Quiroga-Castañeda Pedro P, Berrios-Villegas Iván, Valladares-Garrido Danai, Vera-Ponce Víctor J, Zila-Velasque J Pierre, Pereira-Victorio César Johan, Valladares-Garrido Mario J
Facultad de Medicina, Universidad de San Martín de Porres, Chiclayo, Peru.
Escuela de Medicina, Universidad Cesar Vallejo, Trujillo, Peru.
Front Med (Lausanne). 2024 Apr 5;11:1341809. doi: 10.3389/fmed.2024.1341809. eCollection 2024.
BACKGROUND: Irritable Bowel Syndrome has emerged as a significant public health challenge, particularly relevant in medical students due to the high demands of their studies, academic stress, and susceptibility to eating disorders. Nevertheless, conclusive evidence regarding the factors associated with Irritable Bowel Syndrome in the Latin American student population remains limited. The objective of this study was to determine the prevalence and factors associated with Irritable Bowel Syndrome in Human Medicine students at a university in northern Peru. METHODS: A cross-sectional analytical study conducted in Lambayeque, northern Peru. With 403 Human Medicine students (66.5% female, 33.5% male). A simple random probabilistic sampling type was used, based on a list of students enrolled. A multivariate analysis was conducted to determine the factors associated using simple and multiple regression models. Generalized Linear Models were applied, using the Poisson distribution family, robust variance, and the academic year as a cluster. RESULTS: The prevalence of Irritable Bowel Syndrome was 16.9% (95% CI: 13.37-20.86). The median age was 21 years, with 66.5% being female. In the multiple regression analysis, Irritable Bowel Syndrome was associated with a higher prevalence of depression (PR: 3.63; 95% CI: 1.26-10.49) and eating disorders (PR: 1.57; 95% CI: 1.01-2.43). For each additional year of age, the prevalence of Irritable Bowel Syndrome decreased by 9% (PR: 0.91; 95% CI: 0.83-0.99). CONCLUSION: This study reveals that approximately two out of every 10 students exhibit symptoms related to IBS, underscoring its significance in the Human Medicine student population. Furthermore, depression and eating disorders were identified as significant factors associated with IBS in students. Consequently, it is essential to focus efforts on early identification and the implementation of preventive measures to mitigate the development of this pathology, given its substantial prevalence in this context of Human Medicine students.
背景：肠易激综合征已成为一项重大的公共卫生挑战，尤其在医学生中较为突出，因为他们学习要求高、学业压力大且易患饮食失调症。然而，关于拉丁美洲学生群体中与肠易激综合征相关因素的确凿证据仍然有限。本研究的目的是确定秘鲁北部一所大学的医学专业学生中肠易激综合征的患病率及相关因素。 方法：在秘鲁北部的兰巴耶克进行了一项横断面分析研究。研究对象为403名医学生（66.5%为女性，33.5%为男性）。采用简单随机概率抽样类型，基于注册学生名单进行抽样。使用简单和多元回归模型进行多变量分析，以确定相关因素。应用广义线性模型，采用泊松分布族、稳健方差，并将学年作为聚类因素。 结果：肠易激综合征的患病率为16.9%（95%置信区间：13.37 - 20.86）。中位年龄为21岁，66.5%为女性。在多元回归分析中，肠易激综合征与较高的抑郁症患病率（PR：3.63；95%置信区间：1.26 - 10.49）和饮食失调患病率（PR：1.57；95%置信区间：1.01 - 2.43）相关。每增加一岁，肠易激综合征的患病率下降9%（PR：0.91；95%置信区间：0.83 - 0.99）。 结论：本研究表明，每10名学生中约有两人表现出与肠易激综合征相关的症状，凸显了其在医学专业学生群体中的重要性。此外，抑郁症和饮食失调被确定为学生中与肠易激综合征相关的重要因素。因此，鉴于肠易激综合征在医学专业学生群体中的高患病率，必须集中精力进行早期识别并实施预防措施，以减轻这种病理状况的发展。
Front Med (Lausanne). 2024-4-5
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