Division of Gastroenterology, Michigan Medicine, Ann Arbor, Michigan; Division of Gastroenterology, Department of Internal Medicine, Ann Arbor Veterans Affairs Medical Center, Ann Arbor, Michigan.
Cedars-Sinai Center for Outcomes Research and Education (CS-CORE), Los Angeles, California; Division of Digestive and Liver Diseases, Cedars-Sinai Medical Center, Los Angeles, California; Division of Health Services Research, Cedars-Sinai Medical Center, Los Angeles, California; Division of Informatics, Cedars-Sinai Medical Center, Los Angeles, California.
Gastroenterology. 2018 May;154(6):1672-1681.e3. doi: 10.1053/j.gastro.2018.01.062. Epub 2018 Feb 3.
BACKGROUND & AIMS: Fecal incontinence (FI) is characterized by uncontrolled passage of solid or liquid stool. We aimed to determine the prevalence and severity of FI in a large sample of US residents.
We recruited a representative sample of patients in October 2015 to complete the National Gastrointestinal (GI) Survey; a mobile app called MyGiHealth was used to systematically collect data on GI symptoms. FI was defined as accidental leakage of solid or liquid stool. Severity of FI was determined by responses to the National Institutes of Health FI Patient Reported Outcomes Measurement Information System questionnaire. Multivariable regression models were used to identify factors associated with FI prevalence and severity.
Among 71,812 individuals who completed the National GI Survey, 14.4% reported FI in the past; of these, 33.3% had FI within the past 7 days. Older age, male sex, and Hispanic ethnicity increased the likelihood of having FI within the past week. Individuals with Crohn's disease, ulcerative colitis, celiac disease, irritable bowel syndrome, or diabetes were more likely to report FI. Non-Hispanic black and Hispanic individuals and individuals with Crohn's disease, celiac disease, diabetes, human immunodeficiency virus/acquired immunodeficiency syndrome, or chronic idiopathic constipation had more severe symptoms of FI than individuals without these features.
In a large population-based survey, 1 in 7 people reported previous FI. FI is age-related and more prevalent among individuals with inflammatory bowel disease, celiac disease, irritable bowel syndrome, or diabetes than people without these disorders. Proactive screening for FI among these groups is warranted.
粪便失禁（FI）的特征是无法控制的固体或液体粪便排出。我们旨在确定美国居民中大量人群 FI 的流行率和严重程度。
我们于 2015 年 10 月招募了具有代表性的患者样本，以完成国家胃肠道（GI）调查；使用名为“MyGiHealth”的移动应用程序系统地收集胃肠道症状数据。FI 定义为固体或液体粪便意外泄漏。FI 的严重程度通过对美国国立卫生研究院 FI 患者报告的结果测量信息系统问卷的回答来确定。使用多变量回归模型来确定与 FI 流行率和严重程度相关的因素。
在完成国家 GI 调查的 71812 人中，有 14.4%报告过去有 FI；其中，33.3%在过去 7 天内有 FI。年龄较大、男性和西班牙裔增加了过去一周内患有 FI 的可能性。患有克罗恩病、溃疡性结肠炎、乳糜泻、肠易激综合征或糖尿病的个体更有可能报告 FI。非西班牙裔黑人和西班牙裔个体以及患有克罗恩病、乳糜泻、糖尿病、人类免疫缺陷病毒/获得性免疫缺陷综合征或慢性特发性便秘的个体比没有这些特征的个体更易出现严重的 FI 症状。
在一项大型基于人群的调查中，1/7 的人报告了先前的 FI。FI 与年龄相关，在患有炎症性肠病、乳糜泻、肠易激综合征或糖尿病的个体中比没有这些疾病的个体更为普遍。需要对这些人群进行 FI 的主动筛查。
