Fecal incontinence in US adults: epidemiology and risk factors.
Fecal incontinence in US adults: epidemiology and risk factors.
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DOI：
10.1053/j.gastro.2009.04.054
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发表时间：
2009-08
期刊：
影响因子：
29.4
通讯作者：
Pelvic Floor Disorders Network
中科院分区：
文献类型：
--
作者：
Whitehead WE;Borrud L;Goode PS;Meikle S;Mueller ER;Tuteja A;Weidner A;Weinstein M;Ye W;Pelvic Floor Disorders Network
该研究的目的是估计不同类型和频率的大便失禁 (FI) 的患病率、描述人口因素并确定风险因素。国家健康和营养检查调查 (NHANES) 评估非机构化美国平民的健康状况。 2005-2006 年，经过验证的大便失禁严重程度指数被添加到 NHANES 中。参与者包括 2,229 名女性和 2,079 名男性，年龄均在 20 岁或以上。 FI 的定义是上个月至少发生一次固体、液体或粘液意外泄漏。使用抽样权重来获得全国人口的患病率估计值。多变量逻辑回归确定了独立的危险因素。非机构化美国成年人中 FI 的估计患病率为 8.3% (CI 7.1, 9.5)，其中液体粪便占 6.2%，固体粪便占 1.6%，粘液粪便占 3.1%。 2.7% 的人至少每周都会发生这种情况。女性 (8.9%) 和男性 (7.7%) 的患病率相似，并且随着年龄的增长而增加，从 20-29 岁参与者的 2.6% 上升到 70 岁及以上参与者的 15.3%。调整年龄后，FI 与种族/民族、教育程度、收入或婚姻状况没有显着相关。女性的独立危险因素包括年龄增长、稀便或水样便、每周大便次数超过 21 次、多种慢性疾病和尿失禁。男性的独立危险因素包括年龄、稀便或水样便、自评健康状况不佳以及尿失禁。 FI 是一种流行的、与年龄相关的疾病。慢性腹泻是一个很强的可改变的危险因素，可以构成预防和治疗的基础。
The study aims were to estimate the prevalence of different types and frequencies of fecal incontinence (FI), describe demographic factors, and identify risk factors. The National Health and Nutrition Examination Survey (NHANES) assesses health status in the civilian non-institutionalized U.S. population. The validated Fecal Incontinence Severity Index was added to NHANES in 2005-2006. Participants were 2,229 women and 2,079 men aged 20 or older. FI was defined as accidental leakage of solid, liquid or mucus at least once in the preceding month. Sampling weights were used to obtain prevalence estimates for the national population. Multivariate logistic regression identified independent risk factors. The estimated prevalence of FI in non-institutionalized U.S. adults is 8.3% (CI 7.1, 9.5) and consists of liquid stool in 6.2%, solid stool in 1.6%, and mucus in 3.1%. It occurs at least weekly in 2.7%. Prevalence is similar in women (8.9%) and men (7.7%), and increases with age from 2.6% in 20-29 year-olds up to 15.3% in participants aged 70 and over. FI is not significantly associated with race/ethnicity, education, income, or marital status after adjusting for age. Independent risk factors in women are advancing age, loose or watery stools, more than 21 stools per week, multiple chronic illnesses, and urinary incontinence. Independent risk factors in men are age, loose or watery stools, poor self-rated health, and urinary incontinence. FI is a prevalent, age-related disorder. Chronic diarrhea is a strong modifiable risk factor which may form the basis for prevention and treatment.
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