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Prevalence and predictive factors of fecal incontinence

Title
Prevalence and predictive factors of fecal incontinence
Authors
Kang H.-W.Jung H.-K.Kwon K.-J.Song E.-M.Choi J.-Y.Kim S.-E.Shim K.-N.Jung S.-A.
Ewha Authors
정성애정혜경심기남김성은
SCOPUS Author ID
정성애scopus; 정혜경scopus; 심기남scopus; 김성은scopus
Issue Date
2012
Journal Title
Journal of Neurogastroenterology and Motility
ISSN
2093-0879JCR Link
Citation
vol. 18, no. 1, pp. 86 - 93
Indexed
SCIE; SCOPUS; KCI WOS scopus
Abstract
Background/Aims: Most previous epidemiologic studies about fecal incontinence were performed in specific populations in Korea. We aimed to estimate the prevalence and predictive factors of fecal incontinence in adult Korean population, both men and women aged 20 years and over. Methods: Subjects who had undergone medical check-up for health screening were enrolled. They completed the structured questionnaires, including demographics, gastrointestinal symptoms, medical and social histories, and also about their bowel habits. Logistic regression models were constructed to identify the predictive factors for having fecal incontinence. Results: Among the total of 1,149 subjects (mean age, 44.8 ± 10.2 years; 648 males), the overall prevalence of fecal incontinence was 6.4%, while the older group (≤ 50 years old) showed the higher prevalence than the younger group (> 50 years old) (10.4% vs 4.9%, P = 0.001) without gender difference. Most patients had mild fecal incontinence in 78.4%. By multivariate analysis, old ages (Odd ratio [OR], 3.1; 95% confidence interval [CI], 1.9-5.2; P < 0.001), watery stool (OR, 2.8; 95% CI, 1.5-4.9; P = 0.001) and functional diarrhea (OR, 2.7; 95% CI, 1.4-5.4; P = 0.004) were found to be independent predictors for fecal incontinence. Conclusions: The prevalence of fecal incontinence in Korean adults was 6.4%, and it was significantly more prevalent in older people without any gender difference. Aging and diarrhea were independent predictive factors of fecal incontinence. Therefore, proper control of the bowel pattern would lead to the prevention of fecal incontinence. © 2012 The Korean Society of Neurogastroenterology and Motility.
DOI
10.5056/jnm.2012.18.1.86
Appears in Collections:
의과대학 > 의학과 > Journal papers
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