Is Fluid Intake Associated With Fecal Incontinence in Women?
Is Fluid Intake Associated With Fecal Incontinence in Women?
复制标题
液体摄入量与女性大便失禁有关吗？
DOI：
10.1097/spv.0000000000000835
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发表时间：
2020
影响因子：
1.6
通讯作者：
Andy,UduakU
中科院分区：
文献类型：
--
作者：
Halani,PriyankaKadam;Harvie,HeidiS;Arya,LilyA;Andy,UduakU
本研究的主要目的是确定在寻求治疗盆底疾病的妇女中，大便失禁(FI)是否与自我报告的液体摄入有关。第二个目的是确定肠道症状和与FI相关的液体之间的关系。方法我们对2009-2015年间因盆底疾病而就诊的妇女进行了一项回顾性横断面研究。FI的存在被定义为对这个问题的任何频率的肯定反应，“在过去的4周里，你多久一次漏尿或用大便弄脏自己？”液体摄入量和肠道症状的数据分别使用基于问卷的排尿日记和结直肠-肛门窘迫问卷简表收集。分析FI与液体摄入量的四分位数之间的关系，以及肠道症状与FI相关液体之间的关系。结果924名女性中有379人(41%)有FI，545人(59%)没有FI。FI与增加总碳酸液体摄入量(P=0.009)和减少水摄入量(P=0.009)有关。在控制了患者特征后，FI和碳酸液体摄入量以及FI和水摄入量之间的相关性仍然显著(P<；0.05)。大便乏力症状与碳酸饮料摄入量有显著相关性(P=0.046)，在控制患者特征后仍显著(P<；0.001)。结论女性碳酸饮料消费与FI有关。摄入碳酸液体与肠道症状有关，这可能会加剧FI症状。
ObjectiveThe primary aim of this study was to determine if fecal incontinence (FI) is associated with self-reported fluid intake in women seeking care for pelvic floor disorders. The secondary aim was to determine the association between bowel symptoms and fluids associated with FI.MethodsWe conducted a retrospective cross-sectional study of women presenting for evaluation of pelvic floor disorders from 2009 to 2015. The presence of FI was defined as an affirmative response of any frequency to the question,“During the last 4 weeks, how often have you leaked or soiled yourself with stool?” Data on fluid intake and bowel symptoms were collected using the Questionnaire-based Voiding Diary and Colorectal-Anal Distress Inventory short form, respectively. The relationship between FI and quartiles of fluid intake, as well as the relationship between bowel symptoms and fluids associated with FI, was analyzed.ResultsNine hundred twenty-four women were included: 379 (41%) with and 545 (59%) without FI. There was an association between FI and increasing total carbonated fluid intake (P= 0.009) and decreasing water intake (P= 0.009). The associations between FI and carbonated fluid intake and FI and water intake remained significant after controlling for patient characteristics (P< 0.05). There was a significant association between the symptom of straining to defecate and carbonated beverage intake (P= 0.046), which remained significant after controlling for patient characteristics (P< 0.001).ConclusionsConsumption of carbonated beverages is associated with FI in women. Intake of carbonated fluids is associated with bowel symptoms that may exacerbate FI symptoms.