Prevalence and factors associated with faecal impaction in the Spanish old population

Age Ageing. 2017 Jan 12;46(1):119-124. doi: 10.1093/ageing/afw166.

Abstract

Background: Faecal impaction (FI) is a common problem in old people living in nursing home. Its prevalence and associated factors remain unknown in the general population.

Aim: To evaluate FI prevalence in the Spanish population older than 65 years and to assess the factors associated with it.

Methods: A telephone survey was carried out of a Spanish population older than 65 years random sample (N = 1000). FI was assessed using a previously validated questionnaire.

Results: A total of 28,128 calls were made; 1,431 subjects were eligible and 1,000 subjects were enrollled, mean aged 74.6 ± 7.3 (65–97); 57.5% were women. At least 53 people reported FI within the past year (5.3% (CI 95%: 3.9–6.7%)). Only 0.03% met criteria for chronic constipation and faecal incontinence. FI-associated factors were constipation, female gender, reduced physical activity, and chronic renal failure (CRF).

Conclusion: FI is a prevalent problem in old Spanish population. Constipation and female gender are the main associated factors; low physical activity and CRF appear to play also a significant role. Further studies are required to confirm this association.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging
  • Comorbidity
  • Constipation / epidemiology
  • Fecal Impaction / diagnosis
  • Fecal Impaction / epidemiology*
  • Fecal Impaction / physiopathology
  • Fecal Incontinence / epidemiology
  • Female
  • Health Care Surveys
  • Humans
  • Kidney Failure, Chronic / epidemiology
  • Male
  • Prevalence
  • Risk Factors
  • Sedentary Behavior
  • Sex Factors
  • Spain / epidemiology