شیوع یبوست و یبوست عملکردی و عوامل خطر آن در شهر اصفهان

حسن‌زاده کشتلی, عمار; هاشمی جزی, مرصی‌السادات; دهستانی, بابک; ادیبی, پیمان

شیوع یبوست و یبوست عملکردی و عوامل خطر آن در شهر اصفهان

نوع مقاله : مقاله های پژوهشی

نویسندگان

¹ پزشک عمومی، مرکز تحقیقات جامع‌نگر عملکرد گوارش، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

² دانشجوی پزشکی، کمیته‌ی تحقیقات دانشجویی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

³ استاد، مرکز تحقیقات جامع‌نگر عملکرد گوارش، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: یبوست و یبوست عملکردی، از بیماری‌های شایع دستگاه گوارش است که اثرات منفی بر کیفیت زندگی مرتبط با سلامت بیماران دارد و بار اقتصادی بالایی به جامعه تحمیل می‌کند. این مطالعه، با هدف بررسی شیوع یبوست، یبوست عملکردی و عوامل مربوط به آن در جامعه انجام شد.روش‌ها: این مطالعه، بخشی از یک مطالعه‌ی بزرگ و جامع است که در آن 4763 نفر از کارکنان دانشگاه علوم پزشکی اصفهان شرکت کرده‌اند. شیوع یبوست و یبوست عملکردی بر اساس معیار Rome III بررسی و ارتباط آن با عوامل دموگرافیک سنجیده شد.یافته‌ها: شیوع یبوست 4/33 درصد و شیوع یبوست عملکردی 2/15 درصد بود و هر دو نوع یبوست، در زنان شایع‌تر از مردان بود. احساس دفع ناکامل، شایع‌ترین علامت و استفاده از مانور دستی جهت دفع مدفوع، نادرترین و شدیدترین علامت بود. در حالی که دفع مدفوع سفت، خفیف‌ترین علامت بود.نتیجه‌گیری: یبوست و یبوست عملکردی، اختلال شایعی در جوامع است که در زنان بیش از مردان بوده و این موضوع، نیازمند مداخلات جدید جهت پیش‌گیری و درمان است.

کلیدواژه‌ها

عنوان مقاله [English]

Epidemiology of Constipation and Functional Constipation and their Risk Factors in Iranian Population

نویسندگان [English]

Ammar Hassanzadeh-Keshteli ¹
Marsa Sadat Hashemi-Jazi ²
Babak Dehestani ¹
Peyman Adibi ³

¹ General Practitioner, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Science, Isfahan, Iran

² Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

³ Professor, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Science, Isfahan, Iran

چکیده [English]

Background: Constipation and functional constipation are of the prevalent functional gastrointestinal disorders with negative effects on health-related quality of life and have high socioeconomic burden. In this study, the prevalence of these disorder and their related factors were evaluated.Methods: This study was a part of a great study with 4763 participants that evaluated constipation and functional constipation using Rome III questionnaire and demographic questionnaire.Findings: The prevalence of constipation and functional constipation were 33.4% and 15.2%, respectively and both were more common in women than men. Sensation of incomplete defecation was the most prevalent symptom. Using manual maneuver was the less prevalent and most severe symptom. Having hard stool was the mildest symptom among participants. All Symptoms was more prevalent in women.Conclusion: Constipation and functional constipation are prevalent disorders around the world. These conditions need more attention and attempts to prevent and treat.

کلیدواژه‌ها [English]

Constipation
Functional constipation
Risk Factors

مراجع

Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology 2006; 130(5): 1480-91.
Adibi P, Behzad E, Pirzadeh S, Mohseni M. Bowel habit reference values and abnormalities in young Iranian healthy adults. Dig Dis Sci 2007; 52(8): 1810-3.
Kaboli SA, Pourhoseingholi MA, Moghimi-Dehkordi B, Safaee A, Habibi M, Pourhoseingholi A, et al. Factors associated with functional constipation in Iranian adults: a population-based study. Gastroenterol Hepatol Bed Bench 2010; 3(2): 83-90.
Sandler RS, Jordan MC, Shelton BJ. Demographic and dietary determinants of constipation in the US population. Am J Public Health 1990; 80(2): 185-9.
Campbell AJ, Busby WJ, Horwath CC. Factors associated with constipation in a community based sample of people aged 70 years and over. J Epidemiol Community Health 1993; 47(1): 23-6.
Higgins PD, Johanson JF. Epidemiology of constipation in North America: a systematic review. Am J Gastroenterol 2004; 99(4): 750-9.
Peppas G, Alexiou VG, Mourtzoukou E, Falagas ME. Epidemiology of constipation in Europe and Oceania: a systematic review. BMC Gastroenterol 2008; 8: 5.
Iraji N, Keshteli AH, Sadeghpour S, Daneshpajouhnejad P, Fazel M, Adibi P. Constipation in Iran: SEPAHAN Systematic Review No. 5. Int J Prev Med 2012; 3(Suppl 1): S34-S41.
Chang L. Review article: epidemiology and quality of life in functional gastrointestinal disorders. Aliment Pharmacol Ther 2004; 20(Suppl 7): 31-9.
Bharucha AE, Pemberton JH, Locke GR 3rd. American Gastroenterological Association technical review on constipation. Gastroenterology 2013; 144(1): 218-38.
Mohaghegh SH, Soori H, Khoshkrood MB, Vahedi M, Moghimi-Dehkordi B, Pourhoseingholi MA, et al. Direct and indirect medical costs of functional constipation: a population-based study. Int J Colorectal Dis 2011; 26(4): 515-22.
Moghimi-Dehkordi B, Vahedi M, Pourhoseingholi MA, Khoshkrood MB, Safaee A, Habibi M, et al. Economic burden attributable to functional bowel disorders in Iran: a cross-sectional population-based study. J Dig Dis 2011; 12(5): 384-92.
Saberi HR, Moravveji AR. Gastrointestinal complaints in shift-working and day-working nurses in Iran. J Circadian Rhythms 2010; 8: 9.
Pare P, Ferrazzi S, Thompson WG, Irvine EJ, Rance L. An epidemiological survey of constipation in canada: definitions, rates, demographics, and predictors of health care seeking. Am J Gastroenterol 2001; 96(11): 3130-7.
Zhao YF, Ma XQ, Wang R, Yan XY, Li ZS, Zou DW, et al. Epidemiology of functional constipation and comparison with constipation-predominant irritable bowel syndrome: the Systematic Investigation of Gastrointestinal Diseases in China (SILC). Aliment Pharmacol Ther 2011; 34(8): 1020-9.
Hinds JP, Stoney B, Wald A. Does gender or the menstrual cycle affect colonic transit? Am J Gastroenterol 1989; 84(2): 123-6.
Wald A, Van Thiel DH, Hoechstetter L, Gavaler JS, Egler KM, Verm R, et al. Gastrointestinal transit: the effect of the menstrual cycle. Gastroenterology 1981; 80(6): 1497-500.
Chen LY, Ho KY, Phua KH. Normal bowel habits and prevalence of functional bowel disorders in Singaporean adults--findings from a community based study in Bishan. Community Medicine GI Study Group. Singapore Med J 2000; 41(6): 255-8.
Gonenne J, Esfandyari T, Camilleri M, Burton DD, Stephens DA, Baxter KL, et al. Effect of female sex hormone supplementation and withdrawal on gastrointestinal and colonic transit in postmenopausal women. Neurogastroenterol Motil 2006; 18(10): 911-8.
Ebling B, Gulic S, Jurcic D, Martinac M, Gmajnic R, Bilic A, et al. Demographic, anthropometric and socioeconomic characteristics of functional constipation in Eastern Croatia. Coll Antropol 2014; 38(2): 539-46.
Pourhoseingholi MA, Kaboli SA, Pourhoseingholi A, Moghimi-Dehkordi B, Safaee A, Mansoori BK, et al. Obesity and functional constipation; a community-based study in Iran. J Gastrointestin Liver Dis 2009; 18(2): 151-5.
Sonnenberg A, Koch TR. Epidemiology of constipation in the United States. Dis Colon Rectum 1989; 32(1): 1-8.
Chu H, Zhong L, Li H, Zhang X, Zhang J, Hou X. Epidemiology characteristics of constipation for general population, pediatric population, and elderly population in china. Gastroenterol Res Pract 2014; 2014: 532734.
Pourhoseingholi A, Safaee A, Pourhoseingholi MA, Boghimi-Dehkordi B, Habibi M, Vahedi M, et al. Prevalence and demographic risk factors of gastrointestinal symptoms in Tehran province. Ital J Public Health 2010; 7(1): 42-6.
Choung RS, Locke GR 3rd, Schleck CD, Zinsmeister AR, Talley NJ. Cumulative incidence of chronic constipation: a population-based study 1988-2003. Aliment Pharmacol Ther 2007; 26(11-12): 1521-8.
Chang JY, Locke GR, Schleck CD, Zinsmeister AR, Talley NJ. Risk factors for chronic constipation and a possible role of analgesics. Neurogastroenterol Motil 2007; 19(11): 905-11.
Jun DW, Park HY, Lee OY, Lee HL, Yoon BC, Choi HS, et al. A population-based study on bowel habits in a Korean community: prevalence of functional constipation and self-reported constipation. Dig Dis Sci 2006; 51(8): 1471-7.
Drossman DA, Sandler RS, McKee DC, Lovitz AJ. Bowel patterns among subjects not seeking health care. Use of a questionnaire to identify a population with bowel dysfunction. Gastroenterology 1982; 83(3): 529-34.