Old Farts – Fact or Fiction? Results From a Population-Based Survey of 16,000 Americans Examining the Association Between Age and Flatus

Almario, Christopher V.; Almario, Alison A.; Cunningham, Maria Elena; Fouladian, Joshua Eleazar; Spiegel, Brennan M.

doi:10.1016/j.cgh.2017.03.023

Cited by 7 publications

(3 citation statements)

References 4 publications

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“…We performed a retrospective cross-sectional study using data from the National GI Survey (16–18), a population-based survey that aimed to determine the prevalence and distribution of GI symptoms in community-dwelling Americans. This study was approved by the Cedars-Sinai Institutional Review Board (Pro41586).…”

Section: Methodsmentioning

confidence: 99%

Burden of Gastrointestinal Symptoms in the United States: Results of a Nationally Representative Survey of Over 71,000 Americans

Almario

Ballal

Chey

et al. 2018

American Journal of Gastroenterology

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121

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OBJECTIVES: Digestive diseases account for over 100 million ambulatory care visits annually in the U.S. Yet, comparatively less is known about the true burden of gastrointestinal (GI) symptoms in the general U.S. population. The aim of this study was to use data from the “National GI Survey” – a population-based audit of GI symptoms in over 71,000 participants – to determine the prevalence and predictors of GI symptoms in community-dwelling Americans. METHODS: We conducted the National GI Survey using a mobile app called MyGiHealth which employs a computer algorithm that systematically collects participants’ GI symptoms. We recruited a nationally representative sample of Americans to complete the survey, which guided respondents through National Institutes of Health (NIH) GI Patient Reported Outcome Measurement Information System (PROMIS®) scales along with questions about relevant comorbidities and demographics. We measured the prevalence of GI symptoms in the past week and employed logistic regression to adjust for confounding. RESULTS: Overall, 71,812 individuals completed the survey, of which 61% reported having had ≥1 GI symptom in the past week. The most commonly reported symptoms were heartburn/reflux (30.9%), abdominal pain (24.8%), bloating (20.6%), diarrhea (20.2%), and constipation (19.7%). Less common symptoms were nausea/vomiting (9.5%), dysphagia (5.8%), and bowel incontinence (4.8%). Females, non-Hispanic whites, and individuals who were younger, highly educated, and had medical comorbidities were more likely to have symptoms (all adjusted p<.05). CONCLUSIONS: In this large population-based study that combined digital health technology with NIH PROMIS questionnaires, we found that GI symptoms are highly prevalent, as nearly two-thirds of surveyed Americans are burdened by these symptoms.

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Section: Methodsmentioning

confidence: 99%

Burden of Gastrointestinal Symptoms in the United States: Results of a Nationally Representative Survey of Over 71,000 Americans

Almario

Ballal

Chey

et al. 2018

American Journal of Gastroenterology

Self Cite

121

View full text Add to dashboard Cite

show abstract

“…In October 2015, our group conducted the "National Gastrointestinal (GI) Survey," a population-based audit of GI symptoms in more than 71,000 community-dwelling Americans. [12][13][14][15] The survey was administered via MyGiHealth, a mobile app that uses AEGIS (Automated Evaluation of GI Symptoms), an automated algorithm that has previously been described in detail. 16 AEGIS asked users to "Select any symptom(s) you experienced in the past week" and "Please check any of these GI symptom(s) that you have EVER experienced."…”

Section: Study Design Data Source and Study Populationmentioning

confidence: 99%

Prevalence of Gastroesophageal Reflux Disease and Proton Pump Inhibitor-Refractory Symptoms

et al. 2020

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“…The present study was a post hoc evaluation of a nationwide survey completed in October 2015 which was conducted to assess the burden of GI symptoms amongst adults in the US. 15,16 The survey was based on MyGiHealth, a mobile app that systematically collects GI symptom information using a computer algorithm called Automated Evaluation of GI Symptoms (AEGIS). We described the AEGIS algorithm in detail elsewhere.…”

Section: Data Sourcementioning

confidence: 99%

Lower and Upper Gastrointestinal Symptoms Differ Between Individuals With Irritable Bowel Syndrome With Constipation or Chronic Idiopathic Constipation

Shah

Almario

Spiegel

et al. 2018

J Neurogastroenterol Motil

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Background/AimsWe evaluated the distribution of lower and upper gastrointestinal (GI) symptoms among individuals with irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) in a nationwide survey.MethodsIndividuals (≥ 18 years of age) were identified from a nationwide sample of > 70 000 United States adults. Participants completed the National Institutes of Health GI Patient Reported Outcomes Measurement Information System (NIH GI-PROMIS) questionnaire. Symptom frequency and intensity in the prior 7 days were assessed using validated PROMIS scores. Odds ratios (OR) with 95% confidence intervals (CI) were calculated to compare symptom prevalence in IBS-C vs CIC, and one-way ANOVA was used to assess differences in PROMIS scores. Regression analysis was performed to adjust for demographic variables.ResultsNine hundred and seventy adults met eligibility criteria (275 with IBS-C, 734 with CIC). Demographics were similar among groups except for education, marital and employment status, and income. Adjusting for demographic differences, GI-PROMIS scores of global GI symptoms were higher in IBS-C (251.1; 95% CI, 230.0–273.1) compared to CIC (177.8; 95% CI 167.2–188.4) (P < 0.001). Abdominal pain was more prevalent (OR, 4.3; 95% CI, 2.9–6.6) and more severe (P = 0.007) in IBS-C. Constipation was more severe in IBS-C (P = 0.011). Incontinence was more common (OR, 2.9; 95% CI, 1.3–6.3) but just as severe (P = 0.389) in IBS-C versus CIC. Regarding upper GI symptoms, the prevalence of dysphagia, heartburn, and nausea were similar. However, IBS-C individuals had more severe heartburn (P = 0.001).ConclusionGI symptoms are generally more severe in IBS-C compared to CIC, however abdominal pain, bloating, and upper GI symptoms still commonly occur in CIC.

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Old Farts – Fact or Fiction? Results From a Population-Based Survey of 16,000 Americans Examining the Association Between Age and Flatus

Cited by 7 publications

References 4 publications

Burden of Gastrointestinal Symptoms in the United States: Results of a Nationally Representative Survey of Over 71,000 Americans

Burden of Gastrointestinal Symptoms in the United States: Results of a Nationally Representative Survey of Over 71,000 Americans

Prevalence of Gastroesophageal Reflux Disease and Proton Pump Inhibitor-Refractory Symptoms

Lower and Upper Gastrointestinal Symptoms Differ Between Individuals With Irritable Bowel Syndrome With Constipation or Chronic Idiopathic Constipation

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