Document Detail


Diet and eating pattern modifications used by community-living adults to manage their fecal incontinence.
MedLine Citation:
PMID:  21076267     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The study aimed to describe modifications in diet and eating patterns made by community-living people to manage fecal incontinence (FI), and to compare these differences according to sex, age, and FI severity.
SUBJECTS AND SETTINGS: Subjects were 188 community-living adults (77% female, 92% white, 34% aged 65 years or older) in the upper Midwest who participated in a study about managing FI with dietary fiber.
METHODS: Subjects were interviewed about diet and eating pattern changes that they made to manage FI, and self-reported demographic data. FI severity was recorded daily.
RESULTS: Fifty-five percent of participants perceived that some foods worsen their FI (eg, fatty or spicy foods and dairy products). More women than men (40% vs 18%, P = .008) reported avoiding foods to manage FI. A greater percentage of younger than older people believed that fatty/greasy foods (15% vs 4%) and alcohol (14% vs 3%) worsened their FI. Subjects with a higher FI severity score appeared to wait until FI was more severe before restricting caffeine than those with lower severity scores (22.2 ± 9.8 vs 11.69 ± 8.3, P = .034). One-third of subjects consumed foods rich in dietary fiber to prevent FI. Subjects also reported altered eating or cooking patterns, skipping meals, or eating at consistent times to manage FI.
CONCLUSIONS: Diet modification for managing FI incorporates restriction of some foods, along with adding others foods to the diet. Nursing assessments of self-care practices for FI should include diet and eating pattern changes when developing a plan of care.
Authors:
Emily Croswell; Donna Z Bliss; Kay Savik
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN     Volume:  37     ISSN:  1528-3976     ISO Abbreviation:  J Wound Ostomy Continence Nurs     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-11-15     Completed Date:  2011-03-24     Revised Date:  2014-09-20    
Medline Journal Info:
Nlm Unique ID:  9435679     Medline TA:  J Wound Ostomy Continence Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  677-82     Citation Subset:  N    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Chi-Square Distribution
Dietary Fiber*
Fecal Incontinence / diet therapy*
Female
Food Habits*
Humans
Male
Middle Aged
Self Care
Severity of Illness Index
Treatment Outcome
Grant Support
ID/Acronym/Agency:
R01 NR007756/NR/NINR NIH HHS
Comments/Corrections

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