Department of Gastroenterology, 401 General Military Hospital of Athens.
Department of Internal Medicine, Second Medical Clinic, Ippokration Hospital.
Eur J Gastroenterol Hepatol. 2019 Aug;31(8):954-963. doi: 10.1097/MEG.0000000000001439.
Irritable bowel syndrome (IBS) is one of the gut-brain axis interaction disorders. It has global distribution with varying prevalence and particular financial and psychological consequences. IBS has been associated with stress and anxiety, conditions that are usually prevalent in the army. There are scarce data investigating the impact of IBS on noncombat active duty military without reports of Greek military or stress in the occupational environment.
The main exclusion criteria in our noncombat military multicenter prospective survey were gastrointestinal pathologies, malignancies, hematochezia, recent infections and antibiotics prescription, and pregnancy. Questionnaires included a synthesis of baseline information, lifestyle, and diet, psychological and stress-investigating scales and the IBS diagnosis checklist. Hospital Anxiety and Depression Scale and Rome IV criteria were utilized.
Among 1605 participants included finally, the prevalence of IBS was 8% and 131 cases were identified. Women were more vulnerable to IBS, although male sex was prevalent at a ratio of 3.5 : 1 (male:female) in the entire sample. The mean age of all participants was 23.85 years; most of the IBS patients were older than thirty. Abnormal anxiety scores and high levels of occupational stress were related to an IBS diagnosis.
This prospective multicenter survey showed, for the first time, the potential impact of occupational stress on IBS in active duty noncombat Greek Military personnel. The diagnosis of IBS by questionnaire is a quick, affordable way that can upgrade, by its management, the quality of life and relieve from the military burden. Our results are comparable with previous studies, although large-scale epidemiological studies are required for the confirmation of a possible causative relationship.
肠易激综合征（IBS）是一种与脑肠轴相互作用有关的疾病。它在全球范围内分布，其患病率存在差异，并且会给患者带来特殊的经济和心理负担。IBS 与压力和焦虑有关，而这些情况在军队中通常较为普遍。目前，关于非战斗现役军人中 IBS 的影响的研究数据很少，也没有关于希腊军队或职业环境中压力的报告。
在我们的非战斗现役军人多中心前瞻性调查中，主要排除标准是胃肠道疾病、恶性肿瘤、血便、近期感染和抗生素处方以及妊娠。调查问卷包括基本信息、生活方式和饮食、心理和压力调查量表以及 IBS 诊断检查表的综合内容。使用了医院焦虑和抑郁量表和罗马 IV 标准。
在最终纳入的 1605 名参与者中，IBS 的患病率为 8%，有 131 例被确诊。女性更容易患 IBS，尽管在整个样本中，男女比例为 3.5：1（男性：女性）。所有参与者的平均年龄为 23.85 岁；大多数 IBS 患者年龄在 30 岁以上。异常的焦虑评分和高水平的职业压力与 IBS 诊断有关。
这项前瞻性多中心调查首次显示，职业压力可能对希腊现役非战斗军人的 IBS 产生影响。通过问卷诊断 IBS 是一种快速、经济实惠的方法，可以通过管理来提高生活质量并减轻军人的负担。我们的结果与之前的研究相似，尽管需要进行大规模的流行病学研究来确认可能的因果关系。
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