Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, Shandong, People's Republic of China.
PLoS One. 2013;8(1):e54183. doi: 10.1371/journal.pone.0054183. Epub 2013 Jan 18.
BACKGROUND: Functional gastrointestinal disorders, including functional dyspepsia, irritable bowel syndrome and functional constipation are very common worldwide. OBJECTIVE: This research aims to estimate the prevalence and associated factors involved in functional gastrointestinal disorders in Chinese college and university students using the Rome III criteria. METHODS: A total of 5000 students from Shandong University in China were asked in January-May 2012 to complete questionnaires, including the Rome III questionnaire, hospital anxiety and depression scale, and negative life events scale. RESULTS: Based on the 4638 students who completed the questionnaire, the prevalence of functional dyspepsia, irritable bowel syndrome and functional constipation in college and university students of North China worked out to be 9.25%, 8.34% and 5.45% respectively. They were more frequent in female students. The factors of anxiety (OR 1.07; 95% CI 0.99 to 1.16, P=0.002<0.05) and depression (OR 0.55; 95% CI 0.15 to 1.05, P=0.045<0.05) indicated a high risk of causing irritable bowel syndrome. CONCLUSION: Functional dyspepsia, irritable bowel syndrome and functional constipation were common in college and university students of North China. Psychological disorders such as anxiety and depression provide significant risk factors for irritable bowel syndrome patients.
背景:功能性胃肠病,包括功能性消化不良、肠易激综合征和功能性便秘,在全球范围内非常普遍。
目的:本研究旨在使用罗马 III 标准评估中国大学生功能性胃肠病的患病率及相关因素。
方法:2012 年 1 月至 5 月,对来自中国山东大学的 5000 名学生进行问卷调查,包括罗马 III 问卷、医院焦虑抑郁量表和负性生活事件量表。
结果:基于完成问卷的 4638 名学生,华北地区大学生功能性消化不良、肠易激综合征和功能性便秘的患病率分别为 9.25%、8.34%和 5.45%。女性学生更为常见。焦虑(OR 1.07;95%CI 0.99 至 1.16,P=0.002<0.05)和抑郁(OR 0.55;95%CI 0.15 至 1.05,P=0.045<0.05)是导致肠易激综合征的高风险因素。
结论:功能性消化不良、肠易激综合征和功能性便秘在华北地区大学生中较为常见。焦虑和抑郁等心理障碍为肠易激综合征患者提供了显著的风险因素。
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