The prevalence of fecal incontinence and associated risk factors in older adults participating in the SABE study

The prevalence of fecal incontinence and associated risk factors in older adults participating in the SABE study

Author Nunes Tamanini, Jose Tadeu Google Scholar
de Jesus, Felipe Alves Google Scholar
Castro, Rodrigo Aquino Autor UNIFESP Google Scholar
Sartori, Marair Gracio Ferreira Autor UNIFESP Google Scholar
Girão, Manoel João Batista Castello Autor UNIFESP Google Scholar
Ferreita dos Santos, Jair Licio Google Scholar
de Oliveira Duarte, Yeda Aparecida Google Scholar
Lebrao, Maria Lucia Google Scholar
Abstract AimsTo assess the prevalence of fecal incontinence (FI) and associated factors in older adults. MethodsThe prevalence and factors associated with FI in older adults were studied by means the SABE study (Health, Well-being, and Aging). A group of 1,345 subjects were interviewed during the third wave of the SABE study performed in Sao Paulo, in 2010. The study included 64.3% females

the mean age of the participants was 70.4 years. The dependent variable was the positive answer for the question In the last 12 months, have you ever lost control of bowel movements or stools?. Descriptive analysis and hierarchical logistic regression were performed. The independent variables were as follows: (a) demographics: gender, age and (b) clinical characteristics: self-reported chronic diseases, presence of cognitive and/or functional decline, depression and urinary incontinence symptoms, and nutritional status. ResultsThe overall prevalence of FI was 11,7%, being 8.3% and 13.2% for males and females respectively. Among male subjects, the presence of malnutrition was associated with FI and thus presented a high relative risk index for its occurrence. Among female subjects, age group 70-74 years and some self-reported diseases or conditions such as mild depression, heart disease, urinary incontinence, and polypharmacy were associated with FI. For the first time in literature, polypharmacy appeared as an associated factor for FI for female older adults. ConclusionsThe prevalence of FI in older adults was 11.7% and was mainly associated with advanced age and presence of heart disease, symptoms of depression, polypharmacy and urinary incontinence and malnutrition. Neurourol. Urodynam. 35:959-964, 2016. (c) 2015 Wiley Periodicals, Inc.
Keywords epidemiology
fecal incontinence
health survey
older adults
polypharmacy
prevalence study
well-being and ageing (SABE study)
xmlui.dri2xhtml.METS-1.0.item-coverage Hoboken
Language English
Date 2016
Published in Neurourology And Urodynamics. Hoboken, v. 35, n. 8, p. 959-964, 2016.
ISSN 0733-2467 (Sherpa/Romeo, impact factor)
Publisher Wiley
Extent 959-964
Origin http://dx.doi.org/10.1002/nau.22836
Access rights Closed access
Type Article
Web of Science ID WOS:000385842000017
URI https://repositorio.unifesp.br/handle/11600/56867

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