Chatila Rajaa, Merhi Mahmoud, Hariri Essa, Sabbah Nada, Deeb Mary E
Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University Medical Center-Rizk Hospital, P.O. Box 36, Byblos, Lebanon.
BMC Gastroenterol. 2017 Dec 2;17(1):137. doi: 10.1186/s12876-017-0698-2.
Very few studies report on the prevalence of irritable bowel syndrome (IBS) and its correlates in the Middle East. This study investigated Irritable Bowel Syndrome (IBS) prevalence in a sample of Lebanese adult individuals and associated demographic and behavioral lifestyle factors.
This is an observational population-based study. The target population is working Lebanese adults, eighteen-to-sixty five years old. The sample was selected from a convenience population of bank employees in different geographical areas in Lebanon. The study participants completed an anonymous self-administered questionnaire, to collect data on their socio-demographic, behavioral and life style characteristics, and diagnostic questions following Rome III criteria to assess IBS occurrence. The difference in IBS prevalence by socio-demographic characteristics, smoking, alcohol consumption, and physical activity was assessed by using the Chi-square test. Logistic regression adjusted odds ratios were used to investigate the association between risk factors and IBS.
Data was collected from 553 individuals and consisted of 52.8% females (mean age 35.9 years, SD = 11.9) and 47.2% males (mean age = 36.1 years, SD = 10.3). The prevalence of IBS in the study population according to Rome III criteria was 20.1%. The bivariate analysis indicated that being younger than 30 years old, a female, an ever water pipe smoker, an ever alcohol consumer are significantly associated with a higher prevalence of IBS. Educational level, cigarettes smoking and physical exercise were not significantly associated with IBS occurrence. The logistic regression adjusted odds ratio showed that females were 1.67 times more likely to have IBS than males (P˂ 0.05). The participants aged less than 30 years old were at a higher risk of having IBS (P˂ 0.01). Those who ever smoked waterpipe were 1.63 times more likely to have IBS than those who never smoked waterpipe (P˂ 0.05). Those who were ever alcohol drinkers were twice as likely to have IBS than never-drinkers (P˂ 0.01).
New data on the high prevalence of IBS in an adult population in Lebanon has been reported. This is also the first study to investigate and show an association of waterpipe smoking and IBS. Further longitudinal studies are warranted to determine whether this association is causal.
很少有研究报道中东地区肠易激综合征（IBS）的患病率及其相关因素。本研究调查了黎巴嫩成年人群样本中肠易激综合征（IBS）的患病率以及相关的人口统计学和行为生活方式因素。
这是一项基于人群的观察性研究。目标人群是年龄在18至65岁的在职黎巴嫩成年人。样本从黎巴嫩不同地理区域的银行员工这一便利人群中选取。研究参与者完成一份匿名的自我管理问卷，以收集他们的社会人口统计学、行为和生活方式特征数据，以及按照罗马III标准的诊断问题以评估IBS的发生情况。通过卡方检验评估按社会人口统计学特征、吸烟、饮酒和体育活动划分的IBS患病率差异。使用逻辑回归调整后的优势比来研究风险因素与IBS之间的关联。
收集了553人的数据，其中女性占52.8%（平均年龄35.9岁，标准差=11.9），男性占47.2%（平均年龄=36.1岁，标准差=10.3）。根据罗马III标准，研究人群中IBS的患病率为20.1%。双变量分析表明，年龄小于30岁、女性、曾经吸食水烟者、曾经饮酒者与IBS的较高患病率显著相关。教育水平、吸烟和体育锻炼与IBS的发生无显著关联。逻辑回归调整后的优势比显示，女性患IBS的可能性是男性的1.67倍（P＜0.05）。年龄小于30岁的参与者患IBS的风险更高（P＜0.01）。曾经吸食水烟者患IBS的可能性是从未吸食水烟者的1.63倍（P＜0.05）。曾经饮酒者患IBS的可能性是从不饮酒者的两倍（P＜0.01）。
报告了黎巴嫩成年人群中IBS高患病率的新数据。这也是第一项调查并显示吸食水烟与IBS之间存在关联的研究。有必要进行进一步的纵向研究以确定这种关联是否具有因果关系。
