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Prevalence, Subtypes and Risk Factors of Irritable Bowel Syndrome among Male Adolescents

남자 고등학생의 과민대장증후군 유병률, 증상 유형 및 위험요인

  • Received : 2019.01.21
  • Accepted : 2019.03.10
  • Published : 2019.04.30

Abstract

Purpose: The purpose of this study was to identify the prevalence, subtypes and risk factors of Irritable Bowel Syndrome (IBS) among male adolescents. Methods: The survey was conducted on male adolescents (n=441) attending a high school. Rome IV criteria was used to diagnose IBS. Data on health promoting behaviors, psychological distress, sleep hygiene practices were collected using self-administered structured questionnaires. Results: The prevalence of IBS was 11.1% and the subtypes were mixed (77.5%), unclassified (10.2%), diarrhea-predominant (8.2%), and constipation-predominant (4.1%). Risk factors influencing IBS were sleeping time (Odds Ratio [OR]=1.00, 95% Confidence Interval [CI]: 0.99~1.00), anxiety, a subfactor under psychological distress (OR=1.12, 95% CI: 1.02~1.22), and arousal-related behaviors, a subfactor under sleep hygiene practices (OR=1.10, 95% CI: 1.03~1.17). Conclusion: Our findings indicated that IBS is a common problem in male adolescents. It is necessary to develop school-based intervention strategies addressing sleeping time, anxiety and arousal-related behaviors in order to prevent and improve IBS in male adolescents.

Keywords

Table 1. Prevalence of IBS Diagnosed by Rome IV and Dis-tributions of IBS Subtypes

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Table 2. Comparison of Demographic and Clinical Characteristics between IBS and Non-IBS Groups

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Table 3. Factors Affecting IBS Prevalence among Subjects

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