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.

Methods

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.

Results

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.

Conclusions

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.

中文翻译：

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粪便失禁的患病率和相关因素：基于人群的调查结果。

背景与目标

粪便失禁（FI）的特征是无法控制的固体或液体粪便通过。我们旨在确定大量美国居民中FI的患病率和严重程度。

方法

我们于2015年10月招募了代表性的患者样本，以完成美国国家胃肠道（GI）调查；一个名为MyGiHealth的移动应用程序被用来系统地收集有关GI症状的数据。FI被定义为固体或液体粪便的意外泄漏。FI的严重程度由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答复确定。多变量回归模型用于确定与FI患病率和严重程度相关的因素。

结果

在完成国家地理调查的71,812个人中，有14.4％的人过去曾报告过FI。其中，有33.3％的人在过去7天内有FI。老年人，男性和西班牙裔种族增加了过去一周内发生FI的可能性。患有克罗恩病，溃疡性结肠炎，腹腔疾病，肠易激综合症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氏病，乳糜泻，糖尿病，人免疫缺陷病毒/后天免疫缺陷综合症或慢性特发性便秘的个体比没有这些特征的个体具有更严重的FI症状。

结论

在一项基于人群的大型调查中，每7人中就有1人报告了先前的FI。与患有这些疾病的人相比，FI与年龄相关，在患有炎症性肠病，腹腔疾病，肠易激综合症或糖尿病的患者中更为普遍。有必要在这些人群中进行FI的主动筛查。