scholarly journals Irritable bowel syndrome among Jordanian medical students: Prevalence and associated factors

2020 ◽  
Author(s):  
Khaled Ali Jadallah ◽  
Moawiah Mohammad Khatatbeh ◽  
Enas Walid Sarsak ◽  
Aroob Nabil Sweidan ◽  
Baraa F Alzu’bi
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Irritable Bowel Syndrome ◽  
Medical Students ◽  
Associated Factors ◽  
Categorical Variables ◽  
Anxiety And Depression ◽  
Stepwise Logistic Regression ◽  
Modifiable Factors ◽  
Irritable Bowel

Abstract Background The literature on the prevalence of irritable bowel syndrome (IBS) and its correlates in Middle Eastern countries is scarce. This study aimed at investigating the prevalence of IBS and its associated factors among Jordanian medical students. Methods We conducted a cross-sectional study at two medical faculties in northern Jordan. Using convenience sampling, we recruited 1094 medical students. Participants completed an anonymous semi-structured questionnaire inquiring about socio-demographic, lifestyle, and clinical characteristics, as well as IBS symptoms. We used the Rome III criteria to diagnose IBS and the Hospital Anxiety and Depression Scale (HADS) to identify anxiety and depression. The chi-square test was used to determine differences between categorical variables and stepwise logistic regression was used to measure the association between IBS and its risk factors. Results The prevalence of IBS in our sample was 30.9%. Binary logistic regression analysis of factors associated with IBS indicated having a family history of IBS as a strong predictor of the disease (OR = 8.09; CI: 5.84–11.19). Students at second and third-year levels of their study had ORs of about 4 (CI: 2.20–6.54) and 3 (CI: 1.70–5.30) of suffering from IBS, respectively, as compared to students at first-year level (p = 0.001). Increased anxiety score (OR = 1.88; CI: 1.30–2.71), poor sleep quality (OR = 1.76; CI: 1.13–2.76), female gender (OR = 1.59; CI: 1.14–2.20) and living in a school dormitory (OR = 1.35; CI: 1.00-1.84) were significantly associated with IBS (p < 0.05). Conversely, consumption of junk food, BMI of participants, and physical inactivity were not significantly associated with IBS occurrence. Conclusions Irritable bowel syndrome is a highly prevalent disorder in a university-based population in the Jordanian context, with several modifiable and non-modifiable factors being associated with its occurrence. A better understanding of the associated risk factors is crucial for a holistic therapeutic approach. Longitudinal studies are necessary to assess whether this association is causal.

Risk factors of irritable bowel syndrome among male medical students in Majmmah University, Saudi Arabia

2020 ◽  
pp. 1150-1153
Author(s):  
Anas Alzahrani ◽  
Mohammed Alghamdi ◽  
Hassan Alzahrani ◽  
Saad Al-Ghamdi ◽  
Ashwaq Al-Ghamdi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Saudi Arabia ◽  
Irritable Bowel Syndrome ◽  
Medical Students ◽  
Irritable Bowel

scholarly journals PREVALENCE AND RISK FACTORS OF IRRITABLE BOWEL SYNDROME AMONG MEDICAL STUDENTS

2019 ◽  
Vol 7 (12) ◽  
pp. 1008-1016
Author(s):  
Manal Abdulaziz Murad ◽  
◽  
Hoda Jehad Abousada ◽  
Yazeid Mohammed Zamzami ◽  
Malak Ahmed Alkaf ◽  
...  
Keyword(s):  
Risk Factors ◽  
Irritable Bowel Syndrome ◽  
Medical Students ◽  
Irritable Bowel

scholarly journals Prevalence of Depression and its Associated Factors among Medical Students in International Islamic University Malaysia (IIUM)

2021 ◽  
Vol 20 (4) ◽  
Author(s):  
Abdul Hadi Said ◽  
Muhammad Addin Nur Hakim Azmi ◽  
Haziqah Mohd Hanapiah ◽  
Anis Wardati Abdullah ◽  
Mohd Shaiful Ehsan Shalihin
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Logistic Regression ◽  
Medical Students ◽  
Associated Factors ◽  
Multiple Logistic Regression Analysis ◽  
Regular Physical Activity ◽  
Multiple Logistic Regression ◽  
Cross Sectional ◽  
Prevalence Of Depression

Introduction: Globally, depression is one of the serious problems reported among medical students. Various studies reported that the prevalence of depression among medical students was high due to multiple risk factors. Therefore, this study aimed to measure the prevalence of depression and its associated factors among medical students in International Islamic University Malaysia (IIUM). Materials and Methods: A cross-sectional study was conducted among 500 medical students in IIUM Kuantan. A validated self-reported questionnaire using Depression Anxiety Stress Score 21 was distributed during the second semester of the 2018/2019 session. Descriptive statistics were used to measure the prevalence of depression. Chi-square test, Fisher’s exact test, independent sample T-test, and multiple logistic regression were used to determine the association between risk factors and depression. Result: The prevalence of depression was 39% with 10.5% of them were having severe and extremely severe level of depression. Multiple logistic regression analysis showed regular physical activity (AOR=0.64, 95% CI: 0.42-0.98) and Tahajjud prayer practice (AOR: 0.76, 95% CI 0.66-0.88) are two protective factors against depression among medical students. Conclusion: About two out of every five IIUM medical students had depression. Regular physical activity and Tahajjud prayer practised may reduce the risk of depression and should be encouraged.

Frequency of Irritable Bowel Syndrome (IBS) and its Risk Factors among MBBS Students of Allama Iqbal Medical College, Lahore

2021 ◽  
Vol 15 (7) ◽  
pp. 2062-2067
Author(s):  
Hafiz Muhammad Tauseef ◽  
Hafiz Muhammad Waqas Siddque ◽  
Muhammad Farhan Akhtar ◽  
Abu Hurera
Keyword(s):  
Risk Factors ◽  
Irritable Bowel Syndrome ◽  
Abdominal Pain ◽  
Medical Students ◽  
Family History ◽  
Positive Family History ◽  
Gastrointestinal Disorder ◽  
Medical College ◽  
History Of ◽  
Irritable Bowel

Background: Currently, there is a growing concern towards epidemiological and clinical research on functional gastrointestinal disorders. Irritable Bowel Syndrome is defined as a functional gastrointestinal disorder characterized by abdominal discomfort, abdominal pain, and altered bowel movements. It is the most common gastrointestinal disorder. It can be diarrhea-predominant IBS, constipation-predominant IBS, and mixed type IBS. Objective: The objective of this study was to determine the frequency of IBS among medical students of Allama Iqbal Medical College and to determine conditions and lifestyle habits that may act as significant risk factors for developing IBS. Methods: A cross-sectional study was conducted for over 5 months. A sample of 323 individuals was studied whereas the sampled individuals were selected using a "stratified random sampling technique". The study was conducted by collecting data through an online questionnaire during the global COVID pandemic. The questionnaire consisted of three parts. The first section consisted of demographic information, the second section consisted of a standard questionnaire determining the risk factors of IBS i.e., personal food and lifestyle habits, and the last section was aimed at determining whether the person was a case of IBS or not using the widely accepted and used “Rome III Criteria” and determining the predominant pattern of IBS. Results: The frequency of IBS was found to be 15.5%. Analysis of collected data revealed that the predictors for IBS were stress and reduced hours of daily sleep. It was also observed that a positive family history of irritable bowel syndrome predisposed the development of IBS in a person. 30% of subjects with a positive family history of IBS had symptoms suggestive of IBS. Conclusion: The study concludes that there is a high incidence of IBS among medical students because they live under higher stress conditions, concerning their academics and professional duty than students and professionals from other educational fields. Keywords: Irritable bowel syndrome, abdominal pain, stress, food consumption.

scholarly journals Factors associated with irritable bowel syndrome among medical students at Ain Shams University

2019 ◽  
Vol 94 (1) ◽  
Author(s):  
Doaa Elhosseiny ◽  
Nehal Elfawy Mahmoud ◽  
Ayat F. Manzour
Keyword(s):  
Irritable Bowel Syndrome ◽  
Medical Students ◽  
Family History ◽  
Positive Family History ◽  
Depression Scale ◽  
Female Gender ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
History Of ◽  
Irritable Bowel

Abstract Background Irritable bowel syndrome (IBS) is one of the most common and potentially disabling gastrointestinal disorders. The pathogenesis of this disorder remains obscure. However, many etiological explanations point toward bacterial etiology. Also, several studies have documented that psychological and social factors may play a role. Medical education is among the most challenging and stressful education, and this may predispose to high rates of IBS. Objectives The aims of this study are to estimate the frequency of IBS in a selected sample of students of Faculty of Medicine in Ain Shams University and to find out the determinants associated with this disorder. Study design A cross-sectional study was carried out among medical students from October 2017 to February 2018 at Faculty of Medicine—Ain Shams University. All participants were asked to complete a confidential self-administered questionnaire. An interview questionnaire was used for diagnosis of IBS according to Rome III criteria, while morbid anxiety and depression were diagnosed by using the Arabic version of Hospital Anxiety and Depression Scale (HADS). Results Three hundred eighty-two students completed the questionnaire. The frequency of IBS was 31.7% with higher proportion among females and among students with positive family history of IBS. However, IBS was significantly less prevalent among students practicing regular exercise. Lastly, based on (HADS), there was a statistical significant relationship between IBS and anxiety (p < 0.05), but not depression. Conclusion The study revealed that around 31% of the studied group was suffering from IBS. Female gender, suffering from anxiety, and positive family history of IBS were the main associated factors for IBS. Screening of all medical students in the faculty for IBS is suggested. Providing psychological and emotional support along with stress management is highly recommended.

scholarly journals Prediction of Endometrial Hyperplasia and Cancer among Premenopausal Women with Abnormal Uterine Bleeding

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Luca Giannella ◽  
Lillo Bruno Cerami ◽  
Tiziano Setti ◽  
Ezio Bergamini ◽  
Fausto Boselli
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Prediction Model ◽  
Endometrial Hyperplasia ◽  
Premenopausal Women ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Stepwise Logistic Regression ◽  
Simultaneous Presence ◽  
Endometrial Pathology

Objective. To create a prediction model including clinical variables for the prediction of premalignant/malignant endometrial pathology in premenopausal women with abnormal uterine bleeding (AUB). Methods. This is an observational retrospective study including 240 premenopausal women with AUB referred to diagnostic hysteroscopy. Based on the presence of endometrial hyperplasia (EH) or cancer (EC), the women were divided into cases (EH/EC) and controls (no EH/EC). Univariate, stepwise logistic regression and ROC curve analysis were performed. Results. 12 women had EH/EC (5%). Stepwise logistic regression analysis showed that EH/EC associated significantly with BMI ≥ 30 (OR=7.70, 95% CI 1.90 to 31.17), diabetes (OR=9.71, 95% CI 1.63 to 57.81), and a thickened endometrium (OR=1.20, 95% CI 1.08 to 1.34, criterion > 11 mm). The AUC was 0.854 (95% confidence intervals 0.803 to 0.896, p<0.0001). Considering the pretest probability for EH/EC of 5%, the prediction model with a positive likelihood ratio of 8.14 showed a posttest probability of 30%. The simultaneous presence of two or three risk factors was significantly more common in women with EH/EC than controls (50% vs. 6.6 and 25% vs. 0%, respectively, p<0.0001). Conclusion. When premenopausal vaginal bleeding occurs in diabetic obese women with ET > 11 mm, the percentage of premalignant/malignant endometrial pathology increases by 25%. It is likely that the simultaneous presence of several risk factors is necessary to significantly increase the probability of endometrial pathology.

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