Cited by 327Gastrointestinal motility and disordersInfant Health and DevelopmentPelvic floor disorders treatments

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Irritable Bowel Syndrome in a Community: Symptom Subgroups, Risk Factors, and Health Care Utilization

Talley, Nicholas J., Zinsmeister, Alan R., Melton, L. Joseph·1995·American Journal of Epidemiology

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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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Crossref · 10.1093/oxfordjournals.aje.a117548

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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
DOI: 10.1093/oxfordjournals.aje.a117548
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 › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
Health Sciences › Medicine › Urology › 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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Irritable Bowel Syndrome in a Community: Symptom Subgroups, Risk Factors, and Health Care Utilization

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