Prevalence of anal incontinence among Norwegian women: a cross-sectional study
- PMID: 22850167
- PMCID: PMC4400729
- DOI: 10.1136/bmjopen-2012-001257
Prevalence of anal incontinence among Norwegian women: a cross-sectional study
Erratum in
-
Correction.BMJ Open. 2012 Sep 27;2(5):e001257corr1. doi: 10.1136/bmjopen-2012-001257corr1. Print 2012. BMJ Open. 2012. PMID: 23019209 Free PMC article. No abstract available.
Abstract
Objective: Anal incontinence (AI) is a symptom associated with age, bowel symptoms and obstetric injuries. Primary aim of the study was to establish the prevalence of AI among women and secondarily to evaluate the impact on daily life and conditions associated with AI.
Design: A cross-sectional study.
Setting: Participants attended research stations located in different parts of Nord-Trøndelag county, Norway. Data were collected through interviews, questionnaires and clinical examinations.
Participants: In total, 40 955 community-dwelling women aged 30 years and older were invited. A total of 25 037 women participated, giving a participation rate of 61.1%.
Primary and secondary outcome measures: Fecal incontinence and flatal incontinence was defined as involuntary loss of feces and flatus weekly or more, respectively. AI was defined as the involuntary loss of feces and/or flatus weekly or more. Urgency was defined as the inability to defer defecation for 15 min. Statistical methods included prevalence estimates and logistic regression analysis.
Results: Questions about AI were completed by 20 391 (82.4%) women. Among the 20 391 women, AI was reported by 19.1% (95% CI 18.6% to 19.7%) and fecal incontinence was reported by 3.0% (95% CI 2.8% to 3.2%). Urgency was experienced by 2586 women (12.7%, 95% CI 12.2 to 13.1). Impact on daily life was stated by 794 (26.0%, 95% CI 24.4 to 27.5) women with AI. In bivariate age-adjusted analysis of AI, OR and CI for urgency (OR 3.19, 95% CI 2.92 to 3.49) and diarrhoea (OR 3.81, 95% CI 3.32 to 4.38) revealed strongest associations with AI.
Conclusions: AI affects one in five women older than 30 years. Strongest associated symptoms are urgency and diarrhoea.
Trial registration number: The study was approved by the Regional Committee for Medical and Health Research Ethics (No. 2009/1214) and followed the Declaration of Helsinki.
Conflict of interest statement
Figures
Similar articles
-
Anal incontinence and unrecognized anal sphincter injuries after vaginal delivery- a cross-sectional study in Norway.BMC Womens Health. 2020 Jun 22;20(1):131. doi: 10.1186/s12905-020-00989-5. BMC Womens Health. 2020. PMID: 32571291 Free PMC article.
-
Use of endoanal ultrasound for reducing the risk of complications related to anal sphincter injury after vaginal birth.Cochrane Database Syst Rev. 2015 Oct 29;2015(10):CD010826. doi: 10.1002/14651858.CD010826.pub2. Cochrane Database Syst Rev. 2015. PMID: 26513224 Free PMC article. Review.
-
Anal incontinence and Quality of Life in late pregnancy: a cross-sectional study.BJOG. 2014 Jul;121(8):978-87. doi: 10.1111/1471-0528.12643. Epub 2014 Mar 4. BJOG. 2014. PMID: 24589074
-
Methods of repair for obstetric anal sphincter injury.Cochrane Database Syst Rev. 2013 Dec 8;(12):CD002866. doi: 10.1002/14651858.CD002866.pub3. Cochrane Database Syst Rev. 2013. PMID: 24318732 Review.
-
Prevalence and predictors of anal incontinence during pregnancy and 1 year after delivery: a prospective cohort study.BJOG. 2014 Feb;121(3):269-79. doi: 10.1111/1471-0528.12438. Epub 2013 Sep 10. BJOG. 2014. PMID: 24021090
Cited by
-
Pelvic floor disorders and impact on sexual function: a cross-sectional study among non-sexually active and sexually active women.Sex Med. 2024 May 9;12(2):qfae024. doi: 10.1093/sexmed/qfae024. eCollection 2024 Apr. Sex Med. 2024. PMID: 38725639 Free PMC article.
-
Global Prevalence of Fecal Incontinence in Community-Dwelling Adults: A Systematic Review and Meta-analysis.Clin Gastroenterol Hepatol. 2024 Apr;22(4):712-731.e8. doi: 10.1016/j.cgh.2023.09.004. Epub 2023 Sep 19. Clin Gastroenterol Hepatol. 2024. PMID: 37734583 Review.
-
Symptoms of anal incontinence and quality of life: a psychometric study of the Norwegian version of the ICIQ-B amongst hospital outpatients.Arch Public Health. 2022 Dec 9;80(1):251. doi: 10.1186/s13690-022-01004-z. Arch Public Health. 2022. PMID: 36494843 Free PMC article.
-
Prevalence of pelvic floor dysfunction in women in Riyadh, Kingdom of Saudi Arabia: A cross-sectional study.Womens Health (Lond). 2022 Jan-Dec;18:17455065211072252. doi: 10.1177/17455065211072252. Womens Health (Lond). 2022. PMID: 35100887 Free PMC article.
-
Epidemiologic Trends and Diagnostic Evaluation of Fecal Incontinence.Gastroenterol Hepatol (N Y). 2020 Jun;16(6):302-309. Gastroenterol Hepatol (N Y). 2020. PMID: 34035733 Free PMC article.
References
-
- Bharucha A. Fecal incontinence. Gastroenterology 2003;124:1672–85. - PubMed
-
- Bharucha A, Zinsmeister A, Locke G, et al. Symptoms and quality of life in community women with faecal incontinence. Clin Gastroenterol Hepatol 2006;4:1004–9. - PubMed
-
- Bharucha A, Zinsmeister A, Locke GR, et al. Risk factors for fecal incontinence: a population-based study in women. Am J Gastroenterol 2006;101:1305–12. - PubMed
-
- Goode PS, Burgio KL, Halli AD, et al. Prevalence and correlates of fecal incontinence in community-dwelling older adults. J Am Geriatr Soc 2005;53:629–35. - PubMed
LinkOut - more resources
Full Text Sources