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早期医学生功能性胃肠疾病的患病率及相关危险因素:突尼斯的一项初步研究。

Prevalence and risk factors of functional gastrointestinal disorders in early period medical students: a pilot study in Tunisia.

机构信息

Research Laboratory "Medical Imaging Technologies" (LR 12ES06, TIM), Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.

Department of Functional Explorations of the Nervous System, Sahloul Hospital, Sousse, Tunisia.

出版信息

Libyan J Med. 2022 Dec;17(1):2082029. doi: 10.1080/19932820.2022.2082029.


DOI:10.1080/19932820.2022.2082029
PMID:35652803
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9176346/
Abstract

Functional gastrointestinal disorders (FGIDs) are highly prevalent in medical students around the world. However, there is no specific data on FGIDs in Tunisia. The objectives of this study were to evaluate the prevalence of FGIDs in medical students according to the rome III criteria and to identify risk factors associated with these disorders. A self-administered questionnaire survey was carried out among the students from the first and the second year of medical studies. We studied the influence of socio-demographic characteristics, lifestyle, health care seeking, psychosomatic symptoms and hospital anxiety and depression scale on the prevalence of FGIDs among these students. Three hundred and forty-three students (20.3 ± 0.8years) were included in our study. The prevalence of FGIDs was 54.2%. The main FGIDs found were the unspecified functional bowel disorder (46.6%), functional constipation (11.6%), irritable bowel syndrome (7.6%) and functional dyspepsia (6.7%). In logistic regression, abnormal BMI (OR = 2.1, 95% CI= 1-4.3), living in school dormitory (OR = 3.7, 95% CI = 1.7-7.8), low water intake (OR = 2.2, 95% CI = 1.1-4.2), digestive medication use (OR = 3.4, 95% CI= 1.3-8.5), and probable or definite anxiety (OR = 2.5, 95% CI = 1.1-5.8) were the five risk factors associated with FGIDs. We demonstrate a high prevalence of FGIDs (54.2%) among our students. Risk factors for FGIDs were abnormal BMI, living in school dormitory, low water intake, digestive medication use and anxiety.

摘要

功能性胃肠病(FGIDs)在全世界的医学生中非常普遍。然而,突尼斯没有 FGIDs 的具体数据。本研究的目的是根据罗马 III 标准评估医学生 FGIDs 的患病率,并确定与这些疾病相关的危险因素。我们对医学一年级和二年级的学生进行了一项自我管理的问卷调查。我们研究了社会人口统计学特征、生活方式、寻求医疗保健、身心症状和医院焦虑抑郁量表对这些学生 FGIDs 患病率的影响。我们共纳入 343 名学生(20.3±0.8 岁)。FGIDs 的患病率为 54.2%。主要 FGIDs 为未特指的功能性肠病(46.6%)、功能性便秘(11.6%)、肠易激综合征(7.6%)和功能性消化不良(6.7%)。在逻辑回归中,异常 BMI(OR=2.1,95%CI=1-4.3)、住校(OR=3.7,95%CI=1.7-7.8)、低水摄入(OR=2.2,95%CI=1.1-4.2)、消化药物使用(OR=3.4,95%CI=1.3-8.5)和可能或确定的焦虑(OR=2.5,95%CI=1.1-5.8)是与 FGIDs 相关的五个危险因素。我们证明了我们的学生中 FGIDs 的高患病率(54.2%)。FGIDs 的危险因素是异常 BMI、住校、低水摄入、消化药物使用和焦虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/9176346/392f1b6fa1ee/ZLJM_A_2082029_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/9176346/392f1b6fa1ee/ZLJM_A_2082029_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d485/9176346/392f1b6fa1ee/ZLJM_A_2082029_F0001_OC.jpg

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[6]
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[7]
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[8]
Prevalence, characteristics and measurement of somatic symptoms related to mental health in medical students: a scoping review.

Ann Med. 2023

[9]
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[10]
Factors Associated with Functional Constipation among Students of a Chinese University: A Cross-Sectional Study.

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本文引用的文献

[1]
Prevalence, overlap, and risk factors for Rome IV functional gastrointestinal disorders among college students in northern India.

Indian J Gastroenterol. 2021-4

[2]
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Lancet. 2020-11-21

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Gut. 2019-6-7

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