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Epidemiology of colonic symptoms and the irritable bowel syndrome
Abstract
Functional gastrointestinal disease is believed to be very common, but reports of its prevalence have not usually evaluated random community samples, and validated questionnaires have not been used to elicit symptoms. The prevalence of specific colonic symptoms and the irritable bowel syndrome among representative middle-aged whites was determined from a defined population, and the impact of these symptoms on presentation for medical care was measured. An age- and sex-stratified random sample of 1021 residents of Olmsted County, Minnesota, aged 30-64 years, was obtained. All subjects were mailed a valid self-report questionnaire that identified gastrointestinal symptoms and functional gastrointestinal disorders. The response rate was 82% (n = 835). The age- and sex-adjusted prevalence of abdominal pain (more than six times in the prior year) was 26.2 per 100 (95% confidence interval, 23.1-29.2). The prevalence of chronic constipation (hard stools and straining and/or less than 3 stools per week greater than 25% of the time) was 17.4 (95% confidence interval, 14.8-20.0), whereas the prevalence of chronic diarrhea (loose watery stools, and/or greater than 3 stools per day greater than 25% of the time) was 17.9 (95% confidence interval, 15.3-20.5). The prevalence of abdominal pain and disturbed defecation was similar in women and men, except that infrequent defecation and straining at stool were more common in women. Using the Manning symptom criteria to identify irritable bowel syndrome (greater than or equal to 2 of 6 symptoms in those with abdominal pain more than six times in the prior year), the prevalence of irritable bowel syndrome was 17.0 per 100 (95% confidence interval, 14.4-19.6). Overall, 71 persons (9%) reported visiting a physician for abdominal pain or disturbed defecation in the prior year; a subset of variables related to pain severity were the best predictors of health care seeking after adjustment for age and gender. However, these accounted for only 22% of the log likelihood. In conclusion, more than one third of an unselected middle-aged population reported chronic abdominal pain or disturbed defecation, and more than one in six had symptoms compatible with the irritable bowel syndrome. Only a minority had presented for medical evaluation; moreover, the characteristics of the abdominal complaints did not explain the seeking of health care in most cases.
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“We have applied this definition in earlier studies and shown that it provides data similar to that of a physician interview (27,39).”
From Psychosocial Distress and Somatic Symptoms in Community Subjects With Irritable Bowel Syndrome: A Psychological Component Is the Rule (2009) · cites this paper as [27]
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“Irritable bowel syndrome (IBS) is a common gastrointestinal (GI) disorder characterized by abnormal bowel patterns and abdominal pain that affects 10–15% of North Americans (Talley et al., 1992).”
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“The irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder characterized by chronic abdominal pain or discomfort associated with altered bowel habits in the absence of identifiable organic abnormalities utilizing a routine clinical testing (1, 2).”
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“IBS is one of the most common functional gastrointestinal disorders, characterized by abdominal pain associated with altered bowel habit (ie, diarrhea and/or constipation) (1, 2).”
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“The irritable bowel syndrome (IBS) is a highly prevalent disorder (Talley et al., 1991).”
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“Functional abdominal complaints, otherwise known as irritable bowel syndrome, have a high prevalence (Talley et al. 1991; Jones & Lydeard, 1992), conventional treatments, such as medi cation and dietary advice, are of limited value (Klein, 1988) and the prognosis for these complaints is poor…”
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“up to 20% in the Western countries [1,2] and accounts for more”
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“No earlier study has reported prevalences of the symptoms separately, but the sex difference is consistent with some [22, 23] but not all studies of IBS [9].”
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“In one of the pivotal studies in this area, Drossman et al(20) noted that the ratio of men:women with IBS was as high as 2:1, although other have reported a somewhat lower ratio.(21,22) However, IBS is a heterogeneous disease, with some patients suffering more with constipation symptoms and others with diarrhea.”
ResultSex differences in irritable bowel syndrome in Japanese university students
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Self-citationInfluence of alcohol consumption on IBS and dyspepsia
Halder, S. L. S., Locke, G. R., Schleck, C. D., Zinsmeister, A. R., & Talley, N. J. (2006) · Neurogastroenterology & Motility · doi:10.1111/j.1365-2982.2006.00815.x · Cited by 50
Self-citationThe microbiome and childhood diseases: Focus on brain‐gut axis
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BackgroundPhysicians’ attitudes and practices in the evaluation and treatment of irritable bowel syndrome
Lacy, B., Rosemore, J., Robertson, D., Corbin, D. A., Grau, M., & Crowell, M. (2006) · Scandinavian Journal of Gastroenterology · doi:10.1080/00365520600554451 · Cited by 62
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Metadata
- Authors
- Talley, N. J., Zinsmeister, A. R., van Dyke, C., & Melton, L. J.
- Affiliations
- Mayo Clinic (US)
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 1991-10
- Volume
- 101
- Issue
- 4
- Pages
- 927-934
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W1606920119
- Cited by
- 648
- References
- 33
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 9 · 2022: 6 · 2021: 10 · 2020: 7 · 2019: 4 · 2018: 9 · 2017: 10 · 2016: 8 · 2015: 19 · 2014: 26 · 2013: 16 · 2012: 25
- FWCI
- 17.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p30dk034988-05)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 34988)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR030582, AR30582)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- irritable bowel syndrome, functional gastrointestinal disorders, prevalence, abdominal pain, chronic constipation, chronic diarrhea, health-seeking behavior, middle-aged adults, sex differences, Olmsted County, Minnesota, community survey, unmet care needs
- MeSH terms
- Colonic Diseases, Functional, Constipation, Diarrhea, Female, Humans, Male, Middle Aged, Minnesota, Patient Acceptance of Health Care, Surveys and Questionnaires, Abdominal Pain, Prevalence
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