve their overall constipation symptoms. Our data show that supplementation of prune products is effective to provide energy, dietary fiber and water, and to relieve constipation symptoms for constipated adults.

Keywords

References

  1. American Dietetic Association (2002): Position of the American Dietetic Association: Health implications of dietary fiber. J Am Diet Assoc 102(7): 993-1000 https://doi.org/10.1016/S0002-8223(02)90228-2
  2. Choi MG (2005): Diagnosis guideline of constipation. Kor J Neurogastroenterol Motil 11(3): 44-50
  3. Hyun TH, Tamura T (2005): Trienzyme extraction in combination with microbiological assy in food folate analysis: an updated review. Exp Biol Med 230(7): 444-454 https://doi.org/10.1177/153537020523000702
  4. Jun DW, Park HY, Lee OY, Lee HL, Yoon BC, Choi HS, Hahm JS, Lee MH, Lee DH, Kee CS.(2006): A population-based study on bowel habits in a Korean community: prevalence of functional constipation and self-reported constipation. Dig Dis Sci 51(8): 1471-1477 https://doi.org/10.1007/s10620-006-9087-3
  5. Kang YJ, Kim HS (2008): Dietary behavior and dietary fiber intake of high school girls in Chungbuk area. Korean J Food Cookery Sci 24(1): 121-131
  6. Kim JY, Kim OY, Yoo HJ, Kim TI, Kim WH, Yoon YD, Lee JH (2006): Effects of fiber supplements on functional constipation. Korean J Nutr 39(1): 35-43
  7. Kim TI, Park SJ, Choi CH, Lee SK, Kim WH (2004): Effect of ear mushroom (auricularia) on functional constipation. Korean J Gastroenterol 44(1): 34-41
  8. Korea Health Industry Development Institute (2005): Development of Nutrient Database - 5. Dietary Fiber Composition of Foods -
  9. Korean Nutrition Society (2000): Recommended Dietary Allowances for Koreans, 7th revision, Seoul
  10. Korean Nutrition Society (2005): Dietary Reference Intakes for Koreans, 8th revision, Seoul
  11. Kye SH, Ha MJ, Lee HS, Yun JS, Kim CI (1997): Study on food intake and food consumption pattern of adults as a part of total diet study. Korean J Nutr 30(1): 61-74
  12. Labavitch JM, Rae HL, Sessoms D (1986): Dietary fiber of prunes. California Prune Board Annual Report, pp. 59-62, Pleasanton, CA
  13. Lee BH, Cho KD (2005): Effects of herb and fiber-rich dietary supplement on body weight, body fat, blood lipid fractions and bowel habits in collegians. J Korean Soc Food Sci Nutr 34(5): 644-651 https://doi.org/10.3746/jkfn.2005.34.5.644
  14. Lee HJ, Kim YA, Lee HS (2006): Annual changes in the estimated dietary fiber intake of Korean during 1991-2001. Korean J Nutr 39(6): 549-559
  15. Lee JH, O JH (2005): A study on the defecation pattern and lifestyle factors of female high school and college students in Gyeonggi province. Korean J Community Nutr 10(1): 36-45
  16. Lee SR, Kim WY, Choi SS, Sung CJ, Oh MS, Kim DJ (1996): Clinical studies on the effect of yogurt toward the constipation of female college students in Korea. Korean J Nutr 29(6): 634- 641
  17. Ly SY, Shin JR, Lim SH (2003): Effect of drinking fermented milk on the improvement of defecation in constipated female students. Korean Living Science Assoc 12(2): 265-273
  18. Maffia AJ (1955): Treatment of functional constipation with prunemalt. Arch Pediatr 72(10): 341-346
  19. Ministry of Health & Welfare (1999): Report on 1998 Korea Health and Nutrition Examination Survey
  20. Na HJ, Kim YN (2000): The prevalence of constipation and dietary fiber intake of 3rd grade high school girls - Kangnung and Seoul Regions -. Korean J Nutr 33(6): 675-683
  21. Rhee JC (2001): Diagnosis and Treatment of Constipation. Korean J Med 61(2): S598-S612
  22. Rhim YT, Kang SY, Kim JD, Kim SS, Kim JW, Lee CY, Kim JM (2004): Effects of functional food including dietary fiber supplementation on body composition concerning obesity and defecation satisfaction of women. Korea Sport Research 15(1): 903-910
  23. Shin JR, Ly SY (2003): Dietary habits and factor related to lifestyle in constipated female students. Korean J Community Nutr 8(5): 675-688
  24. Sung IK (2008): Classification and treatment of constipation. Korean J Gastroenterol 51(1): 4-10
  25. Sung IK, Rhee PL, Jeon SK, Shim SG, Son HJ, Kim JJ, Koh KC, Paik SW, Rhee JC, Choi KW, Lim HK (2000): Effect of total dietary fiber on bowel habit and bowel transit in healthy subjects. Korean J Gastroenterol 35(1): 39-45 https://doi.org/10.1007/PL00009974
  26. Stacewicz-Sapuntzakis M, Bowen PE, Hussain EA, Damayanti-Wood BI, Farnsworth NR (2001): Chemical composition and potential health effects of prunes: a functional food? Crit Rev Food Sci Nutr 41(4): 251-86 https://doi.org/10.1080/20014091091814
  27. Stern FH (1966): Constipation - an omnipresent symptom: effect of a preparation containing prune concentrate and cascarin. J Am Geriatr Soc 14(11): 1153-1155 https://doi.org/10.1111/j.1532-5415.1966.tb02869.x
  28. Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Muller-Lissner SA (1999): Functional bowel disorders and functional abdominal pain. Gut 45 Suppl 2: II43-47
  29. Tinker LF, Schneeman BO, Davis PA, Gallaher DD, Waggoner CR (1991): Consumption of prunes as a source of dietary fiber in men with mild hypercholesterolemia. Am J Clin Nutr 53(5): 1259-1265 https://doi.org/10.1093/ajcn/53.5.1259
  30. USDA (2005): Composition of foods, raw, processed, prepared. USDA National Nutrient Database for Standard Reference, Release 18 (http://www.nal.usda.gov/fnic/foodcomp/Data/SR18/sr18.html)
  31. Yang S, Yu SJ (1996): Effect of dietary fiber supplement on antidepressant induced constipation in depressed inpatients. J Korean Acad Psych Mental Health Nurs 5(1): 13-26
  32. Yon M, Hyun T (2005): Additional data for the folate database for foods common in Korea. Korean J Nutr 38(7): 586-604