Onset and Risk Factors for Fecal Incontinence in a US Community
- 1 February 2010
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in American Journal of Gastroenterology
- Vol. 105 (2), 412-419
- https://doi.org/10.1038/ajg.2009.594
Abstract
Aged ≥50 years was surveyed in 1993, using a validated questionnaire. Responders were recontacted in 2003. FI was defined as self-reported problems with leakage of stool. Onset rate was calculated as the proportion of subjects without FI who became new cases. Logistic regression models were constructed to identify predictive factors for developing FI and changes in bowel habit associated with the onset of FI. RESULTS: Overall, 1,540 (64%) subjects responded to the initial survey, and 674 (44%) of them responded to the second survey a median of 9 (8.8–9.5) years later. The prevalence of FI in the first survey was 15.3% (13.4–17.3%). In the second survey, 37 reported incident FI; thus, the onset rate of FI was 7.0% (5.0–9.6) per 10 years. Predictive factors at baseline for the onset of FI were self-reported diarrhea (odds ratio (OR)=3.8 (1.5, 9.4)), incomplete evacuation (OR=3.4 (1.2, 9.8)), and pelvic radiation (OR=5.1 (1.01, 25.9)). Development of urgency was the primary predictor among the set of predictors reflecting changes in bowel symptoms that were associated with the onset of FI (OR=24.9 (10.6, 58.4)). CONCLUSIONS: The onset rate of FI is approximately 7% per 10 years in community subjects aged ≥50 years. Prevention may be possible if bowel habit is appropriately managed in high-risk individuals....Keywords
This publication has 55 references indexed in Scilit:
- Fecal Incontinence in US Adults: Epidemiology and Risk FactorsGastroenterology, 2009
- Prevalence of Symptomatic Pelvic Floor Disorders in US WomenJAMA, 2008
- Mode of Delivery and Fecal Incontinence at MidlifeObstetrics & Gynecology, 2007
- Incidence of Fecal Incontinence After ChildbirthObstetrics & Gynecology, 2007
- Fecal Incontinence in Females Older Than Aged 40 Years: Who is at Risk?Diseases of the Colon & Rectum, 2006
- Long–term assessment of fecal incontinence after lateral internal sphincterotomyTechniques in Coloproctology, 2005
- Sphincter rupture and anal incontinence after first vaginal deliveryActa Obstetricia et Gynecologica Scandinavica, 2004
- A new questionnaire for constipation and faecal incontinenceAlimentary Pharmacology & Therapeutics, 2004
- Prevalence of urinary and fecal incontinence and symptoms of genital prolapse in womenActa Obstetricia et Gynecologica Scandinavica, 2003
- U. S. Householder survey of functional gastrointestinal disordersDigestive Diseases and Sciences, 1993