Abenavoli Ludovico, Cinaglia Pietro, Lombardo Giuditta, Boffoli Eduardo, Scida Miriam, Procopio Anna Caterina, Larussa Tiziana, Boccuto Luigi, Zanza Christian, Longhitano Yaroslava, Fagoonee Sharmila, Luzza Francesco
Department of Health Sciences, University "Magna Graecia", 88100 Catanzaro, Italy.
Department of Surgical and Medical Sciences, University "Magna Graecia", 88100 Catanzaro, Italy.
J Clin Med. 2021 Mar 16;10(6):1221. doi: 10.3390/jcm10061221.
The first case of infection by SARS-CoV-2 (i.e., COVID-19) was officially recorded by the Italian National Health Service on 21 February 2020. Respiratory tract manifestations are the most common symptoms, such as gastrointestinal symptoms (GISs) like nausea or sickness, diarrhea, and anorexia, and psychological effects may be reported in affected individuals. However, similar symptoms may be observed in healthy people as a consequence of an anxiety state.
We analyzed GISs and anxiety state during the COVID-19 lockdown period; from 9 March 2020 to 4 May 2020. A web-based survey consisting of 131 items was administered to 354 students affiliated with the School of Medicine of the University "Magna Graecia" of Catanzaro; Italy. A set of statistical analyses was performed to analyze the relationships among the answers to assess a correlation between the topics of interest.
The statistical analysis showed that 54.0% of interviewed reported at least one GISs, 36.16% of which reported a positive history for familial GISs (FGISs). The 354 subjects included in our cohort may be stratified as follows: 25.99% GISs and FGISs, 27.97% GISs and no-FGISs, 10.17% no-GISs and FGISs, 35.87% no-GISs and no-FGISs. Results indicated an anxiety state for 48.9% of respondents, of which 64.74% also presented GISs. In addition, considered dietary habits, we detect the increased consumption of hypercaloric food, sweetened drinks, and alcoholic beverages.
The increase of GISs during the lockdown period in a population of medical students, may be correlated to both dietary habits and anxiety state due to a concern for one's health.
2020年2月21日，意大利国家卫生服务机构正式记录了首例严重急性呼吸综合征冠状病毒2（SARS-CoV-2，即新冠病毒）感染病例（即新冠肺炎）。呼吸道表现是最常见的症状，如恶心或呕吐、腹泻和厌食等胃肠道症状（GISs），受影响个体可能会出现心理影响。然而，健康人由于焦虑状态也可能出现类似症状。
我们分析了2020年3月9日至2020年5月4日新冠疫情封锁期间的胃肠道症状和焦虑状态。对意大利卡坦扎罗“大希腊”大学医学院附属的354名学生进行了一项包含131个项目的网络调查。进行了一系列统计分析，以分析答案之间的关系，评估感兴趣主题之间的相关性。
统计分析显示，54.0%的受访者报告至少有一种胃肠道症状，其中36.16%报告有家族性胃肠道症状（FGISs）阳性史。我们队列中的354名受试者可分为以下几类：25.99%有胃肠道症状和家族性胃肠道症状，自7.97%有胃肠道症状但无家族性胃肠道症状，10.17%无胃肠道症状但有家族性胃肠道症状，35.87%无胃肠道症状且无家族性胃肠道症状。结果表明，48.9% 的受访者存在焦虑状态，其中6 / 74% 也有胃肠道症状。此外，考虑到饮食习惯，我们发现高热量食物、含糖饮料和酒精饮料的消费量增加。
医学生群体在封锁期间胃肠道症状的增加，可能与饮食习惯和因担心自身健康而产生的焦虑状态有关。
