The epidemiology of inflammatory bowel disease: East meets west
Abstract
The incidence of inflammatory bowel diseases (IBD) in East has risen over the past decade to become a global disease. The increasing number of studies on the incidence and course of IBD in East has enabled us to explore East versus West differences in the epidemiology of IBD which could enhance our understanding of the heterogeneity of the disease and eventually assist in the discovery of novel therapeutic targets and design of preventive strategies. Comparison of population‐based data in East and West reveals that the incidence of IBD has risen rapidly in East while plateauing in West. Furthermore, the clinical presentation and course of IBD differs between East and West with more patients in East presenting with complicated disease. Considering the scarcity of population‐based data from East and the lack of studies with long durations of follow‐up, it remains to be clarified whether these differences reflect true differences in disease presentation. The effects of genetic and environmental risk factors contributing to IBD also differ between Eastern and Western populations. Considering the differential effects of genetic and environmental risk factors in East and West, future studies should seek to discover novel genetic and environmental risk factors which might specifically apply to eastern populations. In this narrative review, we compare the epidemiology of IBD between eastern and western countries by summarizing evidence from population‐based cohort studies in the last ten years. Furthermore, we look at differences in genetic susceptibility and environmental triggers of IBD between East and West.
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Japan and South Korea industrialized rapidly after World War II and entered stage two earlier than other Asian countries.
“For example, Japan and South Korea experienced rapid industrialization after World War II and transitioned into the second stage earlier than other countries in Asia55,84.”
From The four epidemiological stages in the global evolution of inflammatory bowel disease (2021) · cites this paper as [55]
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The four epidemiological stages in the global evolution of inflammatory bowel disease
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- Authors
- Mak, W. Y., Zhao, M., Ng, S. C., & Burisch, J.
- Affiliations
- Department of Medicine and Therapeutics Institute of Digestive Disease, State Key Laboratory of Digestive Disease, LKS Institute of Health Science, The Chinese University of Hong Kong, Prince of Wales Hospital Hong Kong
- Hvidovre Hospital (DK)
- Corresponding author
- Burisch, Johan
- Venue
- Journal of Gastroenterology and Hepatology
- Publisher
- Wiley
- Published
- 2019-11-24
- Volume
- 35
- Issue
- 3
- Pages
- 380-389
- ISSN
- 0815-9319 (ISSN-L)
- 1440-1746
- OpenAlex
- W2979721632
- Cited by
- 631
- References
- 78
- Citations by year
- 2026: 50 · 2025: 105 · 2024: 142 · 2023: 140 · 2022: 114 · 2021: 61 · 2020: 19
- FWCI
- 6.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Gastroenterology and Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
- Health Sciences › Medicine › Epidemiology › Microscopic Colitis
- Keywords
- inflammatory bowel disease, IBD incidence, East-West comparison, clinical features, clinical course, genetic susceptibility, environmental risk factors, population-based cohort, East Asian populations
- MeSH terms
- Female, Humans, Male, Time Factors, Global Health, Inflammatory Bowel Diseases, Cohort Studies, Sex Distribution, Genetic Predisposition to Disease
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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