Skip to main content
Erschienen in: International Urogynecology Journal 12/2016

16.02.2016 | Review Article

Role of diet in fecal incontinence: a systematic review of the literature

verfasst von: Kristen Colavita, Uduak U. Andy

Erschienen in: International Urogynecology Journal | Ausgabe 12/2016

Einloggen, um Zugang zu erhalten

Abstract

Introduction and hypothesis

The objective was to perform a systematic review of the literature to examine original research on the role of diet in fecal incontinence (FI) with a dual focus on dietary differences in FI and dietary treatments for FI.

Methods

We searched the PubMed and Embase databases for any peer-reviewed original research in English on the role of diet in FI.

Results

We identified 172 unique citations. After title review and exclusion of articles not reporting original research, 9 publications were included in the final review: 4 focused on dietary differences and 5 focused on dietary treatments for FI. Limited evidence indicates that macro- and micronutrient intake does not differ significantly in those with and without FI. However, certain foods were perceived to improve or exacerbate FI symptoms and these varied and were adjusted as part of self-care practices. A high-fiber diet may reduce incontinence frequency.

Conclusions

Data on the pathogenesis of FI from a dietary perspective are scant. Based on the limited data, dietary differences between those with and without FI provide little insight with the exception of fiber. Further studies are needed to elucidate treatments for FI using fiber and dietary modifications.
Literatur
1.
Zurück zum Zitat Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21(1):5–26. doi:10.1007/s00192-009-0976-9 CrossRefPubMed Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21(1):5–26. doi:10.​1007/​s00192-009-0976-9 CrossRefPubMed
2.
Zurück zum Zitat Bharucha AE, Dunivan G, Goode PS et al (2015) 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 110(1):127–136CrossRefPubMed Bharucha AE, Dunivan G, Goode PS et al (2015) 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 110(1):127–136CrossRefPubMed
3.
Zurück zum Zitat Norton NJ (2004) The perspective of the patient. Gastroenterology 126 [1 Suppl 1]:S175–S179CrossRefPubMed Norton NJ (2004) The perspective of the patient. Gastroenterology 126 [1 Suppl 1]:S175–S179CrossRefPubMed
4.
Zurück zum Zitat Shah BJ, Chokhavatia S, Rose S (2012) Fecal incontinence in the elderly. Am J Gastroenterol 107(11):1635–1646CrossRefPubMed Shah BJ, Chokhavatia S, Rose S (2012) Fecal incontinence in the elderly. Am J Gastroenterol 107(11):1635–1646CrossRefPubMed
5.
Zurück zum Zitat Bharucha AE, Zinsmeister AR, Locke GR et al (2006) Risk factors for fecal incontinence: a population-based study in women. Am J Gastroenterol 101:1305–1312CrossRefPubMed Bharucha AE, Zinsmeister AR, Locke GR et al (2006) Risk factors for fecal incontinence: a population-based study in women. Am J Gastroenterol 101:1305–1312CrossRefPubMed
6.
Zurück zum Zitat Bharucha AE, Zinsmeister AR, Schleck CD, Melton LJ 3rd (2010) Bowel disturbances are the most important risk factors for late onset fecal incontinence: a population-based case–control study in women. Gastroenterology 139(5):1559–1566CrossRefPubMedPubMedCentral Bharucha AE, Zinsmeister AR, Schleck CD, Melton LJ 3rd (2010) Bowel disturbances are the most important risk factors for late onset fecal incontinence: a population-based case–control study in women. Gastroenterology 139(5):1559–1566CrossRefPubMedPubMedCentral
7.
8.
Zurück zum Zitat Markland AD, Goode PS, Burgio KL et al (2010) Incidence and risk factors for fecal incontinence in black and white older adults: a population-based study. J Am Geriatr Soc 58:1341–1346CrossRefPubMedPubMedCentral Markland AD, Goode PS, Burgio KL et al (2010) Incidence and risk factors for fecal incontinence in black and white older adults: a population-based study. J Am Geriatr Soc 58:1341–1346CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Goode PS, Burgio KL, Halli AD et al (2005) Prevalence and correlates of fecal incontinence in community-dwelling older adults. J Am Geriatr Soc 53(4):629–635CrossRefPubMed Goode PS, Burgio KL, Halli AD et al (2005) Prevalence and correlates of fecal incontinence in community-dwelling older adults. J Am Geriatr Soc 53(4):629–635CrossRefPubMed
10.
Zurück zum Zitat Bliss DZ, Fischer LR, Savik K (2005) Managing fecal incontinence: self-care practices of older adults. J Gerontol Nurs 31(7):35–44CrossRefPubMed Bliss DZ, Fischer LR, Savik K (2005) Managing fecal incontinence: self-care practices of older adults. J Gerontol Nurs 31(7):35–44CrossRefPubMed
11.
Zurück zum Zitat Whitehead WE, Wald A, Norton NJ (2001) Treatment options for fecal incontinence. Dis Colon Rectum 44:131–142CrossRefPubMed Whitehead WE, Wald A, Norton NJ (2001) Treatment options for fecal incontinence. Dis Colon Rectum 44:131–142CrossRefPubMed
12.
Zurück zum Zitat Bliss DZ, Jung HJ, Savik K, Lowry A, LeMoine M, Jensen L, Werner C, Shaffer K (2001) Supplementation with dietary fiber improves fecal incontinence. Nurs Res 50(4):203–213CrossRefPubMed Bliss DZ, Jung HJ, Savik K, Lowry A, LeMoine M, Jensen L, Werner C, Shaffer K (2001) Supplementation with dietary fiber improves fecal incontinence. Nurs Res 50(4):203–213CrossRefPubMed
14.
Zurück zum Zitat Hansen JL, Bliss DZ, Peden-McAlpine C (2006) Diet strategies used by women to manage fecal incontinence. J Wound Ostomy Continence Nurs 33(1):52–61; discussion 61–62CrossRefPubMed Hansen JL, Bliss DZ, Peden-McAlpine C (2006) Diet strategies used by women to manage fecal incontinence. J Wound Ostomy Continence Nurs 33(1):52–61; discussion 61–62CrossRefPubMed
16.
Zurück zum Zitat Patterson RE, Kristal AR, Tinker LF, Carter RA, Bolton MP, Agurs-Collins T (1999) Measurement characteristics of the women's health initiative food frequency questionnaire. Ann Epidemiol 9(3):178–187CrossRefPubMed Patterson RE, Kristal AR, Tinker LF, Carter RA, Bolton MP, Agurs-Collins T (1999) Measurement characteristics of the women's health initiative food frequency questionnaire. Ann Epidemiol 9(3):178–187CrossRefPubMed
17.
Zurück zum Zitat Markland AD, Richter HE, Burgio KL, Bragg C, Hernandez AL, Subak LL (2009) Fecal incontinence in obese women with urinary incontinence: prevalence and role of dietary fiber intake. Am J Obstet Gynecol 200(5):566.e1–566.e6. doi:10.1016/j.ajog.2008.11.019 CrossRef Markland AD, Richter HE, Burgio KL, Bragg C, Hernandez AL, Subak LL (2009) Fecal incontinence in obese women with urinary incontinence: prevalence and role of dietary fiber intake. Am J Obstet Gynecol 200(5):566.e1–566.e6. doi:10.​1016/​j.​ajog.​2008.​11.​019 CrossRef
18.
Zurück zum Zitat Bliss DZ, McLaughlin J, Jung HJ, Lowry A, Savik K, Jensen L (2000) Comparison of the nutritional composition of diets of persons with fecal incontinence and that of age- and gender-matched controls. J Wound Ostomy Continence Nurs 27(2):90–91; discussion 93–97PubMed Bliss DZ, McLaughlin J, Jung HJ, Lowry A, Savik K, Jensen L (2000) Comparison of the nutritional composition of diets of persons with fecal incontinence and that of age- and gender-matched controls. J Wound Ostomy Continence Nurs 27(2):90–91; discussion 93–97PubMed
22.
Zurück zum Zitat Markland AD, Burgio KL, Whitehead WE, Richter HE, Wilcox CM, Redden DT, Beasley TM, Goode PS (2015) Loperamide versus psyllium fiber for treatment of fecal incontinence: the Fecal Incontinence Prescription (Rx) Management (FIRM) randomized clinical trial. Dis Colon Rectum 58(10):983–993. doi:10.1097/DCR.0000000000000442 CrossRefPubMed Markland AD, Burgio KL, Whitehead WE, Richter HE, Wilcox CM, Redden DT, Beasley TM, Goode PS (2015) Loperamide versus psyllium fiber for treatment of fecal incontinence: the Fecal Incontinence Prescription (Rx) Management (FIRM) randomized clinical trial. Dis Colon Rectum 58(10):983–993. doi:10.​1097/​DCR.​0000000000000442​ CrossRefPubMed
23.
Zurück zum Zitat McGill CR, Fulgoni VL III, Devareddy L (2015) Ten-year trends in fiber and whole grain intakes and food sources for the United States population: National Health and Nutrition Examination Survey 2001–2010. Nutrients 7(2):1119–1130. doi:10.3390/nu7021119 CrossRefPubMedPubMedCentral McGill CR, Fulgoni VL III, Devareddy L (2015) Ten-year trends in fiber and whole grain intakes and food sources for the United States population: National Health and Nutrition Examination Survey 2001–2010. Nutrients 7(2):1119–1130. doi:10.​3390/​nu7021119 CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Koloski NA, Jones M, Wai R, Gill RS, Byles J, Talley NJ (2013) Impact of persistent constipation on health-related quality of life and mortality in older community-dwelling women. Am J Gastroenterol 108(7):1152–1158. doi:10.1038/ajg.2013.137 CrossRefPubMed Koloski NA, Jones M, Wai R, Gill RS, Byles J, Talley NJ (2013) Impact of persistent constipation on health-related quality of life and mortality in older community-dwelling women. Am J Gastroenterol 108(7):1152–1158. doi:10.​1038/​ajg.​2013.​137 CrossRefPubMed
Metadaten
Titel
Role of diet in fecal incontinence: a systematic review of the literature
verfasst von
Kristen Colavita
Uduak U. Andy
Publikationsdatum
16.02.2016
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 12/2016
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-2979-7

Weitere Artikel der Ausgabe 12/2016

International Urogynecology Journal 12/2016 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.