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沙特阿拉伯肠易激综合征的患病率、危险因素及管理:一项系统评价

Prevalence, Risk Factors, and Management of Irritable Bowel Syndrome in Saudi Arabia: A Systematic Review.

作者信息

Makkawy Eyad A, Abdulaal Israa E, Kalaji Farah R, Makkawi Mohammed, Alsindi Nasser

机构信息

Internal Medicine/Gastroenterology Department, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, SAU.

Health Sciences Department, Princess Nourah Bint Abdulrahman University, Riyadh, SAU.

出版信息

Cureus. 2023 Oct 21;15(10):e47440. doi: 10.7759/cureus.47440. eCollection 2023 Oct.


DOI:10.7759/cureus.47440
PMID:38021554
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10658819/
Abstract

The prevalence and associated risk factors of irritable bowel syndrome (IBS) have been a significant area of focus in several studies conducted in Saudi Arabia. These studies have looked at varied populations, including school teachers, university students, and the general populace. The reported prevalence rates for IBS vary substantially across studies, ranging from 7.9% to an astounding 49.3%. The average prevalence noted across these studies is about 24%. The aim of this review is to collate, compare, and analyze data from these studies, hoping to shed light on the key risk factors and demographic trends associated with IBS in Saudi Arabia. This review encompasses data from 20 studies, aggregating information from 17,018 participants. The research methodologies adopted by each of these studies have been analyzed, especially focusing on their sample sizes, which vary significantly. Furthermore, the review incorporates details on the socio-demographic attributes of the participants, including age specifics, gender representation, and geographical distribution within Saudi Arabia. The results demonstrate a wide variability in IBS prevalence among different groups. The overall prevalence of IBS in Saudi Arabia based on the provided data is approximately 24%. Gender-based breakdown in some studies indicated varying prevalence among males and females, which indicated that females are more prone to the disease. The same for certain age groups, specifically between 51 and 60 years, which showed slightly higher rates. Factors such as educational discipline, living conditions, mental health, dietary habits, family history of IBS, and certain comorbidities such as diabetes mellitus were found to influence the occurrence of IBS in different cohorts. Moreover, lifestyle factors such as low water intake, lack of dietary fiber, stress, and even caffeine intake were associated with IBS. Socioeconomic aspects, including family income levels and academic performance, were also hinted to have a potential link with IBS prevalence. In light of the presented data, it is evident that IBS prevalence in Saudi Arabia is influenced by a multitude of factors, ranging from genetic and dietary to psychological and socioeconomic. The substantial variations in prevalence across different cohorts suggest the need for a more nuanced understanding of this condition, specifically tailored to the unique demographics and cultural contexts of Saudi Arabia. Early diagnosis and tailored interventions, considering these multifaceted determinants, are crucial for the effective management of IBS in the region.

摘要

肠易激综合征(IBS)的患病率及相关风险因素一直是沙特阿拉伯开展的多项研究的重要关注领域。这些研究涉及不同人群,包括学校教师、大学生和普通民众。各研究报告的IBS患病率差异很大,从7.9%到惊人的49.3%不等。这些研究的平均患病率约为24%。本综述的目的是整理、比较和分析这些研究的数据,以期阐明沙特阿拉伯与IBS相关的关键风险因素和人口趋势。本综述涵盖了20项研究的数据,汇总了17018名参与者的信息。对每项研究采用的研究方法进行了分析,尤其关注其样本量,样本量差异很大。此外,综述纳入了参与者社会人口学特征的详细信息,包括年龄细节、性别构成以及在沙特阿拉伯境内的地理分布。结果表明不同群体中IBS患病率差异很大。根据所提供的数据,沙特阿拉伯IBS的总体患病率约为24%。一些研究按性别划分显示男性和女性患病率不同,这表明女性更容易患该病。某些年龄组也是如此,特别是51至60岁之间,患病率略高。发现教育学科、生活条件、心理健康、饮食习惯、IBS家族史以及某些合并症如糖尿病等因素会影响不同队列中IBS的发生。此外,低饮水量、膳食纤维缺乏、压力甚至咖啡因摄入等生活方式因素与IBS有关。社会经济方面,包括家庭收入水平和学业成绩,也被暗示与IBS患病率可能存在关联。根据所呈现的数据,很明显沙特阿拉伯IBS的患病率受多种因素影响,从遗传、饮食到心理和社会经济因素。不同队列患病率的显著差异表明需要对这种疾病有更细致入微的了解,特别是针对沙特阿拉伯独特的人口统计学和文化背景进行调整。考虑到这些多方面的决定因素,早期诊断和针对性干预对于该地区IBS的有效管理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/10658819/eaac6ae0f4e2/cureus-0015-00000047440-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/10658819/eaac6ae0f4e2/cureus-0015-00000047440-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a5f/10658819/eaac6ae0f4e2/cureus-0015-00000047440-i01.jpg

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引用本文的文献

[1]
Paternal separation as an independent risk factor for irritable bowel syndrome in rural Chinese left-behind children: a multicenter cross-sectional study.

Front Public Health. 2025-7-21

[2]
Evaluating the Quality and Reliability of YouTube Videos Providing Nutritional Recommendations for Irritable Bowel Syndrome.

J Hum Nutr Diet. 2025-8

[3]
Prevalence of irritable bowel syndrome and its association to mental health among the private university students of Dhaka, Bangladesh.

PLOS Glob Public Health. 2025-5-22

[4]
Epidemiology and Risk Factors of Irritable Bowel Syndrome in the Saudi Population: A Systematic Review.

Cureus. 2025-3-3

[5]
Prevalence of Irritable Bowel Syndrome (IBS) in the Arab World: A Systematic Review.

Cureus. 2024-7-26

本文引用的文献

[1]
Application of metabolomics in irritable bowel syndrome in recent 5 years.

Int Immunopharmacol. 2023-11

[2]
Irritable Bowel Syndrome: Prevalence and Determinants Among Adults in the Makkah Region, Saudi Arabia.

Cureus. 2023-5-27

[3]
The Prevalence of Irritable Bowel Syndrome and Its Relation to Psychiatric Disorders Among Citizens of Makkah Region, Saudi Arabia.

Cureus. 2022-12-19

[4]
The Prevalence and Risk Factors of Irritable Bowel Syndrome in Saudi Arabia in 2019.

Int J Prev Med. 2022-1-19

[5]
The prevalence of irritable bowel syndrome among Saudi population in Riyadh by use of Rome IV criteria and self-reported dietary restriction.

Saudi J Gastroenterol. 2021

[6]
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J Can Assoc Gastroenterol. 2019-6-11

[7]
Irritable bowel syndrome: Epidemiology and risk factors in the adult Saudi population of the central region.

Niger J Clin Pract. 2020-10

[8]
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Lancet Gastroenterol Hepatol. 2020-7-20

[9]
The low FODMAP diet: recent advances in understanding its mechanisms and efficacy in IBS.

Gut. 2017-6-7

[10]
Bariatric Surgery versus Intensive Medical Therapy for Diabetes - 5-Year Outcomes.

N Engl J Med. 2017-2-16

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