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接触环境微生物群可解释重大洪水后持续的腹痛和肠易激综合征。

Exposure to environmental microbiota explains persistent abdominal pain and irritable bowel syndrome after a major flood.

作者信息

Yusof NurFadhilah, Hamid Nurhazwani, Ma Zheng Feei, Lawenko Rona Marie, Wan Mohammad Wan Mohd Zahiruddin, Collins Deirdre A, Liong Min Tze, Odamaki Toshitaka, Xiao Jinzhong, Lee Yeong Yeh

机构信息

School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, Kelantan Malaysia.

Department of Public Health, Xi'an Jiaotong-Liverpool University, Suzhou, China.

出版信息

Gut Pathog. 2017 Dec 14;9:75. doi: 10.1186/s13099-017-0224-7. eCollection 2017.

DOI:10.1186/s13099-017-0224-7
PMID:29255490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5729606/
Abstract

BACKGROUND

After an environmental disaster, the affected community is at increased risk for persistent abdominal pain but mechanisms are unclear. Therefore, our study aimed to determine association between abdominal pain and poor water, sanitation and hygiene (WaSH) practices, and if small intestinal bacterial overgrowth (SIBO) and/or gut dysbiosis explain IBS, impaired quality of life (QOL), anxiety and/or depression after a major flood.

RESULTS

New onset abdominal pain, IBS based on the Rome III criteria, WaSH practices, QOL, anxiety and/or depression, SIBO (hydrogen breath testing) and stools for metagenomic sequencing were assessed in flood victims. Of 211 participants, 37.9% ( = 80) had abdominal pain and 17% ( = 36) with IBS subtyped diarrhea and/or mixed type ( = 27 or 12.8%) being the most common. Poor WaSH practices and impaired quality of life during flood were significantly associated with IBS. Using linear discriminant analysis effect size method, gut dysbiosis was observed in those with anxiety (Bacteroidetes and Proteobacteria, effect size 4.8), abdominal pain (Fusobacteria and , effect size 4.0) and IBS ( and , effect size 3.0).

CONCLUSION

Disturbed gut microbiota because of environmentally-derived organisms may explain persistent abdominal pain and IBS after a major environmental disaster in the presence of poor WaSH practices.

摘要

背景

在一场环境灾难之后,受灾社区持续性腹痛的风险增加,但相关机制尚不清楚。因此,我们的研究旨在确定腹痛与不良的水、环境卫生和个人卫生(WaSH)习惯之间的关联,以及小肠细菌过度生长(SIBO)和/或肠道生态失调是否能解释在一场重大洪水之后出现的肠易激综合征(IBS)、生活质量受损(QOL)、焦虑和/或抑郁。

结果

对洪水受害者评估了新发腹痛、基于罗马Ⅲ标准的IBS、WaSH习惯、生活质量、焦虑和/或抑郁、SIBO(氢呼气试验)以及用于宏基因组测序的粪便样本。在211名参与者中,37.9%(n = 80)有腹痛,17%(n = 36)患有IBS,其中以腹泻型和/或混合型(n = 27或12.8%)最为常见。洪水期间不良的WaSH习惯和生活质量受损与IBS显著相关。使用线性判别分析效应量方法,在患有焦虑症的人群中观察到肠道生态失调(拟杆菌门和变形菌门,效应量4.8)、腹痛人群(梭杆菌门等,效应量4.0)以及IBS人群(等,效应量3.0)。

结论

在存在不良WaSH习惯的情况下,环境来源微生物导致的肠道微生物群紊乱可能解释重大环境灾难后出现的持续性腹痛和IBS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/5729606/28e109987d28/13099_2017_224_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/5729606/1b841476ffab/13099_2017_224_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/5729606/8d4bdaaf6fa3/13099_2017_224_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/5729606/640fa7be89df/13099_2017_224_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/5729606/28e109987d28/13099_2017_224_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/5729606/1b841476ffab/13099_2017_224_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/5729606/8d4bdaaf6fa3/13099_2017_224_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/5729606/640fa7be89df/13099_2017_224_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4769/5729606/28e109987d28/13099_2017_224_Fig4_HTML.jpg

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