+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Fecal incontinence among morbid obese women seeking for weight loss surgery: an underappreciated association with adverse impact on quality of life

, : Fecal incontinence among morbid obese women seeking for weight loss surgery: an underappreciated association with adverse impact on quality of life. International Journal of Colorectal Disease 23(5): 493-497

Purpose Morbid obesity is associated with urinary incontinence (UI). The study purpose was to determine the prevalence of fecal incontinence (FI), its associated risk factors, and its impact on quality of life (QOL) in morbidly obese women.Materials and methods A questionnaire-based study on morbidly obese women [body mass index (BMI)>= 35 m/kg(2)], attending a bariatric surgery seminar, was conducted. Data included demographics, past medical, surgical and obstetric history, and obesity-related co-morbidities. Patients who reported of FI, completed the Cleveland Clinic Foundation Fecal Incontinence scale (CCF-FI) and the Fecal Incontinence Quality of Life scale (FIQL).Results Participants included 256 women [median age 45 years (19-70)] and mean BMI of 49.3 +/- 9.4 m/kg(2). FI was reported in 63%. History of obstetric injury (OR: 2.4, 95% CI: 1.33-4.3; p < 0.001) and UI (OR: 1.2, 95% CI: 1.1-1.4; p < 0.001) were significantly associated with FI. There was no association with age, BMI, parity, and presence of diabetes or hypertension. Median CCF-FI score was 7 (1-20); 34.5% scored >= 10. Incontinence for gas was the most frequent type (87%) of FI, followed by incontinence for liquids (80%), which also had the highest impact on QOL (p < 0.01). Mean FIQL scores were > 3 for all four domains studied. CCF-FI scores were significantly correlated with FIQL scores in all domains (p=0.02).Comment The prevalence of FI among morbidly obese women may be much higher than the rates reported in the general population. FI has adverse effects on QOL. Its correlation with UI suggests that morbid obesity may pose a risk of global pelvic floor dysfunction.


PMID: 18228028

DOI: 10.1007/s00384-007-0432-6

Other references

Tirucherai, G.S.; Dias, C.; Mitra, A.K., 2003: Corneal permeation of ganciclovir: mechanism of ganciclovir permeation enhancement by acyl ester prodrug design. Ganciclovir (GCV), a promising antiviral compound, has poor ocular bioavailability as a result of its relatively low partition coefficient. In this study, lipophilic ester prodrugs of GCV were synthesized in an effort to improve its uptake into oc...

Greenberg R.E.; Freeman A.; Johnson J.D., 1992: Increased placental albumin permeation in experimental diabetes. Pediatric Research 31(4 PART 2): 43A

Hes, O.; Perez-Montiel, D.M.; Alvarado Cabrero, I.; Zamecnik, M.; Podhola, M.; Sulc, M.; Hora, M.; Mukensnabl, P.; Zalud, R.; Ondic, O.; Michal, M., 2003: Thread-like bridging strands: a morphologic feature present in all adenomatoid tumors. Adenomatoid tumor (AT) is a benign, relatively rare neoplasm occurring primarily in the genital tract of both genders. Histologically, ATs were composed of fibrous tissue, which are separated by numerous slit-like and pseudotubular spaces. Peculia...

Harper, M.; Gurney, C.; Savage, R.D.; Roth, M., 1965: Forearm Blood Flow In Normal Subjects And Patients With Phobic Anxiety States. British Journal of Psychiatry 111: 723-731

Seo, T.; Miyamoto, A.; Saka, N.; Shimano, K.; Sakagami, M., 2007: Immediate efficacy of the canalith repositioning procedure for the treatment of benign paroxysmal positional vertigo. To study the immediate efficacy of the canalith repositioning procedure (CRP) in the treatment of benign paroxysmal positional vertigo. Thirty-four patients with benign paroxysmal positional vertigo. Eighteen patients were treated with CRP (CRP gr...

Numata, S.; Kachi, N.; Okuda, T.; Manokaran, N., 2017: Distance- and density-dependent leaf dynamics of seedlings of a tropical rainforest tree. Parental distance and plant density dependence of seedling leaf turnover and survival was examined to investigate predictions of the Janzen-Connell hypothesis. The focal study species, Shorea macroptera is a canopy tree species in a lowland rain f...

Nehéz, M.; Stepper, M., 1973: Dust-induced lesions of the upper respiratory tract in the grain industry. Zeitschrift für die Gesamte Hygiene und Ihre Grenzgebiete 19(7): 497-500

Schwartz, M.B.; Just, D.R.; Chriqui, J.F.; Ammerman, A.S., 2017: Appetite self-regulation: Environmental and policy influences on eating behaviors. Appetite regulation is influenced by the environment, and the environment is shaped by food-related policies. This review summarizes the environment and policy research portion of an NIH Workshop (Bethesda, MD, 2015) titled "Self-Regulation o...

Fujita, Y.; Kajita, M., 2010: Interface between normal and transformed epithelial cells. Tanpakushitsu Kakusan Koso. Protein, Nucleic Acid, Enzyme 55(1): 48-54

Ghosh, N.; Mandal, L., 2004: Digestibility of berseem fodder in Grey Giant rabbits. Berseem or Egyptian clover (Trifolium alexandrinum) is a well-known leguminous fodder grown in different parts of India as an annual winter crop under irrigation. This is an important green fodder for ruminant feeding, but report on the use of ber...