Anxiety but not depression determines health care‐seeking behaviour in Chinese patients with dyspepsia and irritable bowel syndrome: a population‐based study

Hu, Whc; Wong, Wai Man; Lam, Cindy L. K.; Lam, Kwok–Fai; Hui, W. M.; Lai, K. C.; Xia, Huaan; Lam, Shiu Kum; Wong, Benjamin C Y

doi:10.1046/j.1365-2036.2002.01377.x

Cited by 179 publications

(193 citation statements)

References 32 publications

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“…In a study from urban and rural population of southern Iran, the prevalence of reflux symptoms occurring at least 3 times per week was 15.4% [9] . Hu et al [17] demonstrated that only 4.8% of Chinese population had GERD. On the other hand, Wong et al [18] in a study by telephone contact, reported a prevalence of 29.8%.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of gastroesophageal reflux disease in Qashqai migrating nomads, southern Iran

Mostaghni¹,

Mehrabani²,

Khademolhosseini³

et al. 2009

WJG

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AIM:To investigate the prevalence and risk factors of gastroesophageal reflux disease (GERD) symptoms in Qashqai migrating nomads with a different life style in Fars province, southern Iran. METHODS:In summer 2006, 748 Qashqai migrating nomads aged 25 years or more were enrolled using a multiple-stage stratified cluster random sampling method. A questionnaire consisting of demographic characteristics, lifestyle and GERD symptoms (heartburn, regurgitation, chest pain, dysphagia, hoarseness and cough) as completed for each subject. RESULTS:The questionnaire was completed in 717 subjects. The prevalence rate of GERD, defined as reflux occurring at least one time per week in the preceding year, was 33% (237 subjects). The prevalence was higher in older individuals (36.0% v s 2 8 . 9 % , P < 0 . 0 5 ) a n d i n t h o s e w i t h o t h e r gastrointestinal complaints (51.0% vs 27.8%, P < 0.001), but not different in obese and non-obese subjects. It was also higher in those consuming fruits and vegetables more than once a week (36.2% vs 17.3%, P < 0.001). GERD had a positive correlation with smoking (42.1% vs 27.8%, P < 0.001), but a negative relation with non-alcoholic beverages. The association between GERD and non-steroidal antiinflammatory drugs (NSAIDs) consumption was also significant (40.2% vs 25.4%, P < 0.001). CONCLUSION:The prevalence of GERD (33%) is very high in Qashqai migrating nomads which may be due to a lower socioeconomic and educational level of these people and difference in the life style. Older age, frequent consumption of fruits and vegetables, smoking and NSAIDs are risk factors for GERD in this population.

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Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of gastroesophageal reflux disease in Qashqai migrating nomads, southern Iran

Mostaghni¹,

Mehrabani²,

Khademolhosseini³

et al. 2009

WJG

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“…24 Using the Rome I criteria, 14.0% of 1649 subjects from Hong Kong had overlapping FGIDs. 25 In a recent Korean study on patients visiting outpatient gastroenterology clinics, 110 of 632 (17.0%) had IBS-FD overlap using the Rome III criteria. 26 Dyspepsia-IBS overlap has clinical significance as these patients may have different pathophysiological mechanisms than pure syndromes, poorer quality of life, inadequate treatment response and need for combination therapies.…”

Section: Irritable Bowel Syndromementioning

confidence: 99%

Pros and Cons While Looking Through an Asian Window on the Rome IV Criteria for Irritable Bowel Syndrome: Pros

Ghoshal

2017

J Neurogastroenterol Motil

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A decade after Rome III, in 2016, Rome IV criteria were published. There are major differences between Rome IV and the earlier iteration, some of which are in line with Asian viewpoints. The clinical applicability of the Rome IV criteria of irritable bowel syndrome (IBS) in Asian perspective is reviewed here. Instead of considering functional gastrointestinal disorders (FGIDs) to be largely psychogenic, Rome IV suggested the importance of the gut over brain ("disorders of gut-brain interaction" not "brain-gut interaction"). The word "functional" is underplayed. Multi-dimensional clinical profile attempts to recognize micro-organic nature, like slow colon transit and fecal evacuation disorders in constipation and dietary intolerance including that of lactose and fructose, bile acid malabsorption, non-celiac wheat sensitivity, small intestinal bacterial overgrowth, and gastrointestinal infection in diarrhea. Overlap between different FGIDs has been recognized as Rome IV suggests these to be a spectrum rather than discrete disorders. Bloating, common in Asia, received attention, though less. Sub-typing of IBS may be more clinician-friendly now as the patientreported stool form may be used than a diary. However, a few issues, peculiar to Asia, need consideration; Rome IV, like Rome III, suggests that Bristol type I-II stool to denote constipation though Asian experts include type III as well. Work-up for physiological factors should be given greater importance. Language issue is important. Bloating, common in IBS, should be listed in the criteria. Threshold values for symptoms in Rome IV criteria are based on Western data. Post-infectious malabsorption (tropical sprue) should be excluded to diagnose post-infectious IBS, particularly in Asia.

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“…15,16 Psychological characteristics predict likelihood of GERD symptoms. 4 GERD patients with a high frequency of symptoms and long duration of disease have increased psychological distress.…”

Section: Psychological Comorbidity In Gerdmentioning

confidence: 99%

Review article: gastro‐oesophageal reflux disease and psychological comorbidity

Mizyed

Fass

2009

Aliment Pharmacol Ther

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Anxiety but not depression determines health care‐seeking behaviour in Chinese patients with dyspepsia and irritable bowel syndrome: a population‐based study

Cited by 179 publications

References 32 publications

Prevalence and risk factors of gastroesophageal reflux disease in Qashqai migrating nomads, southern Iran

Prevalence and risk factors of gastroesophageal reflux disease in Qashqai migrating nomads, southern Iran

Pros and Cons While Looking Through an Asian Window on the Rome IV Criteria for Irritable Bowel Syndrome: Pros

Review article: gastro‐oesophageal reflux disease and psychological comorbidity

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