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学科主题: 临床医学
题名:
Prevalence and risk factors for abdominal bloating and visible distention: a population-based study
作者: Jiang, X.1,2,3; Locke, G. R., III1,2; Choung, R. S.1,2; Zinsmeister, A. R.4; Schleck, C. D.4; Talley, N. J.1,2
刊名: GUT
发表日期: 2008-06-01
DOI: 10.1136/gut.2007.142810
卷: 57, 期:6, 页:756-763
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology
研究领域[WOS]: Gastroenterology & Hepatology
关键词[WOS]: IRRITABLE-BOWEL-SYNDROME ; FUNCTIONAL GASTROINTESTINAL DISORDERS ; INTESTINAL GAS RETENTION ; MENSTRUAL-CYCLE ; GASTROESOPHAGEAL-REFLUX ; DYSPEPSIA SUBGROUPS ; MANNING CRITERIA ; TRACT SYMPTOMS ; UNITED-STATES ; LIFE-STYLE
英文摘要:

Background: Abdominal bloating and visible distention are common yet poorly understood symptoms. Epidemiological data distinguishing visible distention from bloating are not available. We aimed to evaluate the prevalence and potential risk factors for abdominal bloating and visible distention separately in a representative US population, and their association with other functional gastrointestinal disorders (FGIDs).

Methods: The validated Talley Bowel Disease Questionnaire was mailed to a cohort selected at random from the population of Olmsted County, Minnesota. The complete medical records of responders were abstracted; 2259 subjects (53% females; mean age 62 years) provided bloating and distention data.

Results: The age and sex-adjusted (US White 2000) overall prevalence per 100 for bloating was 19.0 [95% confidence interval (CI), 16.9 to 21.2] vs 8.9 (95% CI, 7.2 to 10.6) for visible distention. Significantly increased odds for bloating alone and separately for distention (vs neither) were detected in females, and in those with higher overall Somatic Symptom Checklist (SSC) scores and higher scores of each individual SSC item. Further, females [odds ratio (OR), 1.5; 95% CI, 1.0 to 2.1], higher SSC score (OR, 1.4; 95% CI, 1.1 to 1.8), constipation-predominant irritable bowel syndrome (OR, 2.3; 95% CI, 1.3 to 4.1), dyspepsia (OR, 1.9; 95% CI, 1.1 to 3.2), and gastro-intestinal symptom complex overlap (OR, 1.7; 95% CI, 1.1 to 2.7) significantly increased odds for distention over bloating alone.

Conclusions: Bloating and distention are common and have similar risk factors; somatisation probably plays a role.

语种: 英语
WOS记录号: WOS:000255802900011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58473
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, Jacksonville, FL 32224 USA
2.Mayo Clin, Coll Med, Div Gastroenterol & Hepatol, Jacksonville, FL 32224 USA
3.Peking Univ, Peoples Hosp, Div Gastroenterol & Hepatol, Beijing 100871, Peoples R China
4.Mayo Clin, Coll Med, Dept Hlth Sci Res, Div Biostat, Rochester, MN USA

Recommended Citation:
Jiang, X.,Locke, G. R., III,Choung, R. S.,et al. Prevalence and risk factors for abdominal bloating and visible distention: a population-based study[J]. GUT,2008,57(6):756-763.
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