Faculty of Medicine, Federal University of São Carlos, Rodovia Washington Luís, km 235, São Carlos, São Paulo, CEP - 13.565-905, Brazil.
Section of Urogynecology and Pelvic Surgery, Department of Gynecology, Federal University of São Paulo, São Paulo, Brazil.
Int Urogynecol J. 2022 Nov;33(11):2993-3004. doi: 10.1007/s00192-021-04914-8. Epub 2022 Jan 11.
This study aimed to estimate the incidence of fecal incontinence (FI) and identify risk factors in a cohort of older individuals.
In 2006, individuals aged ≥ 60 years were selected from the SABE study. The dependent variable was FI in 2010. FI was assessed using the question: "In the last 12 months, have you ever lost control of bowel movements or stools?" Incidence was measured in units of per 1000 person-years. Multivariate analysis was used to assess risk factors for FI.
This study was the first to examine the incidence of FI in older Brazilian individuals. In total, 1413 individuals were included; mean age was 74.5 years, and 864 (61.8%) participants were women. FI prevalence rates were 4.7% for men and 7.3% for women. Incidence rate of FI was 16.3 and 22.2 per 1000 person-years for men and women, respectively. The risk of FI was greater among women aged ≥ 75 years, with severe symptoms of depression, cancer (other than skin) and chronic obstructive pulmonary disease (COPD). In men, the risk of FI was greater among those with poor literacy (up to 3 years of schooling), an Instrumental Activities of Daily Living (IADL) category of 1-4 and those who self-reported "bad/very bad" health status.
The FI incidence rate was high. The identified risk factors were age ≥ 75 years, with severe symptoms of depression, cancer and COPD (women); having up to 8 years of schooling; IADL category of 1-4 and self-reported health status (men).
本研究旨在评估一个老年人群队列中粪便失禁（FI）的发生率，并确定其相关风险因素。
2006 年，从 SABE 研究中选择了年龄≥60 岁的个体。2010 年的依赖变量为 FI。通过以下问题评估 FI：“在过去 12 个月中，您是否曾经失去过对大便或粪便的控制？”发生率以每 1000 人年的单位进行测量。采用多变量分析评估 FI 的风险因素。
这是第一项研究巴西老年个体 FI 发生率的研究。共纳入 1413 名个体；平均年龄为 74.5 岁，864 名（61.8%）参与者为女性。男性和女性的 FI 患病率分别为 4.7%和 7.3%。FI 的发病率分别为男性和女性每 1000 人年 16.3 和 22.2。≥75 岁的女性、有严重抑郁症状、癌症（非皮肤癌）和慢性阻塞性肺疾病（COPD）的女性发生 FI 的风险更高。在男性中，文化程度较低（接受过 3 年以下教育）、日常生活活动（IADL）类别为 1-4 级以及自我报告健康状况“差/非常差”的男性发生 FI 的风险更高。
FI 的发病率较高。确定的风险因素包括年龄≥75 岁、有严重抑郁症状、癌症和 COPD（女性）；接受过 8 年以下教育；IADL 类别为 1-4 级以及自我报告健康状况（男性）。
