Abstract
Introduction: Irritable bowel syndrome (IBS) is a chronic functional bowel condition with an average world prevalence of 11.2%. Is associated with multiple factors as female sex, young age, stress, anxiety and depression which can have a negative impact on quality of life. IBS in Peru is not investigated at all specially in the Andean region. The objective of this study is to determine the prevalence and associated factors of IBS in an Andean community from Peru using the Rome IV criteria. Materials and methods: Cross-sectional study in a rural community dedicated to livestock and agriculture in Peru at 3,235 meters above sea level. Questionnaires provided by the Rome Foundation as the Rome IV – Diagnostic questionnaire for adults, Irritable Bowel Syndrome - Symptom Severity Scale and Bristol stool scale were used. Results: 130 residents met the inclusion criteria. 46.9% were males with an average age of 54 years old. 11.54% presented red flags and were not included in the analysis. 13.1% were diagnosed with IBS and 52.9% presented constipation as predominant bowel pattern. 52.9% presented a mild course of the disease. In the chi-square analysis, factors as depression, anxiety, female sex, younger age, liquefied petroleum gas exposure for cooking and education achievement were statistically significant associated to IBS. In the logistic regression analysis, anxiety was the unique independent predictor factor with an OR of 9.6 (95% IC: 1.78-51.82). Conclusion: IBS is a prevalent condition in the Andean region and should be managed as a public health issue to improve quality of life.
Highlights
Irritable bowel syndrome (IBS) is a chronic functional bowel condition with an average world prevalence of 11.2%
Young age, familiar history, gastrointestinal infection, stress, depression and anxiety have been identified as determinants for its appearance . [6,7,8] new determinants as environmental pollutants, radiation and bacterial contamination are emerging as new factors that can trigger the development of IBS [9]
According to the last demographic census taken place in 2017, [15] 665 people lived in this town and only those who met the inclusion criteria as residents over 18 years old were considered eligible for this study
Summary
Irritable bowel syndrome (IBS) is a chronic functional bowel condition with an average world prevalence of 11.2%. Is associated with multiple factors as female sex, young age, stress, anxiety and depression which can have a negative impact on quality of life. The objective of this study is to determine the prevalence and associated factors of IBS in an Andean community from Peru using the Rome IV criteria. In the chi-square analysis, factors as depression, anxiety, female sex, younger age, liquefied petroleum gas exposure for cooking and education achievement were statistically significant associated to IBS. Irritable bowel syndrome (IBS), is a chronic functional bowel condition with an international prevalence of 11.2% but a range that can vary between 10-21% around the world, depending on the surveyed population and diagnostic test used . Epidemiology and associated factors of irritable bowel syndrome in an Andean community from Peru. Little literature exists about its prevalence, being stipulated between 15% and 22% using the Rome III criteria and the Maning score respectively . [10,11] After this data, no more studies were performed using the new Rome IV criteria provided by the Rome Foundation
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