Wani F A, Almaeen A H, Bandy A H, Thirunavukkarsu A, Al-Sayer T A, Flah A, Fayed K, Albalawi M M
Department of Pathology, College of Medicine, Jouf University, Al-Jouf, Saudi Arabia.
Department of Community Medicine, College of Medicine, Jouf University, Al-Jouf, Saudi Arabia.
Niger J Clin Pract. 2020 Apr;23(4):555-560. doi: 10.4103/njcp.njcp_512_18.
Irritable bowel syndrome is common in the community and its prevalence is higher among the medical students.
The current study was carried out to estimate the prevalence and evaluate the risk factors of irritable bowel syndrome among medical and nonmedical students of the Jouf University.
This cross-sectional study was carried out among medical and nonmedical students of the Jouf University. Study targeted 200 medical and nonmedical students using the convenience sampling technique. A self-administered questionnaire was adopted for the study and consisted of three parts with questions on demographic characteristics, lifestyle, eating habits, academics, and irritable bowel syndrome. Descriptive statistics were carried out to present the demographic characteristics. Chi-square test, odds ratio with 95% CI was calculated for analyzing differences between study variables using SPSS version-16. Multivariate analysis of lifestyle and dietary predictors of IBS was carried out by the enter method.
With a response rate of 90.5%, 181 students completed the questionnaire. Around 53 (29.28%) were found to be suffering from IBS with 41 (77.35%) being males. Male gender, married status, and living status of participants were significantly associated with the occurrence of IBS. Prevalence of IBS was found to be more in students who were from the medical college (P = 0.000), students who smoke (P = 0.003), who slept less than 8 h (P = 0.042), and students who often take carbonated drinks (P = 0.003). Smoking, frequency of exercise, coffee intake, and intake of carbonated drinks were strong predictors of IBS on multivariate analysis of lifestyle and dietary factors.
We conclude that there is an increased prevalence of irritable bowel syndrome among medical students. Male gender, married status, living in hostel, smoking, less than 8 h sleep, and carbonated drinks were predictive factors for IBS in our study. We recommend screening of medical students for irritable bowel syndrome and institution of interventional measures.
肠易激综合征在社区中很常见，在医学生中的患病率更高。
本研究旨在评估朱夫大学医学专业和非医学专业学生中肠易激综合征的患病率，并评估其危险因素。
本横断面研究在朱夫大学的医学专业和非医学专业学生中进行。采用便利抽样技术，研究对象为200名医学专业和非医学专业学生。本研究采用自填式问卷，问卷由三部分组成，涉及人口统计学特征、生活方式、饮食习惯、学业情况以及肠易激综合征相关问题。采用描述性统计呈现人口统计学特征。使用SPSS 16.0软件进行卡方检验，并计算95%置信区间的比值比，以分析研究变量之间的差异。采用逐步回归法对肠易激综合征的生活方式和饮食预测因素进行多因素分析。
问卷回复率为90.5%，181名学生完成了问卷。约53名（29.28%）学生被发现患有肠易激综合征，其中41名（77.35%）为男性。参与者的男性性别、婚姻状况和居住状况与肠易激综合征的发生显著相关。发现医学院的学生（P = 0.000）、吸烟的学生（P = 0.003）、睡眠时间少于8小时的学生（P = 0.042）以及经常饮用碳酸饮料的学生（P = 0.003）中肠易激综合征的患病率更高。在对生活方式和饮食因素的多因素分析中，吸烟、运动频率、咖啡摄入量和碳酸饮料摄入量是肠易激综合征的强预测因素。
我们得出结论，医学生中肠易激综合征的患病率有所增加。在我们的研究中，男性性别、婚姻状况、住在宿舍、吸烟、睡眠时间少于8小时以及饮用碳酸饮料是肠易激综合征的预测因素。我们建议对医学生进行肠易激综合征筛查并采取干预措施。
