Prevalence of irritable bowel syndrome in Korea: Population‐based survey using the Rome II criteria

Han, Sung Hee; Lee, Oh Young; Bae, Sang Cheol; Lee, Seok Hwa; Chang, Yu Kyung; Yang, Sun Young; Yoon, Byung Chul; Choi, Ho Soon; Hahm, Joon Soo; Lee, Min Ho; Lee, Dong Hoo; Kim, Tae Hwa

doi:10.1111/j.1440-1746.2006.04269.x

Cited by 106 publications

(102 citation statements)

References 26 publications

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“…However, in this study; alcohol consumption, low exercise and psychological disorders were considered as risk factors for IBS not rotating shift work. The prevalence of IBS in this present study is also higher than that reported in the general population [6][7][8][9]20] .…”

Section: Discussioncontrasting

confidence: 53%

Association Between Irritable Bowel Syndrome and Shift Work: Prevalence and Associated Factors Among Nurses

Akere

Akande

2014

Journal of Gastroenterology and Hepatology Research

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AIM: Irritable Bowel Syndrome (IBS) is commonly seen in the general population. Mechanisms proposed as the underlying pathogenesis include visceral hypersensitivity, alteration in bowel motility, psychological status and abnormal intestinal barrier. It has been observed that circadian rhythms and sleep are altered by shift work, which may ultimately increase stress and worsen health problems. The aim was to determine the prevalence of IBS among nurses and evaluate the relationship between shift work and IBS. METHOD: One hundred and twenty four nurses at different cadres volunteered to take part in the study. Questionnaires were administered to collect demographic data and all the subjects also completed the IBS module from Rome III diagnostic questionnaire. RESULTS: A total of 124 female nurses participated in the study. The mean age was 38.5±7.7 years with a range between 21 and 57 years. Using Rome III criteria, irritable bowel syndrome was observed in 56 (45.2%) of the subjects. According to subtypes, diarrhoea predominant IBS (IBS-D) was observed in 30.4%, constipation predominant (IBS-C) was observed in 8.9%, while mixed subtype (IBS-M) was seen in 60.7% of the subjects. Using logistic regression analysis; age group 20-29 years, length of practice

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Section: Discussioncontrasting

confidence: 53%

Association Between Irritable Bowel Syndrome and Shift Work: Prevalence and Associated Factors Among Nurses

Akere

Akande

2014

Journal of Gastroenterology and Hepatology Research

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“…4 Globally, there is a consistent female predominance, but Asia-specific studies have found that the prevalence of IBS has no significant sex difference. [5][6][7][8] In alignment with the multiple apparent contributing pathogenic factors, management of IBS is multi-modal and includes pharmacological, neuromodulatory, dietary, psychological and other behavioral approaches. In Western countries such as those in North America, Australia, New Zealand, and Western Europe, there has been an increasing interest in utilising diet as a primary treatment modality rather than as an adjunct to pharmacotherapy.…”

Section: Introductionmentioning

confidence: 99%

The Low FODMAP Diet and Its Application in East and Southeast Asia

Iacovou

Tan

Muir

et al. 2015

J Neurogastroenterol Motil

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There is growing interest in using food choice/dietary change to influence clinical outcomes in patients with irritable bowel syndrome (IBS). The low fermentable oligo-, di-, mono-saccharides, and polyols (FODMAPs) diet is an evidence-based approach that is gaining popularity in many Western countries. The low FODMAP diet is based on restricting dietary intake of short chain carbohydrates that are slowly absorbed or indigestible and not absorbed during passage through the small intestine. These are collectively described as "FODMAPs" and comprise oligosaccharides (mostly fructans, galacto-oligosaccharides), sugar polyols, fructose in excess of glucose, and lactose in lactose malabsorbers. The general strategy of the diet is to avoid foods high in FODMAPs and replace them with foods low in FODMAPs, with long-term restriction limited to what is required to control symptoms. The likely mechanism of action is minimisation of the stimulation of mechanoreceptors exerted by distension of the intestinal lumen with water from osmotic effects and gases from bacterial fermentation in those with visceral hypersensitivity. The success of this dietary approach greatly depends on detailed knowledge about the FODMAP composition of food commonly consumed in that country. While the content of foods associated with East and Southeast Asian cuisines has not been fully explored, major high FODMAP sources are frequently used and include onion, garlic, shallots, legumes/pulses, and wheat-based products. Thus, this dietary approach holds great promise in treating IBS patients in East and Southeast Asia. The aim of this review is to highlight how the diet is implemented, its efficacy, and troublesome ingredients frequently used in Asian dishes.

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“…Irritable bowel syndrome (IBS) has a very high global incidence nowadays [1,2] . Though it is not fatal, it exerts a strong inf luence on the quality of human life [3] .…”

Section: Introductionmentioning

confidence: 99%

Decreased expression of serotonin in the jejunum and increased numbers of mast cells in the terminal ileum in patients with irritable bowel syndrome

Wang¹

2007

WJG

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AIM:To investigate if there are changes in serotonin (5-HT) levels, enterochromaffin (EC) cells and mast cells in small intestinal mucosa of patients with irritable bowel syndrome (IBS). n = 20), or constipation-predominant (IBS-C, n = 18) IBS patients and healthy controls (n = 20) underwent colonoscopy and peroral small intestinal endoscopy, and mucosal samples were obtained at the descending part of the duodenum, proximal end of jejunum and terminal ileum. High-performance liquid chromatographyelectrochemistry and immunohistochemical methods were used to detect 5-HT content, EC cells and mast cells. METHODS: RESULTS:(1) There were no differences in the number and distribution of EC cells between IBS patients and the normal group. (2) The mucosal 5-HT contents at the duodenum, jejunum and ileum in IBS-C patients were 182 ± 90, 122 ± 54, 61 ± 35 ng/mg protein, respectively, which were all lower than those in the normal group (256 ± 84, 188 ± 91, and 93 ± 45 ng/ mg protein, respectively), with a significant difference at the jejunum (P < 0.05). There were no differences in the small intestinal mucosal 5-HT contents between IBS-D patients and the normal group. The mucosal 5-HT contents at the duodenum were significantly higher than those at the ileum in the three groups (P < 0.001). (3) The numbers of mast cells in patients with IBS-C and IBS-D at the ileum were 38.7 ± 9.4 and 35.8 ± 5.5/high www.wjgnet.com power field (hpf), respectively, which were significantly more than that in the normal group (29.8 ± 4.4/hpf) (P < 0.001). There was no significant difference in the numbers of mast cells at the other two parts between IBS patients and the normal group. The numbers of mast cells in IBS-C, IBS-D, and normal groups were all significantly higher at the ileum (38.7 ± 9.4, 35.8 ± 5.5, 29.8 ± 4.4/hpf, respectively) than at the duodenum (19.6 ± 4.7, 18.5 ± 6.3, 19.2 ± 3.3/hpf, respectively, P < 0.001). CONCLUSION:The changes in the 5-HT signaling pathway at the jejunum of IBS-C patients and the increase in mast cells in patients with IBS at the terminal ileum may offer evidence to explain the pathogenesis of IBS.

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Prevalence of irritable bowel syndrome in Korea: Population‐based survey using the Rome II criteria

Abstract: The prevalence of IBS in the Korean population is 6.6%, and the male:female ratio is similar. Also, IBS is more frequent in younger subjects. Irritable bowel syndrome subjects visited a physician mostly due to abdominal pain.

Cited by 106 publications

References 26 publications

Association Between Irritable Bowel Syndrome and Shift Work: Prevalence and Associated Factors Among Nurses

Association Between Irritable Bowel Syndrome and Shift Work: Prevalence and Associated Factors Among Nurses

The Low FODMAP Diet and Its Application in East and Southeast Asia

Decreased expression of serotonin in the jejunum and increased numbers of mast cells in the terminal ileum in patients with irritable bowel syndrome

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