서울시 일부 고등학생의 과민대장증후군 유병률과 위험 요인

• 영문명: Prevalence and risk factors of irritable bowel syndrome in Korean high school students
• 발행기관: 한국역학회
• 저자명: 이경태(Kyung Tae Lee) 유재현(Jaehyun Yoo) 김보경(Kyoung Kim) 정해관(Hae-Kwan Cheong)
• 간행물 정보: 『한국역학회지』韓國疫學會誌 第29卷 第1號, 21~33쪽, 전체 13쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2007.06.30

영문 초록

  Background and Objectives: Irritable bowel syndrome (IBS) is prevalent in the general population, but there are few reports on bowel habits and IBS in high school students in Korea. This study aims to describe the prevalence of IBS in high school students in Korea and to investigate the influence of lifestyle factors including dietary habits, on the IBS. This study also investigates relationship between anxiety, depression and IBSprevalence.
  Subjects and methods:This study is a cross-sectional study on 1,018 students (451 males and 567 females) form freshman to senior of a high schools in Seoul. All students were requested to fill in a self-reported questionnaire. IBS was diagnosed based on the Rome Ⅱ criteria. Those having past medical history of organic gastrointestinal disorders and any one of the "alarm factors"(e.g. continuous hematochezia, weight loss, or anemic symptom) were excluded from the IBS group. For the evaluation of risk factors on the IBS, we surveyed dietary habit, health behavior, past medical history, the Hollingshed index for the measurement of socioeconomic status, Beck"s Anxiety Inventory for the anxiety, and the Children"s Depression Inventory for the depression.
  Results: The prevalence of IBS was 19.1%. Family history of abdominal discomfort (odds ratio 2.07, 95% 1.46-2.92) and having night snack (odds ratio 1.46, 95% CI 1.09-1.94) were significantly different between the IBS group and non-IBS group. There was a linear trend towards the higher prevalence of IBS with fewer hours of exercise (odds ratio 0.99, 95% CI 0.95-1.04). Menstruation, stress, and irregular eating were the significant provocation factors of IBS. Anxiety and depression was not significantly higher in in the IBS group.
  Conclusions: Prevalence of the IBS in high school students from this study was higher compared with those reported in college students in Korea. This study shows that family history, dietary factors, lifestyle, and grade were significantly related to IBS. From our study, we found that there are multifaceted health aspects required to reduce symptoms, such as dietary education and encouragement to change lifestyle for controlling stress.

목차

서론
연구 대상 및 방법
결과
고찰
참고문헌
Abstract

키워드

Irritable bowel syndrome Prevalence Provocation factor Risk factor Depression Anxiety Adolescence