ArticleInternational urogynecology journal2013
The effect of obesity on fecal incontinence symptom distress, quality of life, and diagnostic testing measures in women.
Article in International urogynecology journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Does Bariatric Surgery Improve Faecal Incontinence? A Systematic Review and Meta-analysis.Obesity surgery · 2021Pooled it
- Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review.United European gastroenterology journal · 2020Pooled it
- Measuring health-related quality of life and well-being in adults with fecal incontinence: a comparative psychometric evaluation.Health and quality of life outcomes · 2026Trial
- Effects of Sleeve Gastrectomy on Pelvic Floor Disorders in Female Patients with Severe Obesity: a Prospective Study.Obesity surgery · 2023Trial
- Size of Pelvic Outlet as a Potential Risk Factor of Fecal Incontinence: A Population-Based Exploratory Analysis.Clinical and translational gastroenterology · 2025Article
- A prospective study of anal symptoms and continence among obese patients before and after bariatric surgery.Techniques in coloproctology · 2020Article
- Comparison of Anorectal Manometry Testing in Left Lateral and Lithotomy Positions.Female pelvic medicine & reconstructive surgery · 2020Article
- Factors influencing BMI classifications of Korean adults.Journal of physical therapy science · 2015Article
- The Differential Impact of Flatal Incontinence in Women With Anal Versus Fecal Incontinence.Female pelvic medicine & reconstructive surgeryArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
introduction and hypothesisWeight-loss has been demonstrated to result in an improvement in fecal incontinence (FI) severity; however, there is a paucity of data addressing the differential impact of FI on the quality of life (QOL) and results of diagnostic testing across BMI categories. We wished to evaluate symptom distress, QOL, and diagnostic testing parameters among normal, overweight, and obese women with fecal incontinence.
methodsWomen undergoing evaluation for FI between 2003 and 2012 were identified. Participants completed validated, symptom-specific distress, impact, and general QOL measures including the Modified Manchester Questionnaire (MMHQ), which includes the Fecal Incontinence Severity Index (FISI), and the mental and physical component summary scores, MCS and PCS, respectively, of the Short Form-12. Anorectal manometry measures were also included. Multivariate regression analyses were performed.
resultsParticipants included 407 women with a mean age ± SD of 56 ± 13. Multivariate analyses revealed no differences in symptom-specific distress and impact as measured by MMHQ, MCS, and PCS across BMI groups; however, obese women had increased resting and squeeze pressures compared with normal and overweight BMI women (p < 0.0001 and p < 0.0001; p = 0.007 and p = 0.004 respectively).
conclusionsObese women with FI did not have more general impact and symptom-specific distress and impact on quality of life compared with normal and overweight women. Obese women with FI had higher baseline anal resting and squeeze pressures suggesting a lower threshold to leakage with pressure increases.
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Registered trials
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