Dietary fiber supplementation for fecal incontinence: A randomized clinical trial

Research in Nursing and Health

Volumn 37, Issue 5, 2014, Pages 367-378

  Bliss, Donna Z ^a   Savik, Kay ^a   Jung, Hans Joachim G ^b   Whitebird, Robin ^c   Lowry, Ann ^d,e   Sheng, Xiaoyan ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

^c UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

^d NONE   (United States)

^e HEALTHPARTNERS INSTITUTE   (United States)

Author keywords

Bowel; Dietary fiber; Fecal incontinence; Fiber supplement; Incontinence; Randomized clinical trial

Indexed keywords

CARBOXYMETHYLCELLULOSE; GUM ARABIC; ISPAGULA; PLACEBO;

ARTICLE; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIET THERAPY; DIETARY FIBER; FECES INCONTINENCE; FEMALE; FIBER SUPPLEMENT; GEL; HUMAN; INCONTINENCE; INTESTINE; MALE; MIDDLE AGED; QUALITY OF LIFE; RANDOMIZED CLINICAL TRIAL; RANDOMIZED CONTROLLED TRIAL; SINGLE BLIND PROCEDURE; TREATMENT OUTCOME;

BOWEL; DIETARY FIBER; FECAL INCONTINENCE; FIBER SUPPLEMENT; INCONTINENCE; RANDOMIZED CLINICAL TRIAL;

CARBOXYMETHYLCELLULOSE SODIUM; DIETARY FIBER; FECAL INCONTINENCE; FEMALE; GELS; GUM ARABIC; HUMANS; MALE; MIDDLE AGED; PLACEBOS; PSYLLIUM; QUALITY OF LIFE; SINGLE-BLIND METHOD; TREATMENT OUTCOME;

EID: 84908137737     PISSN: 01606891     EISSN: 1098240X     Source Type: Journal    
DOI: 10.1002/nur.21616     Document Type: Article

References (30)

1. Andoh, A., Tsujikawa, T., & Fujiyama, Y. (2003). Role of dietary fiber and short-chain fatty acids in the colon. Current Pharmaceutical Design, 9, 347-358.
2. Armstrong, E. F., Eastwood, M. A., & Brydon, W. G. (1993). The influence of wheat bran and pectin on the distribution of water in rat caecal contents and faeces. British Journal of Nutrition, 69, 913-920.
3. Barba, C., Montane, D., Rinaudo, M., & Farriol, X. (2002). Synthesis and characterization of carboxymethylcelluloses (CMC) from non-wood fibers. I. accessibility of celluose fibers and CMC synthesis. Cellulose, 9, 319-326. doi: 10.1023/A:1021184509189
4. Bliss, D. Z., Dhamani, K. A., Savik, K., & Kirk, K. (2003). Tool to classify stool consistency: Content validity and use by persons of diverse cultures. Nursing and Health Sciences, 5, 115-121.
5. Bliss, D. Z., Jung, H. J., Savik, K., Lowry, A., LeMoine, M., Jensen, L., ..., Schaffer, K. (2001). Supplementation with dietary fiber improves fecal incontinence. Nursing Research, 50, 203-213. doi: 10.1097/00006199-200107000-00004
6. Bliss, D. Z., Mellgren, A., Whitehead, W. E., Chiarioni, G., Emmanuel, A., & Santoro, G. (Eds.). (2013). Assessment and conservative management of faecal incontinence and quality of life in adults (5th ed.). Arnheim, The Netherlands: ICUD-EAU Publishers.
7. Bliss, D. Z., Savik, K., Jung, H., Jensen, L., LeMoine, M., & Lowry, A. (1999). Comparison of subjective classification of stool consistency and stool water content. Journal of Wound, Ostomy, and Continence Nursing, 26, 137-141. doi: 10.1016/S1071-5754(99)90031-1
8. Bliss, D. Z., Weimer, P. J., Jung, H. G., & Savik, K. (2013). In vitro degradation and fermentation of three dietary fiber sources by human colonic bacteria. Journal of Agricultural and Food Chemistry, 61, 4614-4621. doi: 10.1021/jf3054017
9. Eastwood, M. A., Robertson, J. A., Brydon, W. G., & MacDonald, D. (1983). Measurement of water-holding properties of fibre and their faecal bulking ability in man. British Journal of Nutrition, 50, 539-547.
10. Fitzmaurice, G., Davidan, M., Verbeke, G., & Molenberghs, G. (Eds.). (2009). Longitudianl data analysis. Boca Raton, FL: CRC Press.
11. Folstein, M., Folstein, S., & McHugh, P. (1975). "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.
12. Hoffmann, B. A., Timmcke, A. E., Gathright, J. B., Jr., Hicks, T. C., Opelka, F. G., & Beck, D. E. (1995). Fecal seepage and soiling: A problem of rectal sensation. Diseases of the Colon & Rectum, 38, 746-748.
13. Lauti, M., Scott, D., & Thompson-Fawcett, M. W. (2008). Fibre supplementation in addition to loperamide for faecal incontinence in adults: A randomized trial. Colorectal Disease, 10, 553-562. doi: 10.1111/j.1463-1318.2007.01439.x
14. Life Sciences Research Office Federation of American Societies for Experimental Biology. (1993). The evaluation of the safety of using psyllium seed husk as a food ingredient. Retrieved June 3, 2013, from http://www.fda.gov/ohrms/dockets/dockets/95s0316/95s-0316-rpt0366-43-Ref-42-Talbot-vol285.pdf
15. Manthey, A., Bliss, D. Z., Savik, K., Lowry, A., & Whitebird, R. (2010). Goals of fecal incontinence management identified by community-living incontinent adults. Western Journal of Nursing Research, 32, 644-661. doi: 10.1177/0193945909356098
16. Marlett, J. A., & Fischer, M. H. (2003). The active fraction of psyllium seed husk. Proceedings of the Nutrition Society, 62, 207-209.
17. Marlett, J. A., Kajs, T. M., & Fischer, M. H. (2000). An unfermented gel component of psyllium seed husk promotes laxation as a lubricant in humans. American Journal of Clinical Nutrition, 72, 784-789.
18. Peden-McAlpine, C., Bliss, D. Z., & Hill, J. (2008). The experience of community-living women managing fecal incontinence. Western Journal of Nursing Research, 30, 817-835. doi: 10.1177/0193945907312974
19. Rockwood, T. H., Church, J. M., Fleshman, J. W., Kane, R. L., Mavrantonis, C., Thorson, A. G., ..., Lowry, A. C. (2000). Fecal Incontinence Quality of Life Scale: Quality of life instrument for patients with fecal incontinence. Diseases of the Colon and Rectum, 43, 9-17.
20. Shamliyan, T., Wyman, J., Bliss, D. Z., Kane, R. L., & Wilt, T. J. (2007). Prevention of urinary and fecal incontinence in adults. Evidence Report/Technology Assessment, 161, 1-379.
21. Slavin, J. L. (2008). Position of the American Dietetic Association: Health implications of dietary fiber. Journal of the American Dietetic Association, 108, 1716-1731. doi: 10.1016/j.jada.2008.08.007
22. Sze, E. H., & Hobbs, G. (2009). Efficacy of methylcellulose and loperamide in managing fecal incontinence. Acta Obstetricia et Gynecologica Scandinavica, 88, 766-771. doi: 10.1080/00016340902993320
23. Theander, O., Aman, P., Westerlund, E., Andersson, R., & Pettersson, D. (1995). Total dietary fiber determined as neutral sugar residues, uronic acid residues, and klason lignin (the Uppsala method): Collaborative study. Journal of AOAC International, 78, 1030-1044.
24. US Federal Register. (1998). 21 CFR part 101 [docket no. 96P-0338] food labeling: Health claims; soluble fiber from certain foods and coronary heart disease. Retrieved from http://www.gpo.gov/fdsys/pkg/FR-1998-02-18/pdf/98-4074.pdf
25. US Federal Register. (2011). § 182.1745 sodium carboxymethylcellulose. Retrieved from http://federal.eregulations.us/cfr/section/title21/chapteri/part182/sect182.1745?selectdate=11/1/2011
26. US Federal Register. (2012). § 184.1330 acacia (gum arabic). Retrieved from http://www.gpo.gov/fdsys/pkg/CFR-2012-title21-vol3/pdf/CFR-2012-title21-vol3-sec184-1330.pdf
27. van der Hagen, S. J., Soeters, P. B., Baeten, C. G., & van Gemert, W. G. (2011). Conservative treatment of patients with faecal soiling. Techniques in Coloproctology, 15, 291-295. doi: 10.1007/s10151-011-0709-1
28. Wenzl, H. H., Fine, K. D., Schiller, L. R., & Fordtran, J. S. (1995). Determinants of decreased fecal consistency in patients with diarrhea. Gastroenterology, 108, 1729-1738.
29. Whitebird, R. R., Bliss, D. Z., Savik, K., Lowry, A., & Jung, H. J. (2010). Comparing community and specialty provider-based recruitment in a randomized clinical trial: Clinical trial in fecal incontinence. Research in Nursing & Health, 33, 500-511. doi: 10.1002/nur.20131
30. Zumarraga, L., Levitt, M. D., & Suarez, F. (1997). Absence of gaseous symptoms during ingestion of commercial fibre preparations. Alimentary Pharmacology & Therapeutics, 11, 1067-1072.