Irritable Bowel Syndrome in a Community: Symptom Subgroups, Risk Factors, and Health Care Utilization
Abstract
The clinical relevance of subdividing the irritable bowel syndrome (IBS) into subgroups based on bowel habit is largely unknown. We therefore obtained an age- and sex-stratified random sample of Olmsted County, Minnesota, residents aged 20-95 years. All subjects were mailed a valid self-report questionnaire during the years 1988-1993; the response rate was 74% (n = 3,022). Among subjects with IBS (n = 536), four symptom-based subgroups of similar size were identified: constipation predominant, diarrhea predominant, alternating constipation and diarrhea, and neither. The prevalence of IBS was significantly greater in females, primarily because of a higher prevalence of constipation-predominant IBS in women. Of persons > or = 60 years of age, 23% reported the initial onset of IBS in the previous year compared with 10% in younger subjects; the age at onset of IBS was similar among the subgroups. Marital status, education level, smoking, and alcohol use were not significantly different among the subgroups. Of those with IBS, 25% reported visiting a physician for abdominal pain or disturbed defecation in the prior year compared with only 8% of persons without IBS. Female sex, an increased number of Manning's symptom criteria, and the individual IBS subgroups were not associated with higher rates of physician visits. We conclude that the onset of IBS may not be limited to early adulthood and that subgroups of IBS based on bowel patterns may not identify clinically distinct entities.
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The modified Rome II definition used here has been applied in earlier studies and provides data similar to a physician interview.
“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 [39]
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Choung, R. S., Locke, G. R., Schleck, C. D., Zinsmeister, A. R., & Talley, N. J. (2007) · The American Journal of Gastroenterology · doi:10.1111/j.1572-0241.2007.01381.x · Cited by 88 · see citing works
Self-citationBlanchard, E. B., & Scharff, L. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.3.725 · Cited by 88 · see citing works
Irritable bowel syndrome: Psychosocial assessment and treatment.
Blanchard, E. B. (2001) · American Psychological Association eBooks · doi:10.1037/10393-000 · Cited by 87 · see citing works
Doshi, J. A., Cai, Q., Buono, J. L., Spalding, W. M., Sarocco, P., Tan, H., Stephenson, J. J., & Carson, R. T. (2014) · Journal of Managed Care Pharmacy · doi:10.18553/jmcp.2014.20.4.382 · Cited by 86 · see citing works
Talley, N. J. (2006) · Internal Medicine Journal · doi:10.1111/j.1445-5994.2006.01217.x · Cited by 86 · see citing works
Self-citationShaw, Talley, Adlis, Beebe, Tomshine, & Healey (1998) · Alimentary Pharmacology & Therapeutics · doi:10.1046/j.1365-2036.1998.00399.x · Cited by 86 · see citing works
- Authors
- Talley, N. J., Zinsmeister, A. R., & Melton, L. J.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Talley, Nicholas J.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1995-07-01
- Volume
- 142
- Issue
- 1
- Pages
- 76-83
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2138328106
- Cited by
- 327
- References
- 0
- Citations by year
- 2025: 2 · 2024: 4 · 2023: 6 · 2022: 3 · 2021: 2 · 2020: 4 · 2019: 6 · 2018: 2 · 2017: 5 · 2016: 3 · 2015: 9 · 2014: 11 · 2013: 8 · 2012: 11
- FWCI
- 6.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Mayo Clinic
- National Institutes of Health
- National Institute on Aging (AG 09440)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR030582, AR30582)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Keywords
- irritable bowel syndrome, irritable bowel syndrome with constipation, diarrhea-predominant irritable bowel syndrome, bowel habits, prevalence, sex differences, age of onset, health care utilization, physician visits, risk factors, Olmsted County, Minnesota
- MeSH terms
- Adult, Aged, Aged, 80 and over, Colonic Diseases, Functional, Female, Health Services, Humans, Male, Middle Aged, Risk Factors, Prevalence, Likelihood Functions, Logistic Models, Matched-Pair Analysis, Age Distribution, White People
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