title: The prevalence of fecal incontinence and associated risk factors in older adults participating in the SABE study.
abstract: To assess the prevalence of fecal incontinence (FI) and associated factors in older adults.
  
  
  
  The prevalence and factors associated with FI in older adults were studied by means the SABE study (Health, Well-being, and Aging). A group of 1,345 subjects were interviewed during the third wave of the SABE study performed in Sao Paulo, in 2010. The study included 64.3% females; the mean age of the participants was 70.4 years. The dependent variable was the positive answer for the question "In the last 12 months, have you ever lost control of bowel movements or stools?". Descriptive analysis and hierarchical logistic regression were performed. The independent variables were as follows: (a) demographics: gender, age and (b) clinical characteristics: self-reported chronic diseases, presence of cognitive and/or functional decline, depression and urinary incontinence symptoms, and nutritional status.
  
  
  
  The overall prevalence of FI was 11,7%, being 8.3% and 13.2% for males and females respectively. Among male subjects, the presence of malnutrition was associated with FI and thus presented a high relative risk index for its occurrence. Among female subjects, age group 70-74 years and some self-reported diseases or conditions such as mild depression, heart disease, urinary incontinence, and polypharmacy were associated with FI. For the first time in literature, polypharmacy appeared as an associated factor for FI for female older adults.
  
  
  
  The prevalence of FI in older adults was 11.7% and was mainly associated with advanced age and presence of heart disease, symptoms of depression, polypharmacy and urinary incontinence and malnutrition. Neurourol. Urodynam. 35:959-964, 2016. © 2015 Wiley Periodicals, Inc.
authors: Department of Medicine, Federal University of São Carlos, São Paulo, Brazil. tadeutamanini@ufscar.br.
authors: José Tadeu Nunes
authors: JT
authors: Tamanini
authors: Department of Medicine, Federal University of São Carlos, São Paulo, Brazil.
authors: Felipe Alves
authors: FA
authors: de Jesus
authors: Section of Urogynecology and Pelvic Surgery, Department of Gynecology, Federal University of São Paulo, São Paulo, Brazil.
authors: Rodrigo Aquino
authors: RA
authors: Castro
authors: Section of Urogynecology and Pelvic Surgery, Department of Gynecology, Federal University of São Paulo, São Paulo, Brazil.
authors: Marair Gracio
authors: MG
authors: Ferreira Sartori
authors: Section of Urogynecology and Pelvic Surgery, Department of Gynecology, Federal University of São Paulo, São Paulo, Brazil.
authors: Manoel João Batista
authors: MJ
authors: Castello Girão
authors: Department of Social Medicine, Faculty of Medicine of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.
authors: Jair Lício Ferreita
authors: JL
authors: Dos Santos
authors: Department of Medical-Surgical Nursing, Nursing School, University of Sao Paulo, São Paulo, Brazil.
authors: Yeda Aparecida
authors: YA
authors: de Oliveira Duarte
authors: Department of Epidemiology, Faculty of Public Health, University of São Paulo, São Paulo, Brazil.
authors: Maria Lúcia
authors: ML
authors: Lebrão
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D060825:Cognitive Dysfunction / Q000150:complications / Q000523:psychology; D015331:Cohort Studies; D015897:Comorbidity; D003863:Depression / Q000150:complications / Q000523:psychology; D005242:Fecal Incontinence / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000150:complications / Q000453:epidemiology; D008875:Middle Aged; D009752:Nutritional Status; D019338:Polypharmacy; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D014549:Urinary Incontinence / Q000150:complications / Q000453:epidemiology
keywords: epidemiology; fecal incontinence; health survey; older adults; polypharmacy; prevalence study; well-being and ageing (SABE study)