Global Prevalence of Fecal Incontinence in Community-Dwelling Adults: A Systematic Review and Meta-analysis

Mack, Isabelle; Hahn, Heiko; Gödel, Celina; Enck, Paul; Bharucha, Adil E.

doi:10.1016/j.cgh.2023.09.004

Cited by 16 publications

(2 citation statements)

References 106 publications

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“…The worldwide prevalence of fecal incontinence has been estimated to be 8%, and, specifically in Europe, 6.5%. It is more frequent in women than in men (9.1% vs. 7.4%, OR: 1.17, p < 0.001) and in older than in younger people (9.3% vs. 4.9% in people aged ≥60 years and <60 years, OR:1.75, p < 0.001) [ 9 ]. There are no definite data concerning the prevalence of fecal incontinence in Spain, as acknowledged by the Spanish Coloproctological Society [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life and Psychosocial Variables in Women with Colorectal Pelvic Floor Dysfunction: A Cross-Sectional Study

Molina-Barea,

Slim,

Calandre

2024

Healthcare

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Pelvic floor dysfunction comprises various disorders, including urinary incontinence, fecal incontinence, pelvic organ prolapse, and chronic pelvic pain. This study aimed to evaluate health-related quality of life (HRQoL), anxiety, depression, sleep disturbance, and sexual functioning in women with pelvic floor dysfunction of colorectal etiology compared with control women. Patients were recruited from a specialized colorectal unit and controls were selected from among the patients’ friends and relatives. Sociodemographic and clinical data were collected. Pelvic floor dysfunction distress and impact, HRQoL, depression, anxiety, insomnia, and sexual functioning were assessed using the following validated questionnaires: Short-Form Pelvic Floor Distress Inventory (PFDI-20), Short Form Pelvic Floor Impact Questionnaire (PFIQ-7), 36-Item Short-Form Health Survey (SF-36), Beck Depression Inventory II (BDI-II), Beck Anxiety Inventory (BAI), Insomnia Severity Index (ISI), and Changes in Sexual Functioning Scale (CSFQ). Statistical analyses included Welch’s t-test, Fisher’s exact test, and Spearman’s correlation coefficients. Eighty-four patients and 57 controls were included. Compared with controls, patients were more likely to be obese or overweight, have had higher numbers of deliveries, more vaginal deliveries, more frequent use of forceps, and have had more associated comorbidities, mainly in the urinary, neurological, and psychiatric domains. As expected, patients scored significantly higher than controls on both the PFDI-20 and PFIQ-7 and their respective sub-scales, with the highest mean values in the patient group on the sub-scales related to the colorectal–anal domain. QoL, depression, anxiety, insomnia, and sexual functioning were significantly worse in patients than in controls (p < 0.0001 in every case). In patients, PFIQ-7 scores correlated significantly with HRQoL (p < 0.001 for the physical component and p < 0.01 for the mental component), depression (p < 0.001), anxiety (p < 0.001), insomnia (p < 0.05), and sexual functioning scores (p < 0.05). Colorectal pelvic floor dysfunction had a markedly deleterious impact on the HRQoL, depression, anxiety, sleep disturbance, and sexual functioning of patients. It is concluded that colorectal pelvic floor dysfunction exerts a considerable burden on patients’ lives. Addressing these issues in clinical settings could significantly improve patients’ well-being.

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Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life and Psychosocial Variables in Women with Colorectal Pelvic Floor Dysfunction: A Cross-Sectional Study

Molina-Barea,

Slim,

Calandre

2024

Healthcare

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“…Fecal incontinence (FI) is a very common gastrointestinal disorder, manifesting as symptoms like involuntary or uncontrollable bowel movements. Epidemiological research indicates that FI occurs in ~1 in 12 (8.3%) people worldwide, with higher prevalence in older (9.3%) and female (9.1%) populations ( 1 ). In addition to severely impairing quality of life ( 2 ), it's pertinent to highlight that FI has been identified as a contributor to cancers such as gastrointestinal tumor and lymphoma, depression, and sarcopenia ( 3 – 5 ).…”

Section: Introductionmentioning

confidence: 99%

Association between dietary inflammatory index and fecal incontinence in American adults: a cross-sectional study from NHANES 2005–2010

Li,

Chen,

Huang

et al. 2024

Front. Nutr.

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ObjectiveRecent studies have demonstrated that the Dietary Inflammatory Index (DII) is relevant to abnormal gut health. However, there is a lack of studies that have explicitly explored the link between fecal incontinence (FI) and DII. The current study aims to explore the relationship between DII and FI.MethodsThe cross-sectional study enrolled a total of 11,747 participants aged 20–85 from NHANES 2005–2010. Weighted logistic regression was conducted to evaluate the relationship between DII and FI, and restricted cubic spline (RCS) was employed to assess the dose-response relationship between DII and FI. Subgroup analyses were performed according to age, gender, race, and BMI.ResultDII levels were found to be significantly higher in patients with FI than in the normal population (p = 0.016). After adjusting for all covariates, DII was found to be significantly correlated with FI (model 2: Q4 vs. Q1, OR = 1.49, 95% CI: 1.04–2.14, p = 0.032, p for trend = 0.039). The dose-response curve revealed that there was no non-linear correlation between DII and FI (p-non-linear = 0.234). Subsequent subgroup analyses uncovered that DII was notably associated with FI in the old (Q4 vs. Q1, OR = 1.84, 95% CI: 1.07–3.18, p = 0.030), female (Q4 vs. Q1: OR = 2.02, 95% CI: 1.23–3.33, p = 0.008), non-Hispanic white (Q4 vs. Q1: OR = 1.70, 95% CI: 1.12–2.59, p = 0.015) populations.ConclusionDII was positively associated with FI, particularly among old, female and non-Hispanic white individuals. Decreasing daily dietary inflammatory levels may be an effective tactic to prevent FI, but the precise mechanisms need to be further investigated.

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Is magnetic anal sphincter augmentation still an option in fecal incontinence treatment: a systematic review and meta-analysis

Liapis,

Perivoliotis,

Moula

et al. 2024

Langenbecks Arch Surg

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Global Prevalence of Fecal Incontinence in Community-Dwelling Adults: A Systematic Review and Meta-analysis

Cited by 16 publications

References 106 publications

Health-Related Quality of Life and Psychosocial Variables in Women with Colorectal Pelvic Floor Dysfunction: A Cross-Sectional Study

Health-Related Quality of Life and Psychosocial Variables in Women with Colorectal Pelvic Floor Dysfunction: A Cross-Sectional Study

Association between dietary inflammatory index and fecal incontinence in American adults: a cross-sectional study from NHANES 2005–2010

Is magnetic anal sphincter augmentation still an option in fecal incontinence treatment: a systematic review and meta-analysis

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