Department of Pharmacology and Public Health, Faculty of Medicine, The Hashemite University, Zarqa 13133, Jordan.
Department of Microbiology, Pathology, and Forensic Medicine, Faculty of Medicine, The Hashemite University, Zarqa 13133, Jordan.
Medicina (Kaunas). 2024 Sep 18;60(9):1519. doi: 10.3390/medicina60091519.
Nonsteroidal anti-inflammatory drugs (NSAIDs) and caffeine-containing beverages are widely consumed but their impact on gastrointestinal (GI) health requires further investigation. This cross-sectional study investigated the relationship between NSAIDs use, caffeinated drink consumption, and the prevalence of self-reported GI symptoms in a Jordanian subpopulation. An online survey was administered to 400 Jordanian individuals aged 18-65 years. Data on sociodemographics, NSAIDs use, caffeine consumption, peptic ulcer disease (PUD) history, and GI symptoms were collected. Contingency tables were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between exposures and outcomes. The prevalence of self-reported PUD-related GI symptoms was 6.0%. NSAID users had higher odds of PUD (OR = 2.431) and related GI symptoms, including abdominal pain (OR = 4.688, < 0.001) and discomfort (OR = 8.068, < 0.001). Caffeine consumption was associated with self-reported burning stomach pain (OR = 14.104, < 0.001), fullness (OR = 8.304, = 0.010), and bloating (OR = 8.304, = 0.010). Coffee, tea, soft drinks, and energy drinks were associated with increased odds of various GI symptoms (ORs 2.018-12.715, < 0.05). NSAIDs use and caffeine consumption were independently associated with the increased prevalence of self-reported PUD and related GI symptoms. Despite the lack of adjustment for necessary confounders, our findings highlight the importance of considering the potential GI effects of NSAIDs and caffeine. Public health strategies promoting their safe use may help reduce the burden of GI disorders.
非甾体抗炎药(NSAIDs)和含咖啡因的饮料广泛消费,但它们对胃肠道(GI)健康的影响需要进一步研究。这项横断面研究调查了在约旦亚人群中,NSAIDs 使用、含咖啡因饮料消费与自我报告的 GI 症状流行率之间的关系。 对 400 名年龄在 18-65 岁的约旦人进行了在线调查。收集了社会人口统计学、NSAIDs 使用、咖啡因消费、消化性溃疡病(PUD)病史和 GI 症状的数据。使用列联表计算了暴露与结局之间的比值比(OR)和 95%置信区间(CI)。自我报告的与 PUD 相关的 GI 症状的流行率为 6.0%。NSAID 使用者发生 PUD 的几率更高(OR=2.431),与相关的 GI 症状(包括腹痛[OR=4.688,<0.001]和不适[OR=8.068,<0.001])相关的几率更高。咖啡因消费与自我报告的烧心(OR=14.104,<0.001)、饱胀(OR=8.304,=0.010)和腹胀(OR=8.304,=0.010)有关。咖啡、茶、软饮料和能量饮料与各种 GI 症状的几率增加(OR 2.018-12.715,<0.05)有关。 NSAIDs 使用和咖啡因消费与自我报告的 PUD 和相关 GI 症状的流行率增加独立相关。尽管没有调整必要的混杂因素,但我们的研究结果强调了考虑 NSAIDs 和咖啡因潜在 GI 影响的重要性。促进安全使用的公共卫生策略可能有助于减轻 GI 疾病的负担。