Barcelona Centre for International Health Research (CRESIB), Hospital Clínic / IDIBAPS, University of Barcelona / CIBER Epidemiology and Public Health (CIBERESP), C/ Rosselló 132 4°2ª, 08036 Barcelona, Spain.
Int Health. 2011 Dec;3(4):289-94. doi: 10.1016/j.inhe.2011.09.005.
Due to international migration, Chagas disease, endemic in Latin America, has become more common in non-endemic areas. Chronic Chagas disease can cause damage to the digestive system leading to constipation. However, a range of factors influences constipation and a better understanding of the role of non-Chagas related factors is required to improve management of Chagas-related digestive problems. This study explores perceptions of constipation and changes in food and exercise habits amongst Bolivians in Barcelona, Spain. Bolivian migrants attending the Tropical Medicine Unit (Hospital Clínic, Barcelona) were interviewed about their food habits in Spain and Bolivia, migratory experience, work and leisure activities. Chagas seropositive participants also received radiological examinations. Bolivian migrants experienced dietary changes, influenced by work-related factors, which included reductions in quantities of food and liquid consumed. Almost half the participants reported changes in digestive rhythm since arriving in Spain. Constipation, which was common, in some cases was only recounted during interviews. Bolivian migrants' constipation may be associated with chronic Chagas disease or migration-related dietary changes. Careful questioning using the Rome III criteria is however required to ensure its diagnosis. Radiological studies are also required to confirm the role of Chagas disease and identify potentially serious intestinal damage.
由于国际移民，原本在拉丁美洲流行的恰加斯病在非流行地区变得更为常见。慢性恰加斯病可导致消化系统损伤，引起便秘。然而，多种因素会影响便秘，为了改善恰加斯病相关消化系统问题的管理，我们需要更好地了解非恰加斯相关因素的作用。本研究旨在探讨西班牙巴塞罗那的玻利维亚移民对便秘的认知，以及其饮食和运动习惯的变化。在巴塞罗那热带医学病房（Clínic 医院）就诊的恰加斯病阳性玻利维亚移民接受了有关其在西班牙和玻利维亚的饮食习惯、移民经历、工作和休闲活动的访谈。恰加斯病阳性参与者还接受了放射学检查。工作相关因素影响了玻利维亚移民的饮食变化，包括食物和液体摄入量的减少。几乎一半的参与者报告说，自抵达西班牙以来，其消化节奏发生了变化。一些人报告说存在便秘，但仅在访谈中提到过。玻利维亚移民的便秘可能与慢性恰加斯病或与移民相关的饮食变化有关。然而，需要使用罗马 III 标准进行仔细询问以确保其诊断。还需要进行放射学研究以确认恰加斯病的作用，并识别可能存在的严重肠道损伤。
