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学科主题: 临床医学
题名:
Health care seeking for abdominal bloating and visible distention
作者: Jiang, X.1,2,3,4,5; Locke, G. R.1,2,3,4; Zinsmeister, A. R.6; Schleck, C. D.6; Talley, N. J.1,2,3,4
刊名: ALIMENTARY PHARMACOLOGY & THERAPEUTICS
发表日期: 2009-10-01
DOI: 10.1111/j.1365-2036.2009.04080.x
卷: 30, 期:7, 页:775-783
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology ; Pharmacology & Pharmacy
研究领域[WOS]: Gastroenterology & Hepatology ; Pharmacology & Pharmacy
关键词[WOS]: IRRITABLE-BOWEL-SYNDROME ; FUNCTIONAL GASTROINTESTINAL DISORDERS ; PSYCHOSOCIAL FACTORS ; DYSPEPSIA SUBGROUPS ; UNITED-STATES ; RISK-FACTORS ; STOOL FORM ; POPULATION ; SYMPTOMS ; PREVALENCE
英文摘要:

P>Background

While knowledge has accumulated regarding health care seeking in several functional gastrointestinal disorders (FGIDs), little is known about health care seeking in those with bloating and distention.

Aim

To identify predictors of health care seeking for bloating and distention.

Methods

The validated Talley Bowel Disease Questionnaire was mailed to a cohort selected at random from the population of Olmsted County, Minnesota; 2259 subjects (53% females; mean age 62 years) answered questions about bloating and distention. The complete medical record of each respondent was reviewed. Logistic regression was used to compare consulting for bloating and distention with consulting for other GI symptoms, and nonconsulters.

Results

A total of 131 (6%) subjects in the community consulted a physician for bloating or distention. Older age [odds ratio (OR), 1.8; 95% confidence interval (CI): 1.5, 2.1], higher somatic symptom scores (OR, 2.0; CI: 1.4, 2.8), lower education level (OR, 2.7; CI: 1.2, 5.6), early satiety (OR, 2.0; CI: 1.1, 3.8) and abdominal pain (OR, 2.4; CI: 1.6, 3.7) were associated with people seeking health care for bloating or distention vs. non-consulters. Similarly, older age (OR, 1.4; CI: 1.2, 1.7), chronic constipation (OR, 2.0; CI: 1.2, 3.2) and visible distention (OR, 3.0; CI: 1.8, 4.9) had greater odds of presenting for bloating or distention compared with presenting for other GI symptoms; somatic symptoms were not a predictor (OR, 1.1; CI: 0.8, 1.5).

Conclusions

Factors that lead people to present for bloating and distention are similar to those for other GI symptoms visits; however, specific biological rather than somatic features may predict visits for bloating and distention.

语种: 英语
所属项目编号: R01 AR30582
项目资助者: Procter and Gamble ; National Institute of Arthritis and Musculoskeletal and Skin Diseases
WOS记录号: WOS:000269538000011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54732
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Mayo Clin, Coll Med, Dept Internal Med, Rochester, MN USA
2.Mayo Clin, Coll Med, Div Gastroenterol & Hepatol, Rochester, MN USA
3.Mayo Clin, Coll Med, Dept Internal Med, Jacksonville, FL 32224 USA
4.Mayo Clin, Coll Med, Div Gastroenterol & Hepatol, Jacksonville, FL 32224 USA
5.Peking Univ, Peoples Hosp, Div Gastroenterol & Hepatol, Beijing 100871, Peoples R China
6.Mayo Clin, Coll Med, Dept Hlth Sci Res, Div Biostat, Rochester, MN USA

Recommended Citation:
Jiang, X.,Locke, G. R.,Zinsmeister, A. R.,et al. Health care seeking for abdominal bloating and visible distention[J]. ALIMENTARY PHARMACOLOGY & THERAPEUTICS,2009,30(7):775-783.
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