Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana, 141 001, India.
Department of Medicine, Dayanand Medical College and Hospital, Ludhiana, 141 001, India.
Indian J Gastroenterol. 2021 Apr;40(2):144-153. doi: 10.1007/s12664-020-01106-y. Epub 2020 Nov 23.
BACKGROUND/PURPOSE: There is scarcity of data on prevalence, overlap, and risk factors for functional gastrointestinal disorders (FGID) by Rome IV criteria. We evaluated these factors among medical, nursing, and humanities students. METHODS: Rome IV Diagnostic Questionnaire (for all FGIDs), Rome III questionnaire (for irritable bowel syndrome [IBS], functional diarrhea [FDr], and functional constipation [FC]), and questionnaires assessing demography, physical activity, anxiety, and depression were used. RESULTS: A total of 1309 college students were included (medical 425, nursing 390, humanities 494; mean age 20.5 ± 2.1 years; 36.5% males). Prevalence of Rome IV FGIDs was 26.9% (n = 352), significantly higher among females compared with males (32.3% vs. 17.6%; p < 0.001) and significantly higher among medical (34.4%) and nursing students (29.2%) compared with humanities students (18.6%) (p < 0.05). Most common FGIDs were functional dyspepsia (FD) (15.2%), IBS (6.2%), reflux hypersensitivity (3.5%), FDr (2.9%), FC (2.1%), and unspecified functional bowel disorder (2.1%). FGID overlap was present in 9.3%, most common being FD-IBS overlap (4.4%). With Rome III criteria, prevalence of IBS was higher (9.5%), while that of FDr (0.92%) and of FC (1.3%) were lower. On multivariate analysis, independent predictors for FGIDs were female gender, medical student, non-vegetarian diet, junk food, tea/coffee, poor physical activity, anxiety, and insomnia. CONCLUSION: Rome IV FGIDs were present among one-fourth of college students with preponderance among females and medical students. FD, IBS, and reflux hypersensitivity were the most common FGIDs. Rome IV criteria led to a reduction in IBS prevalence and increase in FDr and FC prevalence. Dietary factors, physical activity, anxiety, and insomnia affected FGID prevalence.
背景/目的:罗马 IV 标准下,功能性胃肠疾病(FGID)的患病率、重叠和危险因素数据稀缺。我们评估了这些因素在医学生、护理学生和人文学生中的情况。
方法:使用罗马 IV 诊断问卷(用于所有 FGID)、罗马 III 问卷(用于肠易激综合征[IBS]、功能性腹泻[FDr]和功能性便秘[FC])和评估人口统计学、身体活动、焦虑和抑郁的问卷。
结果:共纳入 1309 名大学生(医学生 425 名,护理学生 390 名,人文学生 494 名;平均年龄 20.5±2.1 岁;男性 36.5%)。罗马 IV FGID 的患病率为 26.9%(n=352),女性明显高于男性(32.3%比 17.6%;p<0.001),医学生(34.4%)和护理学生(29.2%)明显高于人文学生(18.6%)(p<0.05)。最常见的 FGID 是功能性消化不良(FD)(15.2%)、IBS(6.2%)、反流敏感(3.5%)、FDr(2.9%)、FC(2.1%)和未指定的功能性肠病(2.1%)。FGID 重叠率为 9.3%,最常见的是 FD-IBS 重叠(4.4%)。根据罗马 III 标准,IBS 的患病率较高(9.5%),而 FDr(0.92%)和 FC(1.3%)的患病率较低。多变量分析显示,FGID 的独立预测因素为女性、医学生、非素食饮食、垃圾食品、茶/咖啡、身体活动差、焦虑和失眠。
结论:罗马 IV FGID 见于四分之一的大学生,女性和医学生居多。FD、IBS 和反流敏感是最常见的 FGID。罗马 IV 标准导致 IBS 患病率降低,FDr 和 FC 患病率增加。饮食因素、身体活动、焦虑和失眠影响 FGID 患病率。
J Gastroenterol Hepatol. 2017-2
J Gastroenterol Hepatol. 2017-9
Sichuan Da Xue Xue Bao Yi Xue Ban. 2023-5
Niger J Clin Pract. 2020-4
Asia Pac J Clin Nutr. 2016
J Clin Diagn Res. 2014-12
Gastroenterol Res Pract. 2013-4-4
Indian J Gastroenterol. 2001