Aram Lee, is Assistant Professor, Department of Nursing, Kyungdong University, Wonju, South Korea.
Hyo Kyung Kim, is Doctoral Student, School of Nursing, Hallym University, Chuncheon, South Korea.
Gastroenterol Nurs. 2024;47(3):195-202. doi: 10.1097/SGA.0000000000000798. Epub 2024 Jun 3.
Functional gastrointestinal disorders are common and have high prevalence in young adults. This study aimed to identify the prevalence and risk factors of functional gastrointestinal disorders in university students. A cross-sectional study was conducted in January 2021 at two universities in a South Korean city and included 493 participants. The Rome IV criteria (for functional dyspepsia and irritable bowel syndrome) and the Korean gastroesophageal reflux disease questionnaire (for gastroesophageal reflux disease) were used to define each disease. Data were analyzed using descriptive statistics and multivariate logistic regression. Gastroesophageal reflux disease, functional dyspepsia, and irritable bowel syndrome prevalence was 18.5%, 7.5%, and 6.5%, respectively, in university students. In multivariate analysis, school year (fourth) (odds ratio [95% confidence interval] = 2.27 [0.25, 0.78]), underlying disease (odds ratio [95% confidence interval] = 2.92 [1.42, 6.04]), physical activity less than once weekly (odds ratio [95% confidence interval] = 4.84 [1.04, 22.45]), very irregular meals (odds ratio [95% confidence interval] = 4.02 [1.54, 10.49]), overeating more than 5 times weekly (odds ratio [95% confidence interval] = 3.37 [1.19, 9.56]), and academic stress (odds ratio [95% confidence interval] = 1.02 [1.01, 1.03]) were risk factors for functional gastrointestinal disorders. Our findings indicate that a comprehensive management program focusing on eating habits and psychological factors is needed to reduce the prevalence of functional gastrointestinal disorders in university students.
功能性胃肠疾病在年轻人中很常见，患病率很高。本研究旨在确定大学生功能性胃肠疾病的患病率和危险因素。2021 年 1 月，在韩国某城市的两所大学进行了一项横断面研究，共纳入 493 名参与者。采用罗马 IV 标准（用于功能性消化不良和肠易激综合征）和韩国胃食管反流病问卷（用于胃食管反流病）来定义每种疾病。采用描述性统计和多变量 logistic 回归分析数据。大学生胃食管反流病、功能性消化不良和肠易激综合征的患病率分别为 18.5%、7.5%和 6.5%。多变量分析显示，大学年级（四年级）（比值比[95%置信区间] = 2.27[0.25, 0.78]）、基础疾病（比值比[95%置信区间] = 2.92[1.42, 6.04]）、每周运动少于一次（比值比[95%置信区间] = 4.84[1.04, 22.45]）、饮食极不规律（比值比[95%置信区间] = 4.02[1.54, 10.49]）、每周暴饮暴食超过 5 次（比值比[95%置信区间] = 3.37[1.19, 9.56]）和学业压力（比值比[95%置信区间] = 1.02[1.01, 1.03]）是功能性胃肠疾病的危险因素。我们的研究结果表明，需要针对饮食习惯和心理因素制定全面的管理方案，以降低大学生功能性胃肠疾病的患病率。
