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Is a round or elongated toilet better for seniors?

4 min read

According to the Centers for Disease Control and Prevention, over 80% of bathroom injuries are caused by falls, and seniors are at a significantly higher risk. When planning a bathroom for safety and comfort, one key decision is determining if a round or elongated toilet is better for seniors.

Quick Summary

Elongated toilets offer greater seating surface and a more comfortable, supportive position, which can make them easier for many older adults to use. However, round bowls are more compact and ideal for smaller bathrooms with limited space. The best option ultimately depends on the senior's mobility, height, and the specific dimensions of the bathroom.

Key Points

  • Elongated for Comfort: Offers a larger seating area and more leg support, which is often more comfortable and ergonomic for seniors and taller individuals.

  • Round for Space: Is more compact and the better option for smaller bathrooms or powder rooms where saving space is the primary concern.

  • Comfort Height is Crucial: More important than bowl shape is the seat height; an ADA-compliant or comfort-height toilet (17-19 inches) is ideal for easier sitting and standing.

  • Safety First with Grab Bars: Regardless of toilet type, install grab bars nearby to provide essential support and reduce the risk of falls, a major bathroom hazard for seniors.

  • Consider Other Features: Options like bidet seats and toilet lifts can add significant comfort, hygiene, and independence for seniors with mobility limitations.

  • Evaluate Your Needs: The best choice is a personalized one, based on the senior's mobility, height, and the dimensions of the bathroom.

In This Article

Comparing Elongated vs. Round Toilets for Senior Comfort

When it comes to bathroom accessibility and safety for aging individuals, the choice of toilet can make a significant difference. While both round and elongated toilets serve the same function, their distinct designs offer different benefits and drawbacks, especially for those with mobility issues or other age-related concerns.

The Case for Elongated Toilets

Elongated toilets are often the preferred choice for adults, including seniors, for several key reasons. Their primary advantage lies in their design, which features an oval-shaped bowl that extends approximately two inches further than a round bowl. This extra length translates to a larger seating area, providing more support and comfort, particularly during extended use. The elongated shape also offers more space between the legs, which can be beneficial for individuals who need a wider stance for balance or those with mobility challenges that make maneuvering in tight spaces difficult. Many ADA-compliant toilets are elongated for these reasons, focusing on accessibility and ease of use for people with disabilities.

  • Increased Seating Area: The larger surface area provides better weight distribution and support.
  • Improved Accessibility: The longer shape can make it easier to transfer on and off the toilet, especially when paired with grab bars.
  • Ergonomic Support: The extended bowl can offer better leg support for taller individuals and a more natural sitting position.
  • Easier to Clean: The smoother, more open design is often simpler to wipe down, reducing the buildup of grime.

The Argument for Round Toilets

While elongated models are often recommended for comfort, round toilets have a distinct advantage in specific situations. Their main benefit is their compact, space-saving design. In smaller bathrooms, half-baths, or powder rooms where every inch of floor space counts, a round toilet can be the best, and sometimes the only, option. A round toilet can take up to two inches less depth, which can make a small room feel less cramped and allow for better traffic flow around the fixture.

  • Space Efficiency: The compact size is perfect for tight bathrooms and can be a necessity in some layouts.
  • Cost-Effectiveness: Generally, round bowls are less expensive than their elongated counterparts due to lower material costs.
  • Classic Aesthetic: For those who prefer a more traditional bathroom look, the round toilet is a classic choice.

Beyond Shape: Crucial Factors for Aging in Place

Beyond the bowl shape, several other features are equally, if not more, important when selecting a toilet for a senior's bathroom. Ignoring these factors can undermine even the most well-intentioned choice.

  1. Comfort Height: This is one of the most critical considerations for seniors. Comfort height (or chair height) toilets typically have a seat height between 17 and 19 inches, compared to the 15-16 inches of a standard toilet. This taller height aligns with a standard chair, requiring less bending and placing less strain on the knees and hips when sitting down and standing up, significantly reducing the risk of falls.
  2. Grab Bars: The installation of sturdy, professionally installed grab bars around the toilet area is a non-negotiable safety feature. They provide stable support for transitioning to and from the toilet, which can be difficult for those with balance or strength issues.
  3. Toilet Lifts and Raised Seats: For individuals who need extra assistance, elevated toilet seats or motorized toilet lifts can be used with existing fixtures. These devices add height and support, making the toilet safer and more accessible.
  4. Consider a Bidet Seat: Many bidet seats and smart toilets come with added features like heated seats, warm water washing, and air drying, which can significantly enhance hygiene and independence for seniors with limited mobility.

Comparing Round vs. Elongated Toilet for Senior Needs

Feature Elongated Toilet Round Toilet
Comfort Superior, with more seating area and leg support, especially for taller adults. Can be less comfortable for some adults due to a smaller surface area.
Space Requires a few more inches of front-to-back space, may not fit in all bathrooms. Space-saving design, making it ideal for smaller bathrooms and powder rooms.
Cost Generally slightly more expensive than round models. Typically more affordable.
Typical User Recommended for adults, seniors, and anyone prioritizing comfort and ease of transfer. A practical option for smaller spaces and family bathrooms, where compact size is the priority.

Making the Final Choice

The best decision depends on a careful evaluation of the user's specific needs and the physical constraints of the bathroom. If bathroom size is not a limiting factor, an elongated, comfort-height toilet is generally the most comfortable and accessible option for seniors. The added seating space and ergonomic design offer significant benefits for long-term use and ease of movement. However, for homes with smaller bathrooms, a round toilet combined with other safety modifications like grab bars and a comfort-height base is a perfectly viable solution. The key is to prioritize safety and comfort above all else, ensuring the bathroom remains a secure environment for aging in place.

For more information on bathroom safety and accessibility, consult an occupational therapist or visit the National Institute on Aging.

Frequently Asked Questions

While similar in height (around 17-19 inches), ADA compliance includes specific requirements beyond height, such as grab bar placement and clear floor space. A comfort-height toilet provides the beneficial height but may not meet all ADA specifications.

No, many people find elongated toilets easier to clean because the larger, more open bowl design provides better access to all surfaces. Many newer models also feature advanced glazing that further simplifies maintenance.

Yes, comfort-height toilets are available in both round and elongated bowl shapes. This allows you to combine the space-saving benefits of a round bowl with the accessibility of a taller toilet for a senior.

If you have a small bathroom, a round toilet is the best option. You can still enhance safety by choosing a comfort-height model and installing appropriate grab bars for support.

Grab bars are not attached to the toilet itself but are securely mounted to the wall or floor surrounding it. They can be installed next to any toilet, regardless of its shape or size.

The ideal toilet height can be determined by considering the senior's height and mobility. It should be easy to sit down on and stand up from, without excessive strain on the knees or hips. The 17- to 19-inch 'comfort height' is a good starting point for most adults.

Yes, toilet seats are designed specifically for either round or elongated bowls. When purchasing a new toilet seat, it is crucial to ensure it matches the shape of your toilet bowl to ensure a proper and stable fit.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.