Jarbøl Dorte Ejg, Rasmussen Sanne, Balasubramaniam Kirubakaran, Elnegaard Sandra, Haastrup Peter Fentz
Research Unit of General Practice, Department of Public Health, University of Southern Denmark, J. B. Winsløws Vej 9A, DK-5000, Odense C., Denmark.
BMC Gastroenterol. 2017 May 18;17(1):65. doi: 10.1186/s12876-017-0622-9.
BACKGROUND: Gastroesophageal reflux disease (GERD), functional dyspepsia (FD) and irritable bowel syndrome (IBS) are common functional gastrointestinal conditions with a significant impact on daily life. The objectives were to analyse general self-rated health and self-reported functional capacity in adults meeting the criteria for GERD, FD and IBS, respectively, and in individuals who meet the criteria for more than one of the conditions. METHODS: A nationwide study of 100,000 individuals aged 20 years and above, randomly selected in the general Danish population. A web-based questionnaire survey formed the basis of this study. Questions regarding FD and IBS were extracted from the ROME III adult questionnaire. Questions regarding GERD were developed based on the Montreal definition. Self-rated health and functional capacity was measured by single global questions. RESULTS: Respondents meeting the criteria for either GERD, FD or IBS have significantly higher odds of reporting poor self-rated health and impaired functional capacity compared to individuals not experiencing these functional gastrointestinal conditions. Furthermore, respondents with overlapping gastrointestinal (GI) symptom complexes have significantly higher odds of reporting poor self-rated health and impaired functional capacity compared to respondents with symptoms compatible with only one of the symptom complexes. CONCLUSIONS: This study demonstrates that individuals experiencing symptoms of GERD, FD or IBS report poor self-rated health as well as impaired functional capacity. The impact on self-rated health and functional capacity is highest among individuals experiencing overlapping symptoms of GERD, FD and IBS.
背景:胃食管反流病(GERD)、功能性消化不良(FD)和肠易激综合征(IBS)是常见的功能性胃肠疾病,对日常生活有重大影响。目的是分别分析符合GERD、FD和IBS标准的成年人以及符合不止一种疾病标准的个体的一般自我评定健康状况和自我报告的功能能力。 方法:在丹麦普通人群中对100,000名20岁及以上的个体进行全国性研究。本研究以基于网络的问卷调查为基础。关于FD和IBS的问题取自罗马III成人问卷。关于GERD的问题是根据蒙特利尔定义编制的。自我评定健康状况和功能能力通过单一整体问题进行测量。 结果:与未经历这些功能性胃肠疾病的个体相比,符合GERD、FD或IBS标准的受访者报告自我评定健康状况差和功能能力受损的几率显著更高。此外,与仅有一种症状复合体相符症状的受访者相比,具有重叠胃肠(GI)症状复合体的受访者报告自我评定健康状况差和功能能力受损的几率显著更高。 结论:本研究表明,经历GERD、FD或IBS症状的个体报告自我评定健康状况差以及功能能力受损。在经历GERD、FD和IBS重叠症状的个体中,对自我评定健康状况和功能能力的影响最大。
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