Size of Pelvic Outlet as a Potential Risk Factor for Fecal Incontinence: A Population-Based Exploratory Analysis.

IF 3 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Clinical and Translational Gastroenterology Pub Date : 2024-11-05 DOI:10.14309/ctg.0000000000000789
Brent Hiramoto, Bryn E Falahee, Mayssan Muftah, Ryan Flanagan, Eric D Shah, Walter W Chan
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Abstract

Background: The impact of pelvic bone structure on fecal incontinence (FI) is unclear. We assessed the association between weight-adjusted pelvic area and FI.

Methods: This was a population-based analysis of the National Health and Nutrition Examination Survey in 2005-2006. Participants who completed the bowel health survey and dual-energy x-ray absorptiometry (DXA) were included.

Results: On multivariable analysis of 2,772 participants, the lowest pelvic area quartile predicted increased FI compared to the third (OR:2.05, CI:1.18-3.56, p=0.014) and fourth (OR:1.94, CI:1.02-3.70, p=0.045) quartiles. Sex-stratified analyses found similar association among female patients only.

Conclusion: Small pelvic area on DXA is a potential risk factor for FI.

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作为大便失禁潜在风险因素的骨盆出口大小:基于人群的探索性分析。
背景:骨盆骨骼结构对大便失禁(FI)的影响尚不明确。我们评估了体重调整后骨盆面积与 FI 之间的关系:这是一项基于 2005-2006 年全国健康与营养调查的人群分析。方法:这是一项基于 2005-2006 年全国健康与营养调查的人群分析,纳入了完成肠道健康调查和双能 X 射线吸收测定(DXA)的参与者:对 2,772 名参与者进行多变量分析后发现,骨盆面积最低的四分位数与第三(OR:2.05,CI:1.18-3.56,p=0.014)和第四(OR:1.94,CI:1.02-3.70,p=0.045)个四分位数相比,预示着 FI 的增加。性别分层分析仅在女性患者中发现了类似的关联:结论:DXA显示骨盆面积小是FI的潜在风险因素。
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来源期刊
Clinical and Translational Gastroenterology
Clinical and Translational Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
7.00
自引率
0.00%
发文量
114
审稿时长
16 weeks
期刊介绍: Clinical and Translational Gastroenterology (CTG), published on behalf of the American College of Gastroenterology (ACG), is a peer-reviewed open access online journal dedicated to innovative clinical work in the field of gastroenterology and hepatology. CTG hopes to fulfill an unmet need for clinicians and scientists by welcoming novel cohort studies, early-phase clinical trials, qualitative and quantitative epidemiologic research, hypothesis-generating research, studies of novel mechanisms and methodologies including public health interventions, and integration of approaches across organs and disciplines. CTG also welcomes hypothesis-generating small studies, methods papers, and translational research with clear applications to human physiology or disease. Colon and small bowel Endoscopy and novel diagnostics Esophagus Functional GI disorders Immunology of the GI tract Microbiology of the GI tract Inflammatory bowel disease Pancreas and biliary tract Liver Pathology Pediatrics Preventative medicine Nutrition/obesity Stomach.
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