Association between multiple sleep dimensions and functional bowel disorders among Chinese college freshmen

Xu, Shu; Chen, Can; Ouyang, Zhen; Duan, Chaofan; Xu, Zhiyue; Bai, Tao; Hou, Xiaohua

doi:10.1016/j.sleep.2021.05.015

Cited by 9 publications

(8 citation statements)

References 36 publications

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“…A systematic review and meta-analysis showed that the diagnostic rate of IBS was lower according to the Rome IV criteria compared to the Rome III criteria 26. According to the latest Rome IV diagnostic criteria, the IBS prevalence rate in this study (8.6%) is higher than that previously reported among college freshmen (2.5%) 27. The higher prevalence of IBS among medical workers may be attributed to their uniquely stressful learning and working environments.…”

Section: Discussioncontrasting

confidence: 67%

Prevalence of and factors associated with symptoms consistent with a diagnosis of irritable bowel syndrome among resident physicians in standardised training in China: a cross-sectional study

Zhao,

Li,

Yang

et al. 2023

BMJ Open

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ObjectivesThis study aims to investigate the incidence of and factors associated with irritable bowel syndrome (IBS) among resident physicians in standardised training at eight traditional Chinese medicine (TCM) hospitals in China.DesignA cross-sectional survey was administered to resident physicians in their first to third years of standardised training at eight TCM hospitals.Participants and settingA total of 514 resident physicians in standardised training were included.MeasuresThe questionnaire consisted of two sections, namely: section A collected basic information, and section B included the four-item Perceived Stress Scale (PSS-4), the Patient Health Questionnaire-4 (PHQ-4), the Pittsburgh Sleep Quality Index (PSQI) and the Rome IV criteria for IBS. Univariate and multivariate logistic regression models were constructed to assess the associations of age, sex, body mass index, stress, depression, anxiety, sleep quality and IBS.ResultsOf the included resident doctors, 77.2% were female, 20.4% were obese or underweight and 8.6% had symptoms consistent with a diagnosis of IBS. There were no statistically significant differences in lifestyle factors (night shift work, overtime work or working efficiency during the COVID-19 pandemic) between patients with IBS and participants without IBS (hereafter, non-IBS participants) (p=0.429, p=0.572 or p=0.464, respectively). Notably, compared with non-IBS participants, patients with IBS had significantly higher mean scores on the PSS-4 and PHQ-4 (p=0.028 and p=0.012, respectively); however, there was not a significant difference in PSQI scores between these two groups (p=0.079). Depression symptoms were significantly associated with IBS (unadjusted OR 0.498, 95% CI 0.265 to 0.935, p=0.030).ConclusionThese findings suggest that IBS is common among resident physicians in standardised training. Future studies should investigate emotional distress, especially stress and depression, in the development of prevention or treatment of IBS.

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Section: Discussioncontrasting

confidence: 67%

Prevalence of and factors associated with symptoms consistent with a diagnosis of irritable bowel syndrome among resident physicians in standardised training in China: a cross-sectional study

Zhao,

Li,

Yang

et al. 2023

BMJ Open

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“…According to data from China, the incidence of sleep disorders in university students peaked in one study at 52.8% (C. Y. Xu, Li, & Pan, 2017). In addition, a study conducted by R. Yamamoto and Nomura (2009) found that 79.2% of 1,092 Japanese university students had sleep problems.…”

mentioning

confidence: 99%

The Effects of Stressful Life Events and Negative Emotions in Relation to the Quality of Sleep: A Comparison between Chinese and Japanese Undergraduate Students and Chinese International Students

Wang

Matsuda

2021

Jpn Psychol Res

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This study investigated the effects of stressful life events (SLE) on the quality of sleep among university students. The subjects were 410 Chinese undergraduate students (CU), 201 Japanese undergraduate students (JU), and 111 Chinese international students living in Japan (CI). Four questionnaires were administered: (a) the Pittsburgh Sleep Quality Index; (b) the Depression Anxiety Stress Scale-21; (c) the Negative Life Events checklist; and (d) the Adolescent Self-Rating Life Events Checklist. Structural Equation Modeling (SEM) indicated that the experience of SLE directly affects and decreases the quality of sleep, and also increases negative emotions thereby indirectly influencing sleep quality. The multiple-group SEM suggested that negative emotions elicited from SLE, influencing the quality of sleep, were higher for CU and CI than for JU. Thus, it could be suggested that measures to improve the quality of sleep need to be managed differently for Japanese and Chinese students.

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“…Tam et al found that nighttime sleep duration <7 h was an independent risk factor for constipation among elementary school children in Hong Kong ( 31 ). Some studies indicated that poor sleep increased the risk of functional constipation among college students ( 32 , 33 ). A study of functional GI disorders and sleep duration found that functional constipation was associated only with decreased sleep rather than other sleep disorders like drowsiness ( 34 ).…”

Section: Discussionmentioning

confidence: 99%

“…Sleep disturbances may disrupt the communication between areas in the brain (insula, anterior cingulate cortex, thalamus and prefrontal cortex) and the GI tract, causing GI autonomic dysfunction ( 39 ). Additionally, there may be an inflammatory cytokine mechanism, such as tumor necrosis factor and interleukin−1 and −6 ( 33 , 39 ). Patients with sleep disturbances suffer from more severe anxiety and depression associated with constipation and this leads to negative effects by modulating the brain–gut axis and affecting gut motility ( 28 , 29 , 31 , 38 ).…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Constipation in Elderly People in Parts of China: A Multicenter Study

Liu

Jia

et al. 2022

Front. Public Health

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PurposeTo investigate the epidemiological characteristics of constipation in people aged 65 years and older in several regions of China.Patients and MethodsA cross-sectional study based on a cluster sampling design was conducted in four cities of China: Tianjin, Xiamen, Cangzhou and Harbin. A total of 5,222 cases (age ≥ 65 years) were recruited, and the survey was conducted via centralized and household questionnaires that included the following: basic demographic characteristics such as sex, age, education, marital status, living status and occupation; social activities; duration of sleep at night; duration of menstruation and delivery times (in females); and if the participant had constipation symptoms, the severity of constipation. Constipation was diagnosed according to the Rome IV criteria.ResultsOf the 5,222 participants, 919 were diagnosed with constipation. The prevalence of constipation was 17.60% in elderly people ≥65 years old. Prevalence increased with age and was significantly higher in females than males (P < 0.05). Prevalence was lower in the manual compared to the non-manual worker group, and significantly increased with decreasing duration of night sleep (P < 0.05). Older age, female sex and shorter sleep duration at night were risk factors for constipation in elderly people.ConclusionThe prevalence of constipation in the elderly people in four cities of China was 17.60%, and was significantly affected by age, sex and sleep duration at night.

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Association between multiple sleep dimensions and functional bowel disorders among Chinese college freshmen

Cited by 9 publications

References 36 publications

Prevalence of and factors associated with symptoms consistent with a diagnosis of irritable bowel syndrome among resident physicians in standardised training in China: a cross-sectional study

Prevalence of and factors associated with symptoms consistent with a diagnosis of irritable bowel syndrome among resident physicians in standardised training in China: a cross-sectional study

The Effects of Stressful Life Events and Negative Emotions in Relation to the Quality of Sleep: A Comparison between Chinese and Japanese Undergraduate Students and Chinese International Students

Epidemiology of Constipation in Elderly People in Parts of China: A Multicenter Study

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