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The prevalence of fecal incontinence and associated risk factors in older adults participating in the SABE study
Author(s) -
Tamanini José Tadeu Nunes,
de Jesus Felipe Alves,
Castro Rodrigo Aquino,
Ferreira Sartori Marair Gracio,
Castello Girão Manoel João Batista,
dos Santos Jair Lício Ferreita,
de Oliveira Duarte Yeda Aparecida,
Lebrão Maria Lúcia
Publication year - 2016
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.22836
Subject(s) - medicine , polypharmacy , depression (economics) , logistic regression , urinary incontinence , demographics , gerontology , risk factor , demography , surgery , sociology , economics , macroeconomics
Aims To assess the prevalence of fecal incontinence (FI) and associated factors in older adults. Methods The 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. Results The 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. Conclusions The 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 . © 2015 Wiley Periodicals, Inc.