肠易激综合征:孟加拉国锡尔赫特地区的患病率及饮食因素
Irritable Bowel Syndrome: Prevalence and Dietary Factors in the Sylhet District of Bangladesh.
作者信息
Saha M, Parveen I, Uddoula M S, Alam M J, Afsar N S, Debnath B C, Ali S E
机构信息
Professor Madhusudan Saha, Professor, Department of Gastroenterology, North East Medical College, Sylhet, Bangladesh.
出版信息
Mymensingh Med J. 2018 Jan;27(1):82-88.
Irritable bowel syndrome (IBS) is a common functional bowel disorder. Along with other factors diet plays an important role in the causation of IBS. This population-based study was done to find out the prevalence of IBS and to find out the dietary factors associated with IBS from August 2011 to December 2011 in Sylhet district of Bangladesh. Nineteen hundred apparently healthy subjects selected by cluster sampling methods were interviewed by a validated bowel disease questionnaire. Dietary history of the subjects was also taken. Irritable bowel syndrome was diagnosed according to Rome III criteria. The prevalence of IBS was found 14.2% (n=269, M=15%, F=13.4%, p=0.365). Mean age of the IBS patients were higher than the study population (41.35 years vs. 34.74 years, p=0.000). Irritable bowel syndrome was found more in low education group (16.3%) with lower socioeconomic status (16.5%) and in single person (16.7%). IBSD was the most prevalent subtype (48.7%), IBSM was the next common subtype. Abdominal pain relieved by defecation (81%) and abdominal pain associated with loose stools (81%) were the two commonest symptoms. Age (OR 1.023, p=0.000), less intake of meat (OR 2.281, p=0.000) and pulses (OR 1.648, p=0.001) and more intake of tea (OR 1.524, p=0.009) and spices (OR 0.452, p=0.000) were found as independent predictor of IBS. Irritable bowel syndrome is a common disorder in our community. IBSD is the most prevalent subtype. Less intake of meat, pulses and more intakes of tea and spices are important associated factors for IBS.
肠易激综合征(IBS)是一种常见的功能性肠道疾病。饮食与其他因素一起在肠易激综合征的病因中起着重要作用。这项基于人群的研究于2011年8月至2011年12月在孟加拉国锡尔赫特地区进行,旨在了解肠易激综合征的患病率,并找出与肠易激综合征相关的饮食因素。通过整群抽样方法选取了1900名表面健康的受试者,用一份经过验证的肠道疾病问卷对他们进行访谈。同时也采集了受试者的饮食史。根据罗马III标准诊断肠易激综合征。发现肠易激综合征的患病率为14.2%(n = 269,男性患病率为15%,女性患病率为13.4%,p = 0.365)。肠易激综合征患者的平均年龄高于研究人群(41.35岁对34.74岁,p = 0.000)。在低教育程度组(16.3%)、社会经济地位较低组(16.5%)和单身人群(16.7%)中发现肠易激综合征更为常见。腹泻型肠易激综合征(IBSD)是最常见的亚型(48.7%),混合型肠易激综合征(IBSM)是第二常见的亚型。排便后腹痛缓解(81%)和与稀便相关的腹痛(81%)是最常见的两种症状。年龄(OR 1.023,p = 0.000)、肉类摄入量少(OR 2.281,p = 0.000)、豆类摄入量少(OR 1.648,p = 0.001)、茶摄入量多(OR 1.524,p = 0.009)和香料摄入量多(OR 0.452,p = 0.000)被发现是肠易激综合征的独立预测因素。肠易激综合征在我们社区是一种常见疾病。腹泻型肠易激综合征是最常见的亚型。肉类、豆类摄入量少以及茶和香料摄入量多是肠易激综合征的重要相关因素。