Seyedmirzaei Seyed Mehdi, Haghdoost Ali Akbar, Afshari Mahdi, Dehghani Azam
Department of Internal Medicine, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, IR Iran.
Department of Epidemiology and Biostatistics, Research Center for Modeling in Health, Kerman University of Medical Sciences, Kerman, IR Iran.
Iran Red Crescent Med J. 2014 Nov 1;16(11):e14757. doi: 10.5812/ircmj.14757. eCollection 2014 Nov.
Dyspepsia is a common disorder that can present many clinical dilemmas in patient management. Although not usually life-threatening, its symptoms such as abdominal pain, heartburn, early satiety and postprandial fullness can have a significant negative impact on patients' quality of life.
The aim of this study was to determine the prevalence of dyspepsia and its associated factors among the adult population in Kerman in 2010.
This cross-sectional study was performed on 2210 patients with the mean age of 43.4 years in Kerman, a city in southeast of Iran. Demographic factors, lifestyle data and gastrointestinal symptoms were collected for each patient.
The prevalence of dyspepsia was 16.1% (95% confidence interval: 14.3-18.1). The prevalence in patients with abdominal obesity (7.3%) was lower in comparison with those with low physical activity (13.8%). Out of other psycho-behavioral risk factors, anxiety after controlling for other variables increased the risk of functional dyspepsia more than 65 percent (P = 0. 004) and depressive disorders also increased that risk about 2.13 percent (P < 0.0001). Patients with dyspepsia symptoms were more likely to restrict their diet, take herbal medicine, use over-the-counter drugs and consult with physicians.
Results of this study reveal the moderate prevalence of dyspepsia among the adult population in Kerman like in other parts of the country and this prevalence is associated with several demographic factors, lifestyle and health-seeking behaviors.
消化不良是一种常见疾病，在患者管理中会带来许多临床难题。尽管通常不会危及生命，但其诸如腹痛、烧心、早饱及餐后饱胀等症状会对患者生活质量产生重大负面影响。
本研究旨在确定2010年克尔曼成年人群中消化不良的患病率及其相关因素。
这项横断面研究在伊朗东南部城市克尔曼的2210名平均年龄为43.4岁的患者中进行。收集了每位患者的人口统计学因素、生活方式数据及胃肠道症状。
消化不良的患病率为16.1%（95%置信区间：14.3 - 18.1）。腹部肥胖患者的患病率（7.3%）低于体力活动少的患者（13.8%）。在其他心理行为风险因素中，在控制其他变量后，焦虑使功能性消化不良的风险增加超过65%（P = 0.004），抑郁症也使该风险增加约2.13%（P < 0.0001）。有消化不良症状的患者更有可能限制饮食、服用草药、使用非处方药并咨询医生。
本研究结果显示，克尔曼成年人群中消化不良的患病率与该国其他地区一样处于中等水平，且该患病率与多种人口统计学因素、生活方式及就医行为相关。
