Is Fluid Intake Associated With Fecal Incontinence in Women?
Carbonated Water
/ adverse effects
Cross-Sectional Studies
Drinking
/ physiology
Fecal Incontinence
/ diagnosis
Female
Gastrointestinal Motility
Humans
Intestine, Large
/ physiopathology
Middle Aged
Pelvic Floor
/ physiopathology
Pelvic Floor Disorders
/ diagnosis
Qualitative Research
Retrospective Studies
Surveys and Questionnaires
Journal
Female pelvic medicine & reconstructive surgery
ISSN: 2154-4212
Titre abrégé: Female Pelvic Med Reconstr Surg
Pays: United States
ID NLM: 101528690
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
entrez:
29
1
2020
pubmed:
29
1
2020
medline:
20
11
2020
Statut:
ppublish
Résumé
The primary aim of this study was to determine if fecal incontinence (FI) is associated with self-reported fluid intake in women seeking care for pelvic floor disorders. The secondary aim was to determine the association between bowel symptoms and fluids associated with FI. We conducted a retrospective cross-sectional study of women presenting for evaluation of pelvic floor disorders from 2009 to 2015. The presence of FI was defined as an affirmative response of any frequency to the question, "During the last 4 weeks, how often have you leaked or soiled yourself with stool?" Data on fluid intake and bowel symptoms were collected using the Questionnaire-based Voiding Diary and Colorectal-Anal Distress Inventory short form, respectively. The relationship between FI and quartiles of fluid intake, as well as the relationship between bowel symptoms and fluids associated with FI, was analyzed. Nine hundred twenty-four women were included: 379 (41%) with and 545 (59%) without FI. There was an association between FI and increasing total carbonated fluid intake (P = 0.009) and decreasing water intake (P = 0.009). The associations between FI and carbonated fluid intake and FI and water intake remained significant after controlling for patient characteristics (P < 0.05). There was a significant association between the symptom of straining to defecate and carbonated beverage intake (P = 0.046), which remained significant after controlling for patient characteristics (P < 0.001). Consumption of carbonated beverages is associated with FI in women. Intake of carbonated fluids is associated with bowel symptoms that may exacerbate FI symptoms.
Identifiants
pubmed: 31990802
doi: 10.1097/SPV.0000000000000835
pii: 01436319-202002000-00011
doi:
Substances chimiques
Carbonated Water
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
137-140Subventions
Organisme : NIA NIH HHS
ID : R03 AG053277
Pays : United States
Références
Markland AD, Greer WJ, Vogt A, et al. Factors impacting quality of life in women with fecal incontinence. Dis Colon Rectum 2010;53(8):1148–1154.
Whitehead WE, Borrud L, Goode PS, et al.; Pelvic Floor Disorders Network. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology 2009;137(2):512–517 517.e1-2.
Bordeianou L, Hicks CW, Olariu A, et al. Effect of coexisting pelvic floor disorders on fecal incontinence quality of life scores: a prospective, survey-based study. Dis Colon Rectum 2015;58(11):1091–1097.
Miner PB Jr. Economic and personal impact of fecal and urinary incontinence. Gastroenterology 2004;126(1 Suppl 1):S8–S13.
Andy UU, Ejike N, Khanijow KD, et al. Diet modifications in older women with fecal incontinence: a qualitative study. Female Pelvic Med Reconstr Surg 2019.
Bliss DZ, Fischer L, Savik K. Managing fecal incontinence: self-care practices of older adults. J Gerontol Nurs 2005;31(7):35–44.
Croswell E, Bliss DZ, Savik K. Diet and eating pattern modifications used by community-living adults to manage their fecal incontinence. J Wound Ostomy Continence Nurs 2010;37(6):677–682.
Colavita K, Andy UU. Role of diet in fecal incontinence: a systematic review of the literature. Int Urogynecol J 2016;27(12):1805–1810.
Hansen JL, Bliss DZ, Peden-McAlpine C. Diet strategies used by women to manage fecal incontinence. J Wound Ostomy Continence Nurs 2006;33(1):52–61.
Roalfe AK, Roberts LM, Wilson S. Evaluation of the Birmingham IBS symptom questionnaire. BMC Gastroenterol 2008;8:30.
Arya LA, Banks C, Gopal M, et al. Development and testing of a new instrument to measure fluid intake, output, and urinary symptoms: the questionnaire-based voiding diary. Am J Obstet Gynecol 2008;198:559.e1–559.e7.
Arya LA, Heidi H, Cory L, et al. Construct validity of a questionnaire to measure the type of fluid intake and type of urinary incontinence. Neurourol Urodyn 2011;30(8):1597–1602.
Subar AF, Thompson FE, Kipnis V, et al. Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires: the Eating at America’s Table Study. Am J Epidemiol 2001;154:1089–1099.
Barber MD, Walters MD, Bump RC. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 2005;193(1):103–113.
Davenport HW. Physiology of the Digestive Tract: An Introductory Text. Chicago: Year Book Medical Publishers; 1982.
Martin JL, Justus PG, Mathias JR. Altered motility of the small intestine in response to ethanol (ETOH): an explanation for the diarrhea associated with the consumption of alcohol. Gastroenterology 1980;78:1218.
Wald A, Back C, Bayless TM. Effect of caffeine on the human small intestine. Gastroenterology 1976;71:738–742.
Norton C, Chelvanayagam S. Conservative management of faecal incontinence in adults. In: Norton C, Chelvanayagam S, eds. Bowel Continence Nursing. Beaconsfield: Beaconsfield Publishers; 2004:114–131.
Markland AD, Palsson O, Goode PS, et al. Association of low dietary intake of fiber and liquids with constipation: evidence from the National Health and Nutrition Examination Survey. Am J Gastroenterol 2013;108(5):796–780.
Segal S, Saks EK, Asfaw TS, et al. Increased fluid intake is associated with bothersome bowel symptoms among women with urinary incontinence. Female Pelvic Med Reconstr Surg 2013;19(3):152–156.
Bharucha AE, Dunivan G, Goode PS, et al. Epidemiology, pathophysiology, and classification of fecal incontinence: state of the science summary for the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) workshop. Am J Gastroenterol 2015;110:127–136.
Bharucha AE, Fletcher JG, Melton LJ 3rd, et al. Obstetric trauma, pelvic floor injury and fecal incontinence: a population-based case-control study. Am J Gastroenterol 2012;107:902–911.
Bharucha AE, Zinsmeister AR, Schleck CD, et al. Bowel disturbances are the most important risk factors for late onset fecal incontinence: a population-based case-control study in women. Gastroenterology 2010;139(5):1559–1566.
Cuomo R, Sarnelli G, Savarese MF, et al. Carbonated beverages and gastrointestinal system: between myth and reality. Nutr Metab Cardiovasc Dis 2009;19(10):683–689.
Ashurst PR. Carbonated Beverages. Reference Module in Food Science. New York: Elsevier; 2016.
American Gastroenterological Association, Bharucha AE, Dorn SD, Lembo A, et al. American Gastroenterological Association medical position statement on constipation. Gastroenterology 2013;144:211–217.