Ebling Barbara, Jurcic Dragan, Barac Karolina Majstorovic, Bilic Ante, Bajic Iva, Martinac Miran, Pribic Sandra, Vcev Aleksandar
Internal Clinic, Clinical Hospital Centre Osijek, Osijek, Croatia.
J. J. Strossmayer University, School of Medicine, Osijek, Croatia.
Wien Klin Wochenschr. 2016 Jan;128(1-2):34-41. doi: 10.1007/s00508-015-0718-6. Epub 2015 Apr 14.
Aim of the research is to establish the prevalence of dyspepsia in Osječko-baranjska County, to establish its specific characteristics and to determine the effect of demographic, anthropometric, and socioeconomic factors. It is a cross-sectional and case control study conducted in 2010 on systematic sample of 900 subjects between 20 and 69 years of age. Every subject was sent an invitation letter and a Rome III diagnostic questionnaire for one of the disorders. A scoring algorithm was used to confirm or exclude the diagnosis of functional dyspepsia (FD). The chi-square test, t-test and logistic regression were used for analysis.Prevalence of dyspepsia was recorded in 16, 56%, of subjects. There is no statistically significant difference in prevalence of dyspepsia male and female. The prevalence of dyspepsia increases with age. Correlation with the place of birth was proven. There is no correlation between the current place of residence (rural area and town) and dyspepsia. There is a correlation with marital status. Correlation between stool forms was proven. There were a greater number of subjects that had at least one alarm symptom or some of the psychosocial factors and they often suffered from a chronic disease. The risk for dyspepsia increases with age, body mass index (BMI), and poorer health. Logistic regression showed the following as statistically significant for dyspepsia: place of birth and self-assessment of one's health. FD presents a significant health problem. Rome III survey questionnaire proved to be an acceptable method for diagnosing this functional disorder in clinical-consilliary and primary health care for persons showing signs of alarm and needing further diagnostic treatment.
该研究的目的是确定奥西耶克-巴拉尼亚县消化不良的患病率,明确其具体特征,并确定人口统计学、人体测量学和社会经济因素的影响。这是一项于2010年针对900名年龄在20至69岁之间的系统性抽样受试者开展的横断面病例对照研究。向每位受试者发送了一封邀请信以及一份针对其中一种病症的罗马III诊断问卷。采用评分算法来确诊或排除功能性消化不良(FD)的诊断。使用卡方检验、t检验和逻辑回归进行分析。16.56%的受试者记录有消化不良患病率。消化不良在男性和女性中的患病率无统计学显著差异。消化不良患病率随年龄增长而增加。证实与出生地存在相关性。当前居住地(农村地区和城镇)与消化不良之间无相关性。与婚姻状况存在相关性。证实与粪便形态存在相关性。有更多受试者至少有一项警示症状或某些心理社会因素,且他们常患有慢性病。消化不良风险随年龄、体重指数(BMI)增加以及健康状况变差而升高。逻辑回归显示以下因素对消化不良具有统计学显著性:出生地和自我健康评估。FD是一个重大的健康问题。对于有警示迹象且需要进一步诊断治疗的人群,罗马III调查问卷被证明是临床咨询和初级卫生保健中诊断这种功能性疾病的一种可接受方法。