Release date: 2007-11-30
Adolescent Irritable Bowel Syndrome (IBS) is a common and frequently encountered condition among urban primary and secondary school students. The prevalence of IBS tends to increase with age, making it an important concern for young people. Several factors may contribute to the development of IBS in this population, including poor dietary habits, gastrointestinal infections, excessive use of antibiotics, genetic predisposition, and psychosocial influences. These risk factors can significantly impact the health and well-being of adolescents. IBS is classified as a functional gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, altered bowel habits, and mucus in the stool. Unlike other intestinal diseases, IBS does not present with structural or biochemical abnormalities. It is often referred to as intestinal dysfunction, allergic colitis, spastic colitis, or mucinous colitis. This condition is more prevalent among young adults and teenagers, and its effects can be both physical and emotional. A study published in the March issue of the Chinese Digestive Journal investigated the prevalence and associated factors of IBS among 4,826 students from two prefecture-level cities in Fujian Province. Researchers from the Department of Gastroenterology at Xinhua Hospital, Shanghai Jiaotong University School of Medicine, conducted an epidemiological survey using a multi-stage cluster random sampling method. Their findings revealed that the corrected IMIS and Rome II diagnostic criteria showed prevalence rates of 52.16% and 17.10%, respectively. No significant gender differences were observed in high school students (P > 0.05). Logistic regression analysis identified 11 key risk factors associated with IBS, including grade level, consumption of spicy or cold foods, history of gastrointestinal infections, frequent antibiotic use, family history, and psychological stress. Among these, several factors had an odds ratio greater than 1, indicating a higher likelihood of developing IBS. In addition, the study found that 22.53% of the students experienced anxiety disorders, with a higher prevalence among females (26.45%) compared to males (17.84%), showing statistically significant differences (P < 0.01). When comparing scores on the Children's Anxiety Disorders Screening Table (scARED Scale), students with IBS scored higher in all five areas than those without IBS. Overall, the study highlights that IBS is a common condition among urban students, with increasing prevalence as they grow older. Poor eating habits, infections, antibiotic misuse, and psychosocial stressors are likely contributors to the condition. Moreover, anxiety disorders are also more prevalent in this group, emphasizing the need for further research and targeted interventions to support adolescent health. ——Midi Medical Network
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