title: Association between fecal incontinence and objectively measured physical activity in u.s. Adults.
abstract: BACKGROUND
  Brisk physical activity may facilitate fecal incontinence due to physical activity-induced colonic motility. However, there currently are no studies that have examined the relationship between fecal incontinence and free-living physical activity behavior.
  
  
  OBJECTIVE
  Therefore, the purpose of this study was to examine the association between fecal incontinence and objectively measured physical activity among adults.
  
  
  METHODS
  A national sample of adults in the United States (n = 2565, 20-85 years) completed the Fecal Incontinence Severity Index questionnaire and wore an accelerometer for a week to objectively measure physical activity behavior.
  
  
  RESULTS
  After adjustments, fecal incontinence was positively associated with moderate-to-vigorous physical activity (β = 0.85, P = 0.04), suggesting that lower perceived severity of fecal incontinence was associated with greater engagement in moderate-to-vigorous physical activity. Fecal incontinence was not significantly associated with light-intensity physical activity (P = 0.27).
  
  
  CONCLUSIONS
  Our results suggest that adults in the United States with greater perceived severity of fecal incontinence engage in less moderate-to-vigorous physical activity; however, those with greater severity of fecal incontinence do not appear to have different levels of light-intensity physical activity behavior. Given the emerging research showing beneficial effects of light-intensity physical activity, health care professionals should encourage light-intensity physical activity to their patients with fecal incontinence.
authors.affiliation: Center for Health Behavior Research, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, Mississippi, USA.
authors.forename: Paul D
authors.initials: PD
authors.lastname: Loprinzi
authors.affiliation: Section of Gastroenterology/Hepatology, Medical College of Georgia, Georgia Regents University, Augusta, Georgia, USA.
authors.forename: Satish S
authors.initials: SS
authors.lastname: Rao
keywords: Bowel health; Epidemiology; Exercise