Prevalence, overlap, and risk factors for Rome IV functional gastrointestinal disorders among college students in northern India
Background/Purpose There is scarcity of data on prevalence, overlap, and risk factors for functional gastrointestinal disorders (FGID) by Rome IV criteria. We evaluated these factors among medical, nursing, and humanities students. Methods Rome IV Diagnostic Questionnaire (for all FGIDs), Rome III q...
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| Veröffentlicht in: | Indian journal of gastroenterology 2021-04, Vol.40 (2), p.144-153 |
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| creator | Goyal, Omesh Nohria, Sahil Dhaliwal, Armaan Singh Goyal, Prerna Soni, Ravinder Kumar Chhina, Rajoo Singh Sood, Ajit |
| description | Background/Purpose
There is scarcity of data on prevalence, overlap, and risk factors for functional gastrointestinal disorders (FGID) by Rome IV criteria. We evaluated these factors among medical, nursing, and humanities students.
Methods
Rome IV Diagnostic Questionnaire (for all FGIDs), Rome III questionnaire (for irritable bowel syndrome [IBS], functional diarrhea [FDr], and functional constipation [FC]), and questionnaires assessing demography, physical activity, anxiety, and depression were used.
Results
A total of 1309 college students were included (medical 425, nursing 390, humanities 494; mean age 20.5 ± 2.1 years; 36.5% males). Prevalence of Rome IV FGIDs was 26.9% (
n
= 352), significantly higher among females compared with males (32.3% vs. 17.6%;
p
|
| doi_str_mv | 10.1007/s12664-020-01106-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2463608334</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2463608334</sourcerecordid><originalsourceid>FETCH-LOGICAL-c347t-6319e0c7251a1a2d27c6724b4e6a3ea9f5c135187b83952a47adccd9c02e99753</originalsourceid><addsrcrecordid>eNp9kEtv1DAUhS0Eog_4AywqL1k04EdiJ8uq4jFSpVYVsLU89s3gNrGnvk6l2fWn4-kUlqzu65yjq4-QD5x94ozpz8iFUm3DBGsY50w1u1fkmA26a5jm_HXtRdc2fa_YETlBvGP7eZBvyZGUQqhOs2PydJPh0U4QHZzT9Ah5sttzaqOnOeA9Ha0rKSMdU6a3aQa6-kXHJboSUrQT3VgsOYVYAEvYL3zAlD1Uh51T3FCXpgk2QLEsHmJBGiKNKZffkCNdRR_sO_JmtBPC-5d6Sn5-_fLj8ntzdf1tdXlx1TjZ6tIoyQdgTouOW26FF9opLdp1C8pKsMPYOS473ut1L4dO2FZb75wfHBMwVCTylHw85G5zeljqv2YO6GCabIS0oBGtkor1UrZVKg5SlxNihtFsc5ht3hnOzJ68OZA3lbx5Jm921XT2kr-sZ_D_LH9RV4E8CLCe4gayuUtLrtDwf7F_AJRmkP4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2463608334</pqid></control><display><type>article</type><title>Prevalence, overlap, and risk factors for Rome IV functional gastrointestinal disorders among college students in northern India</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Goyal, Omesh ; Nohria, Sahil ; Dhaliwal, Armaan Singh ; Goyal, Prerna ; Soni, Ravinder Kumar ; Chhina, Rajoo Singh ; Sood, Ajit</creator><creatorcontrib>Goyal, Omesh ; Nohria, Sahil ; Dhaliwal, Armaan Singh ; Goyal, Prerna ; Soni, Ravinder Kumar ; Chhina, Rajoo Singh ; Sood, Ajit</creatorcontrib><description>Background/Purpose
There is scarcity of data on prevalence, overlap, and risk factors for functional gastrointestinal disorders (FGID) by Rome IV criteria. We evaluated these factors among medical, nursing, and humanities students.
Methods
Rome IV Diagnostic Questionnaire (for all FGIDs), Rome III questionnaire (for irritable bowel syndrome [IBS], functional diarrhea [FDr], and functional constipation [FC]), and questionnaires assessing demography, physical activity, anxiety, and depression were used.
Results
A total of 1309 college students were included (medical 425, nursing 390, humanities 494; mean age 20.5 ± 2.1 years; 36.5% males). Prevalence of Rome IV FGIDs was 26.9% (
n
= 352), significantly higher among females compared with males (32.3% vs. 17.6%;
p
< 0.001) and significantly higher among medical (34.4%) and nursing students (29.2%) compared with humanities students (18.6%) (
p
< 0.05). Most common FGIDs were functional dyspepsia (FD) (15.2%), IBS (6.2%), reflux hypersensitivity (3.5%), FDr (2.9%), FC (2.1%), and unspecified functional bowel disorder (2.1%). FGID overlap was present in 9.3%, most common being FD-IBS overlap (4.4%). With Rome III criteria, prevalence of IBS was higher (9.5%), while that of FDr (0.92%) and of FC (1.3%) were lower. On multivariate analysis, independent predictors for FGIDs were female gender, medical student, non-vegetarian diet, junk food, tea/coffee, poor physical activity, anxiety, and insomnia.
Conclusion
Rome IV FGIDs were present among one-fourth of college students with preponderance among females and medical students. FD, IBS, and reflux hypersensitivity were the most common FGIDs. Rome IV criteria led to a reduction in IBS prevalence and increase in FDr and FC prevalence. Dietary factors, physical activity, anxiety, and insomnia affected FGID prevalence.</description><identifier>ISSN: 0254-8860</identifier><identifier>EISSN: 0975-0711</identifier><identifier>DOI: 10.1007/s12664-020-01106-y</identifier><identifier>PMID: 33226570</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Adolescent ; Adult ; Dyspepsia - epidemiology ; Dyspepsia - etiology ; Female ; Gastroenterology ; Gastrointestinal Diseases - epidemiology ; Hepatology ; Humans ; India - epidemiology ; Irritable Bowel Syndrome - epidemiology ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Prevalence ; Risk Factors ; Rome ; Students ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Indian journal of gastroenterology, 2021-04, Vol.40 (2), p.144-153</ispartof><rights>Indian Society of Gastroenterology 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-6319e0c7251a1a2d27c6724b4e6a3ea9f5c135187b83952a47adccd9c02e99753</citedby><cites>FETCH-LOGICAL-c347t-6319e0c7251a1a2d27c6724b4e6a3ea9f5c135187b83952a47adccd9c02e99753</cites><orcidid>0000-0002-6347-0988</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12664-020-01106-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12664-020-01106-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33226570$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goyal, Omesh</creatorcontrib><creatorcontrib>Nohria, Sahil</creatorcontrib><creatorcontrib>Dhaliwal, Armaan Singh</creatorcontrib><creatorcontrib>Goyal, Prerna</creatorcontrib><creatorcontrib>Soni, Ravinder Kumar</creatorcontrib><creatorcontrib>Chhina, Rajoo Singh</creatorcontrib><creatorcontrib>Sood, Ajit</creatorcontrib><title>Prevalence, overlap, and risk factors for Rome IV functional gastrointestinal disorders among college students in northern India</title><title>Indian journal of gastroenterology</title><addtitle>Indian J Gastroenterol</addtitle><addtitle>Indian J Gastroenterol</addtitle><description>Background/Purpose
There is scarcity of data on prevalence, overlap, and risk factors for functional gastrointestinal disorders (FGID) by Rome IV criteria. We evaluated these factors among medical, nursing, and humanities students.
Methods
Rome IV Diagnostic Questionnaire (for all FGIDs), Rome III questionnaire (for irritable bowel syndrome [IBS], functional diarrhea [FDr], and functional constipation [FC]), and questionnaires assessing demography, physical activity, anxiety, and depression were used.
Results
A total of 1309 college students were included (medical 425, nursing 390, humanities 494; mean age 20.5 ± 2.1 years; 36.5% males). Prevalence of Rome IV FGIDs was 26.9% (
n
= 352), significantly higher among females compared with males (32.3% vs. 17.6%;
p
< 0.001) and significantly higher among medical (34.4%) and nursing students (29.2%) compared with humanities students (18.6%) (
p
< 0.05). Most common FGIDs were functional dyspepsia (FD) (15.2%), IBS (6.2%), reflux hypersensitivity (3.5%), FDr (2.9%), FC (2.1%), and unspecified functional bowel disorder (2.1%). FGID overlap was present in 9.3%, most common being FD-IBS overlap (4.4%). With Rome III criteria, prevalence of IBS was higher (9.5%), while that of FDr (0.92%) and of FC (1.3%) were lower. On multivariate analysis, independent predictors for FGIDs were female gender, medical student, non-vegetarian diet, junk food, tea/coffee, poor physical activity, anxiety, and insomnia.
Conclusion
Rome IV FGIDs were present among one-fourth of college students with preponderance among females and medical students. FD, IBS, and reflux hypersensitivity were the most common FGIDs. Rome IV criteria led to a reduction in IBS prevalence and increase in FDr and FC prevalence. Dietary factors, physical activity, anxiety, and insomnia affected FGID prevalence.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Dyspepsia - epidemiology</subject><subject>Dyspepsia - etiology</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastrointestinal Diseases - epidemiology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>India - epidemiology</subject><subject>Irritable Bowel Syndrome - epidemiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Rome</subject><subject>Students</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>0254-8860</issn><issn>0975-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtv1DAUhS0Eog_4AywqL1k04EdiJ8uq4jFSpVYVsLU89s3gNrGnvk6l2fWn4-kUlqzu65yjq4-QD5x94ozpz8iFUm3DBGsY50w1u1fkmA26a5jm_HXtRdc2fa_YETlBvGP7eZBvyZGUQqhOs2PydJPh0U4QHZzT9Ah5sttzaqOnOeA9Ha0rKSMdU6a3aQa6-kXHJboSUrQT3VgsOYVYAEvYL3zAlD1Uh51T3FCXpgk2QLEsHmJBGiKNKZffkCNdRR_sO_JmtBPC-5d6Sn5-_fLj8ntzdf1tdXlx1TjZ6tIoyQdgTouOW26FF9opLdp1C8pKsMPYOS473ut1L4dO2FZb75wfHBMwVCTylHw85G5zeljqv2YO6GCabIS0oBGtkor1UrZVKg5SlxNihtFsc5ht3hnOzJ68OZA3lbx5Jm921XT2kr-sZ_D_LH9RV4E8CLCe4gayuUtLrtDwf7F_AJRmkP4</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Goyal, Omesh</creator><creator>Nohria, Sahil</creator><creator>Dhaliwal, Armaan Singh</creator><creator>Goyal, Prerna</creator><creator>Soni, Ravinder Kumar</creator><creator>Chhina, Rajoo Singh</creator><creator>Sood, Ajit</creator><general>Springer India</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6347-0988</orcidid></search><sort><creationdate>20210401</creationdate><title>Prevalence, overlap, and risk factors for Rome IV functional gastrointestinal disorders among college students in northern India</title><author>Goyal, Omesh ; Nohria, Sahil ; Dhaliwal, Armaan Singh ; Goyal, Prerna ; Soni, Ravinder Kumar ; Chhina, Rajoo Singh ; Sood, Ajit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c347t-6319e0c7251a1a2d27c6724b4e6a3ea9f5c135187b83952a47adccd9c02e99753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Dyspepsia - epidemiology</topic><topic>Dyspepsia - etiology</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gastrointestinal Diseases - epidemiology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>India - epidemiology</topic><topic>Irritable Bowel Syndrome - epidemiology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Rome</topic><topic>Students</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goyal, Omesh</creatorcontrib><creatorcontrib>Nohria, Sahil</creatorcontrib><creatorcontrib>Dhaliwal, Armaan Singh</creatorcontrib><creatorcontrib>Goyal, Prerna</creatorcontrib><creatorcontrib>Soni, Ravinder Kumar</creatorcontrib><creatorcontrib>Chhina, Rajoo Singh</creatorcontrib><creatorcontrib>Sood, Ajit</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Indian journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goyal, Omesh</au><au>Nohria, Sahil</au><au>Dhaliwal, Armaan Singh</au><au>Goyal, Prerna</au><au>Soni, Ravinder Kumar</au><au>Chhina, Rajoo Singh</au><au>Sood, Ajit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, overlap, and risk factors for Rome IV functional gastrointestinal disorders among college students in northern India</atitle><jtitle>Indian journal of gastroenterology</jtitle><stitle>Indian J Gastroenterol</stitle><addtitle>Indian J Gastroenterol</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>40</volume><issue>2</issue><spage>144</spage><epage>153</epage><pages>144-153</pages><issn>0254-8860</issn><eissn>0975-0711</eissn><abstract>Background/Purpose
There is scarcity of data on prevalence, overlap, and risk factors for functional gastrointestinal disorders (FGID) by Rome IV criteria. We evaluated these factors among medical, nursing, and humanities students.
Methods
Rome IV Diagnostic Questionnaire (for all FGIDs), Rome III questionnaire (for irritable bowel syndrome [IBS], functional diarrhea [FDr], and functional constipation [FC]), and questionnaires assessing demography, physical activity, anxiety, and depression were used.
Results
A total of 1309 college students were included (medical 425, nursing 390, humanities 494; mean age 20.5 ± 2.1 years; 36.5% males). Prevalence of Rome IV FGIDs was 26.9% (
n
= 352), significantly higher among females compared with males (32.3% vs. 17.6%;
p
< 0.001) and significantly higher among medical (34.4%) and nursing students (29.2%) compared with humanities students (18.6%) (
p
< 0.05). Most common FGIDs were functional dyspepsia (FD) (15.2%), IBS (6.2%), reflux hypersensitivity (3.5%), FDr (2.9%), FC (2.1%), and unspecified functional bowel disorder (2.1%). FGID overlap was present in 9.3%, most common being FD-IBS overlap (4.4%). With Rome III criteria, prevalence of IBS was higher (9.5%), while that of FDr (0.92%) and of FC (1.3%) were lower. On multivariate analysis, independent predictors for FGIDs were female gender, medical student, non-vegetarian diet, junk food, tea/coffee, poor physical activity, anxiety, and insomnia.
Conclusion
Rome IV FGIDs were present among one-fourth of college students with preponderance among females and medical students. FD, IBS, and reflux hypersensitivity were the most common FGIDs. Rome IV criteria led to a reduction in IBS prevalence and increase in FDr and FC prevalence. Dietary factors, physical activity, anxiety, and insomnia affected FGID prevalence.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>33226570</pmid><doi>10.1007/s12664-020-01106-y</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6347-0988</orcidid></addata></record> |
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| ispartof | Indian journal of gastroenterology, 2021-04, Vol.40 (2), p.144-153 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adolescent Adult Dyspepsia - epidemiology Dyspepsia - etiology Female Gastroenterology Gastrointestinal Diseases - epidemiology Hepatology Humans India - epidemiology Irritable Bowel Syndrome - epidemiology Male Medicine Medicine & Public Health Original Article Prevalence Risk Factors Rome Students Surveys and Questionnaires Young Adult |
| title | Prevalence, overlap, and risk factors for Rome IV functional gastrointestinal disorders among college students in northern India |
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