Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea.
J Neurogastroenterol Motil. 2012 Jan;18(1):86-93. doi: 10.5056/jnm.2012.18.1.86. Epub 2012 Jan 16.
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.
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.
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.
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.
背景/目的：大多数关于粪便失禁的先前流行病学研究是在韩国的特定人群中进行的。我们旨在评估成年韩国人口（年龄在 20 岁及以上的男性和女性）中粪便失禁的患病率和预测因素。
招募接受健康筛查体检的受试者。他们完成了结构化问卷，包括人口统计学、胃肠道症状、医疗和社会史，以及他们的排便习惯。构建逻辑回归模型以确定具有粪便失禁的预测因素。
在总共 1149 名受试者（平均年龄 44.8±10.2 岁；648 名男性）中，粪便失禁的总体患病率为 6.4%，而年龄较大（>50 岁）组的患病率高于年龄较小（≤50 岁）组（10.4%对 4.9%，P=0.001），且无性别差异。大多数患者为轻度粪便失禁（78.4%）。多变量分析显示，年龄较大（优势比[OR]，3.1；95%置信区间[CI]，1.9-5.2；P<0.001）、水样便（OR，2.8；95%CI，1.5-4.9；P=0.001）和功能性腹泻（OR，2.7；95%CI，1.4-5.4；P=0.004）是粪便失禁的独立预测因素。
韩国成年人粪便失禁的患病率为 6.4%，且在年龄较大的人群中无明显性别差异。年龄增长和腹泻是粪便失禁的独立预测因素。因此，适当控制排便模式可预防粪便失禁。
