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[Fecal incontinence in the elderly].
José María Remes-Troche1, Pablo Sáenz, Daniela Riaño
1Departamento de Gastroenterología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México DF.
Summary
Fecal incontinence (FI) is common in adults over 60, affecting 33% of those studied. This condition was more frequent and severe in women, nursing home residents, and individuals with neuropsychiatric disorders.
Area of Science:
- Geriatrics
- Gastroenterology
- Epidemiology
Context:
- Fecal incontinence (FI) significantly impacts quality of life, with higher prevalence in elderly individuals and women.
- Limited data exists on FI frequency in adults over 60 in Mexico.
- Understanding FI prevalence and associated factors in this demographic is crucial for targeted interventions.
Purpose:
- To determine the frequency, severity, and associated factors of fecal incontinence (FI) in patients aged 60 years and older in Mexico.
Summary:
- A study of 159 patients (56% women, mean age 75) across outpatient, inpatient, and nursing home settings found an overall FI frequency of 33%.
- FI was most prevalent in nursing home residents (53%) and associated with neuropsychiatric disorders (54%) and diabetes mellitus (32%).
- Higher FI severity correlated with older age and was more pronounced in women and nursing home residents.
Impact:
- This study highlights fecal incontinence as a common and severe condition in older adults in Mexico.
- Findings underscore the need for increased awareness and management strategies, particularly for vulnerable populations like women and nursing home residents.
- Identifies key associated factors, including neuropsychiatric disorders and urinary incontinence, guiding future research and clinical practice.