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功能性胃肠病患者的生活方式——日本大规模互联网生活方式调查。

Life style in persons with functional gastrointestinal disorders--large-scale internet survey of lifestyle in Japan.

机构信息

Division of Upper Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya city, Hyogo, Japan.

出版信息

Neurogastroenterol Motil. 2012 May;24(5):464-71, e217. doi: 10.1111/j.1365-2982.2011.01872.x. Epub 2012 Jan 31.

Abstract

BACKGROUND

Care of patients with functional gastrointestinal disorders (FGIDs) commonly includes offering guidance on diet, exercise, and other lifestyle factors, but there is little information available on the actual lifestyles of FGID sufferers.

METHODS

An internet questionnaire survey of 15,000 adult members of the general public in Japan who were screened for functional dyspepsia (FD) and irritable bowel syndrome (IBS) using the Rome III adult FGID questionnaire was conducted.

KEY RESULTS

The prevalence of FD and IBS was 6.5% and 14.0%, respectively, and 3.0% of the subjects met the criteria for both FD and IBS. The prevalence of both FD and IBS was higher in women than in men. The lifestyles of 2,547 subjects who met the Rome III criteria for FD, IBS, or both were compared with the lifestyles of 1,000 control subjects who did not meet the criteria for FD or the criteria for IBS. Compared to the control subjects, a significantly lower percentage of subjects with FD, IBS, or both exercised frequently, and a significantly higher percentage thought that their sleep was insufficient, ate meals irregularly, did not have an appetite, did not like meat, thought that their vegetable consumption was insufficient, felt stress in their daily lives, and regarded themselves as being highly susceptible to stress.

CONCLUSIONS & INFERENCES: Persons with FGIDs are affected by impairment of sleep, eating habits, diet, exercise and other lifestyle factors, and feel excessive stress. This suggests that offering lifestyle guidance to FGID patients may be useful.

摘要

背景

功能性胃肠病(FGIDs)患者的护理通常包括提供饮食、运动和其他生活方式因素方面的指导,但有关 FGID 患者实际生活方式的信息却很少。

方法

采用罗马 III 成人 FGID 问卷对 15000 名日本普通公众进行了互联网问卷调查,这些公众均接受过功能性消化不良(FD)和肠易激综合征(IBS)的筛选。

主要结果

FD 和 IBS 的患病率分别为 6.5%和 14.0%,3.0%的受试者符合 FD 和 IBS 的双重标准。女性 FD 和 IBS 的患病率均高于男性。符合 FD 和 IBS 罗马 III 标准的 2547 名受试者的生活方式与不符合 FD 标准或 IBS 标准的 1000 名对照受试者的生活方式进行了比较。与对照受试者相比,FD、IBS 或两者均存在的受试者中,经常锻炼的比例明显较低,而认为睡眠不足、饮食不规律、没有食欲、不喜欢吃肉、认为蔬菜摄入不足、日常生活中感到压力以及认为自己容易受到压力影响的比例明显较高。

结论和推论

FGIDs 患者受到睡眠、饮食习惯、饮食、运动和其他生活方式因素的影响,并感到过度压力。这表明为 FGID 患者提供生活方式指导可能是有用的。

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