Changes in body mass index and stoma related problems in the elderly

Raymond Skeps, Carmit K. McMullen, Christopher S Wendel, Joanna Bulkley, Marcia Grant, Martha J Mohler, Mark C. Hornbrook, Robert S Krouse, Lisa J. Herrinton

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives: Weight gain can cause retraction of an intestinal stoma, possibly resulting in difficulty with wafer and pouch fit, daily care challenges, and discomfort. This cross-sectional study examined the association between body mass index (BMI) and ostomy-related problems among long-term (>5. years post-diagnosis) colorectal cancer (CRC) survivors. Materials and methods: CRC survivors from three Kaiser Permanente Regions completed a mailed survey. The response rate for those with an ostomy was 53% (283/529). Questions included stoma-related problems, and time to conduct daily ostomy care. Poisson regression evaluated associations between report of problems and change in BMI. Our analysis sample included 235 survivors. Results: Sample was 76% ≥65. years of age. Since their surgeries, BMI remained stable (ST) in 44% (103), decreased (DE) in 20% (48), and increased (IN) in 36% (84). Compared to ST, male IN (RR 2.15 [1.09-4.25]) and female DE (RR 5.06 [1.26-25.0]) were more likely to spend more than 30. min per day on stoma care. IN (vs. ST) were more likely to report interference with clothing (RR 1.51 [1.06-2.17]) and other stoma-related problems (RR 2.32 [1.30-4.14]). Survivors who were obese at time of survey were more likely to report interference with clothing (RR 1.88 [1.38-2.56]) and other stoma-related problems (RR 1.68 [1.07-2.65]). Conclusion: A change in BMI is associated with ostomy-related problems among long-term CRC survivors. Equipment and care practices may need to be adapted for changes in abdominal shape. Health care providers should caution that a significant increase or decrease in BMI may cause ostomy-related problems.

Original languageEnglish (US)
Pages (from-to)84-89
Number of pages6
JournalJournal of Geriatric Oncology
Volume4
Issue number1
DOIs
StatePublished - Jan 2013

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Ostomy
Body Mass Index
Colorectal Neoplasms
Clothing
Health Personnel
Weight Gain
Cross-Sectional Studies
Equipment and Supplies

Keywords

  • BMI
  • Body mass index
  • Colorectal cancer
  • Ostomy
  • Stoma

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Oncology

Cite this

Changes in body mass index and stoma related problems in the elderly. / Skeps, Raymond; McMullen, Carmit K.; Wendel, Christopher S; Bulkley, Joanna; Grant, Marcia; Mohler, Martha J; Hornbrook, Mark C.; Krouse, Robert S; Herrinton, Lisa J.

In: Journal of Geriatric Oncology, Vol. 4, No. 1, 01.2013, p. 84-89.

Research output: Contribution to journalArticle

Skeps, Raymond ; McMullen, Carmit K. ; Wendel, Christopher S ; Bulkley, Joanna ; Grant, Marcia ; Mohler, Martha J ; Hornbrook, Mark C. ; Krouse, Robert S ; Herrinton, Lisa J. / Changes in body mass index and stoma related problems in the elderly. In: Journal of Geriatric Oncology. 2013 ; Vol. 4, No. 1. pp. 84-89.
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abstract = "Objectives: Weight gain can cause retraction of an intestinal stoma, possibly resulting in difficulty with wafer and pouch fit, daily care challenges, and discomfort. This cross-sectional study examined the association between body mass index (BMI) and ostomy-related problems among long-term (>5. years post-diagnosis) colorectal cancer (CRC) survivors. Materials and methods: CRC survivors from three Kaiser Permanente Regions completed a mailed survey. The response rate for those with an ostomy was 53{\%} (283/529). Questions included stoma-related problems, and time to conduct daily ostomy care. Poisson regression evaluated associations between report of problems and change in BMI. Our analysis sample included 235 survivors. Results: Sample was 76{\%} ≥65. years of age. Since their surgeries, BMI remained stable (ST) in 44{\%} (103), decreased (DE) in 20{\%} (48), and increased (IN) in 36{\%} (84). Compared to ST, male IN (RR 2.15 [1.09-4.25]) and female DE (RR 5.06 [1.26-25.0]) were more likely to spend more than 30. min per day on stoma care. IN (vs. ST) were more likely to report interference with clothing (RR 1.51 [1.06-2.17]) and other stoma-related problems (RR 2.32 [1.30-4.14]). Survivors who were obese at time of survey were more likely to report interference with clothing (RR 1.88 [1.38-2.56]) and other stoma-related problems (RR 1.68 [1.07-2.65]). Conclusion: A change in BMI is associated with ostomy-related problems among long-term CRC survivors. Equipment and care practices may need to be adapted for changes in abdominal shape. Health care providers should caution that a significant increase or decrease in BMI may cause ostomy-related problems.",
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