Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study
Objective: To assess the prevalence of fecal incontinence and its association with clinical, functional, and cognitive-behavioral variables, medication use, frailty, falls, and quality of life in community-dwelling older adults (aged 65 years or older). Methods: Cross-sectional, multicenter study ca...
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| Format: | Article |
| Language: | English |
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Brazilian Society of Geriatrics and Gerontology
2023-09-01
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| Series: | Geriatrics, Gerontology and Aging |
| Subjects: | |
| Online Access: | https://ggaging.com/details/1795/en-US/are-quality-of-life--functional-capacity--and-urinary-incontinence-associated-with-fecal-incontinence--the-fibra-br-study |
| _version_ | 1797691092229947392 |
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| author | Eduardo Magalhães da Costa Virgilio Garcia Moreira Anita Liberalesso Neri Eduardo Ferriolli Leani Souza Pereira Flavia Malini Drummond Mariangela Perez Roberto Alves Lourenço |
| author_facet | Eduardo Magalhães da Costa Virgilio Garcia Moreira Anita Liberalesso Neri Eduardo Ferriolli Leani Souza Pereira Flavia Malini Drummond Mariangela Perez Roberto Alves Lourenço |
| author_sort | Eduardo Magalhães da Costa |
| collection | DOAJ |
| description | Objective: To assess the prevalence of fecal incontinence and its association with clinical, functional, and cognitive-behavioral variables, medication use, frailty, falls, and quality of life in community-dwelling older adults (aged 65 years or older). Methods: Cross-sectional, multicenter study carried out across 16 Brazilian cities. The question “In the last 12 months, did you experience fecal incontinence or involuntary passage of stool?” was defined as the indicator variable for fecal incontinence. Bivariate analyses were carried out to assess the prevalence of fecal incontinence and sociodemographic characteristics, comorbidities, cognition, functional capacity, depression, frailty, quality of life, and falls. Logistic regression analysis was also performed, with fecal incontinence as the dependent variable. Results: Overall, 6855 subjects were evaluated; 66.56% were female, 52.93% white, and the mean age was 73.51 years. The prevalence of fecal incontinence was 5.93%. It was associated with worse self-care (OR 1.78 [1.08–2.96]), dependence for basic activities of daily living (OR 1.29 [1.01–1.95]), and urinary incontinence (OR 4.22 [3.28–5.41]). Furthermore, the absence of polypharmacy was identified as a protective factor (OR 0.61 [0.44–0.85]). Conclusion: The overall prevalence of fecal incontinence was 5.93%. On logistic regression, one quality of life variable, dependence for basic activities of daily living, and polypharmacy were significantly associated with fecal incontinence. |
| first_indexed | 2024-03-12T02:08:25Z |
| format | Article |
| id | doaj.art-9e0c9860016c4ec38bc4623af0e7241b |
| institution | Directory Open Access Journal |
| issn | 2447-2123 |
| language | English |
| last_indexed | 2024-03-12T02:08:25Z |
| publishDate | 2023-09-01 |
| publisher | Brazilian Society of Geriatrics and Gerontology |
| record_format | Article |
| series | Geriatrics, Gerontology and Aging |
| spelling | doaj.art-9e0c9860016c4ec38bc4623af0e7241b2023-09-06T18:08:53ZengBrazilian Society of Geriatrics and GerontologyGeriatrics, Gerontology and Aging2447-21232023-09-01171910.53886/gga.e0230028Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR StudyEduardo Magalhães da Costa0https://orcid.org/0000-0002-4453-443XVirgilio Garcia Moreira1https://orcid.org/0000-0002-4932-1935Anita Liberalesso Neri2https://orcid.org/0000-0002-6833-7668Eduardo Ferriolli3https://orcid.org/0000-0002-5028-2451Leani Souza Pereira4https://orcid.org/0000-0001-7253-4392Flavia Malini Drummond5https://orcid.org/0000-0003-0325-5108Mariangela Perez6https://orcid.org/0000-0002-6160-9843Roberto Alves Lourenço7https://orcid.org/0000-0003-0838-1285Department of Internal Medicine, Faculty of Medical Sciences, Universidade do Estado do Rio de Janeiro - Rio de Janeiro (RJ), Brazil.Department of Internal Medicine, Faculty of Medical Sciences, Universidade do Estado do Rio de Janeiro - Rio de Janeiro (RJ), Brazil.Department of Psychiatry, Faculty of Medical Sciences, Universidade Estadual de Campinas - Campinas (SP), Brazil.Department of Internal Medicine, Ribeirão Preto School of Medicine, Universidade de São Paulo - Ribeirão Preto (SP), Brazil.Department of Physical Therapy, School of Physical Education, Physical Therapy, and Occupational Therapy, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brazil.Department of Internal Medicine, Faculty of Medical Sciences, Universidade do Estado do Rio de Janeiro - Rio de Janeiro (RJ), Brazil.Department of Internal Medicine, Faculty of Medical Sciences, Universidade do Estado do Rio de Janeiro - Rio de Janeiro (RJ), Brazil.Department of Internal Medicine, Faculty of Medical Sciences, Universidade do Estado do Rio de Janeiro - Rio de Janeiro (RJ), Brazil.Objective: To assess the prevalence of fecal incontinence and its association with clinical, functional, and cognitive-behavioral variables, medication use, frailty, falls, and quality of life in community-dwelling older adults (aged 65 years or older). Methods: Cross-sectional, multicenter study carried out across 16 Brazilian cities. The question “In the last 12 months, did you experience fecal incontinence or involuntary passage of stool?” was defined as the indicator variable for fecal incontinence. Bivariate analyses were carried out to assess the prevalence of fecal incontinence and sociodemographic characteristics, comorbidities, cognition, functional capacity, depression, frailty, quality of life, and falls. Logistic regression analysis was also performed, with fecal incontinence as the dependent variable. Results: Overall, 6855 subjects were evaluated; 66.56% were female, 52.93% white, and the mean age was 73.51 years. The prevalence of fecal incontinence was 5.93%. It was associated with worse self-care (OR 1.78 [1.08–2.96]), dependence for basic activities of daily living (OR 1.29 [1.01–1.95]), and urinary incontinence (OR 4.22 [3.28–5.41]). Furthermore, the absence of polypharmacy was identified as a protective factor (OR 0.61 [0.44–0.85]). Conclusion: The overall prevalence of fecal incontinence was 5.93%. On logistic regression, one quality of life variable, dependence for basic activities of daily living, and polypharmacy were significantly associated with fecal incontinence.https://ggaging.com/details/1795/en-US/are-quality-of-life--functional-capacity--and-urinary-incontinence-associated-with-fecal-incontinence--the-fibra-br-studyfecal incontinenceolder adultquality of lifefrailtyprevalence.aging |
| spellingShingle | Eduardo Magalhães da Costa Virgilio Garcia Moreira Anita Liberalesso Neri Eduardo Ferriolli Leani Souza Pereira Flavia Malini Drummond Mariangela Perez Roberto Alves Lourenço Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study Geriatrics, Gerontology and Aging fecal incontinence older adult quality of life frailty prevalence.aging |
| title | Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study |
| title_full | Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study |
| title_fullStr | Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study |
| title_full_unstemmed | Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study |
| title_short | Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study |
| title_sort | are quality of life functional capacity and urinary incontinence associated with fecal incontinence the fibra br study |
| topic | fecal incontinence older adult quality of life frailty prevalence.aging |
| url | https://ggaging.com/details/1795/en-US/are-quality-of-life--functional-capacity--and-urinary-incontinence-associated-with-fecal-incontinence--the-fibra-br-study |
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