A diet modification intervention for older women with fecal incontinence

Andy, Uduak U.; Muñoz, Juan Manuel; Koelper, Nathanael; Borodyanskaya, Yelizaveta; Compher, Charlene; Ejike, Nancy; Markland, Alayne D.; Arya, Lily A.

doi:10.1111/jgs.18424

Cited by 1 publication

(1 citation statement)

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“…Previous studies have examined the relationship between dietary patterns and FI but did not consider the levels of dietary inflammation. For instance, a single-arm, pre-post controlled prospective study of 39 elderly women with FI found that patients' mean Vaizey score (a scale of FI severity) decreased by 2.3 points ( p = 0.01) after the administration of a structured dietary intervention, and 29 (74.4%) patients perceived an improvement in symptoms ( 29 ). In addition, based on previous research, Menees et al recruited 43 patients with FI and compared the efficacy of a low FODMAP diet (LFD) for 4 weeks with psyllium 6 g/d.…”

Section: Discussionmentioning

confidence: 99%

Association between dietary inflammatory index and fecal incontinence in American adults: a cross-sectional study from NHANES 2005–2010

Li,

Chen,

Huang

et al. 2024

Front. Nutr.

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ObjectiveRecent studies have demonstrated that the Dietary Inflammatory Index (DII) is relevant to abnormal gut health. However, there is a lack of studies that have explicitly explored the link between fecal incontinence (FI) and DII. The current study aims to explore the relationship between DII and FI.MethodsThe cross-sectional study enrolled a total of 11,747 participants aged 20–85 from NHANES 2005–2010. Weighted logistic regression was conducted to evaluate the relationship between DII and FI, and restricted cubic spline (RCS) was employed to assess the dose-response relationship between DII and FI. Subgroup analyses were performed according to age, gender, race, and BMI.ResultDII levels were found to be significantly higher in patients with FI than in the normal population (p = 0.016). After adjusting for all covariates, DII was found to be significantly correlated with FI (model 2: Q4 vs. Q1, OR = 1.49, 95% CI: 1.04–2.14, p = 0.032, p for trend = 0.039). The dose-response curve revealed that there was no non-linear correlation between DII and FI (p-non-linear = 0.234). Subsequent subgroup analyses uncovered that DII was notably associated with FI in the old (Q4 vs. Q1, OR = 1.84, 95% CI: 1.07–3.18, p = 0.030), female (Q4 vs. Q1: OR = 2.02, 95% CI: 1.23–3.33, p = 0.008), non-Hispanic white (Q4 vs. Q1: OR = 1.70, 95% CI: 1.12–2.59, p = 0.015) populations.ConclusionDII was positively associated with FI, particularly among old, female and non-Hispanic white individuals. Decreasing daily dietary inflammatory levels may be an effective tactic to prevent FI, but the precise mechanisms need to be further investigated.

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Section: Discussionmentioning

confidence: 99%