Roy Simanta, Eva Fahima Nasrin, Dev Dipa, Roy Sanchita, Tipu Shafkat Kamal, Chowdhury Sristi, Medha Madhu Ritu Bhadra, Poonya Purzia Tanaz Haque, Juthi Israt Jahan, Nowrin Jwearia Hoque, J C Eaasvar, Sumat Tahsin, Dey Disha Mony, Chowdhury Sreshtha, Iktidar Mohammad Azmain, Hawlader Mohammad Delwer Hossain
Department of Public Health, North South University, Dhaka, Bangladesh.
School of Research, Chattogram, Bangladesh.
PLoS One. 2024 Dec 18;19(12):e0315687. doi: 10.1371/journal.pone.0315687. eCollection 2024.
This study aimed to address this knowledge gap by investigating FGID prevalence and its predictors among undergraduate students in Bangladesh.
This cross-sectional study was conducted between 01 August 2023 and 31 January 2024 among 1,019 undergraduate students. Data were collected using a web-based survey containing questions on socio-demographics, the Rome IV questionnaire, the insomnia severity index, the perceived stress scale 4, the patient health questionnaire, and the smartphone addiction scale. Descriptive statistics, the chi-square test, the t-test, and the multivariable logistic regression model were used to report our study findings.
The overall prevalence of FGID was 38.24%, with functional constipation being the most common subtype (18.24%). The multivariate analysis revealed that college canteen meal (AOR: 1.593, CI: 1.068, 2.376), occasionally and regularly delayed meal (AOR: 1.663, CI: 1.031, 2.682; AOR: 1.872, CI: 1.061, 3.301), physical inactivity (AOR:0.41, CI: 1.061, 3.301), family history of FGID and GI disease (AOR: 4.7, CI: 2.55, 8.66; AOR: 2.42, CI: 1.47, 3.96), history of abdominal surgery (AOR: 2, CI: 1.08, 3.72), psychological trauma (AOR: 1.64, CI: 1.04, 2.57), dairy-product consumption (AOR: 1.64, CI: 1.04, 2.59), >3 meals/day (AOR: 1.89, CI: 1.2, 2.98), insomnia (AOR: 1.98, CI: 0.73, 5.40), and depression (AOR: 7.02, CI: 2.74, 17.98) were significantly associated with FGID.
The burden of FGIDs among Bangladeshi students is concerning. This study found significant factors contributing to their prevalence, including meal source and number of daily meals, delayed meals, family history of disease, physical activity, abdominal surgery, history of psychological trauma, depression, and insomnia. This study recommends further exploration and holistic healthcare approaches to better the well-being of young adults dealing with FGIDs.
本研究旨在通过调查孟加拉国本科生中功能性胃肠病（FGID）的患病率及其预测因素来填补这一知识空白。
本横断面研究于2023年8月1日至2024年1月31日期间对1019名本科生进行。使用基于网络的调查问卷收集数据，问卷包含社会人口统计学问题、罗马IV问卷、失眠严重程度指数、感知压力量表4、患者健康问卷和智能手机成瘾量表。采用描述性统计、卡方检验、t检验和多变量逻辑回归模型报告研究结果。
FGID的总体患病率为38.24%，其中功能性便秘是最常见的亚型（18.24%）。多变量分析显示，大学食堂用餐（比值比[AOR]：1.593，置信区间[CI]：1.068，2.376）、偶尔和经常延迟用餐（AOR：1.663，CI：1.031，2.682；AOR：1.872，CI：1.061，3.301）、缺乏体育活动（AOR：0.41，CI：1.061，3.301）、FGID和胃肠道疾病家族史（AOR：4.7，CI：2.55，8.66；AOR：2.42，CI：1.47，3.96）、腹部手术史（AOR：2，CI：1.08，3.72）、心理创伤史（AOR：1.64，CI：1.04，2.57）、乳制品消费（AOR：1.64，CI：1.04，2.59）、每天三餐以上（AOR：1.89，CI：1.2，2.98）、失眠（AOR：1.98，CI：0.73，5.40）和抑郁症（AOR：7.02，CI：2.74，17.98）与FGID显著相关。
孟加拉国学生中FGID的负担令人担忧。本研究发现了导致其患病率的重要因素，包括膳食来源和每日用餐次数、用餐延迟、疾病家族史、体育活动、腹部手术、心理创伤史、抑郁症和失眠。本研究建议进一步探索和采用整体医疗保健方法，以改善患有FGID的年轻人的健康状况。
