Role of smoking in functional dyspepsia and irritable bowel syndrome: three random population-based studies

被引:33
作者
Talley, Nicholas J. [1 ,2 ]
Powell, Nicholas [3 ]
Walker, Marjorie M. [1 ,2 ]
Jones, Mike P. [2 ,4 ]
Ronkainen, Jukka [5 ,6 ]
Forsberg, Anna [7 ]
Kjellstrom, Lars [8 ]
Hellstrom, Per M. [9 ]
Aro, Pertti [10 ]
Wallner, Bengt [11 ]
Agreus, Lars [12 ]
Andreasson, Anna [4 ,7 ,13 ]
机构
[1] Univ Newcastle, Fac Hlth & Med, Lot 1 Kookaburra Circuit, New Lambton Hts 2305, Australia
[2] NHMRC Ctr Res Excellence Digest Hlth, New Lambton Hts, NSW, Australia
[3] Imperial Coll, Div Digest Dis, London, England
[4] Macquarie Univ, Dept Psychol, N Ryde, NSW, Australia
[5] Univ Oulu, Ctr Life Course Hlth Res, Oulu, Finland
[6] Primary Hlth Care Ctr, Tornio, Finland
[7] Karolinska Inst, Dept Med Solna, Solna, Sweden
[8] Gastromottagningen City, Stockholm, Sweden
[9] Uppsala Univ, Dept Med Sci, Uppsala, Sweden
[10] Arokero OY, Tornio, Finland
[11] Umea Univ, Dept Surg & Perioperatve Sci, Umea, Sweden
[12] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Huddinge, Sweden
[13] Stockholm Univ, Stress Res Inst, Dept Psychol, Stockholm, Sweden
基金
英国医学研究理事会; 瑞典研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
DUODENAL EOSINOPHILIA; CIGARETTE-SMOKING; PREVALENCE; NICOTINE; ESOPHAGITIS; ASSOCIATION; ALCOHOL; DISEASE; SAMPLE;
D O I
10.1111/apt.16372
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background It is uncertain if functional dyspepsia (FD) or irritable bowel syndrome (IBS) are linked to smoking, and smoking cessation is not part of the routine advice provided to these patients. Aim To assess if smoking is an independent risk factor for FD and IBS. Methods Three population-based endoscopy studies in Sweden with 2560 community individuals in total (mean age 51.5 years, 46% male). IBS (14.9%), FD (33.5%), and associated symptoms were assessed using the validated abdominal symptom questionnaire, and smoking (17.9%) was obtained from standardised questions during a clinic visit. The effect of smoking on symptom status was analysed in an individual person data meta-analysis using mixed effect logistic regression, adjusted for snuffing, age and sex. Results Individuals smoking cigarettes reported significantly higher odds of postprandial distress syndrome (FD-PDS) (OR 10-19 cig/day = 1.42, 95% CI 1.04-1.98 P = 0.027, OR >= 20 cig/day = 2.16, 95% CI 1.38-3.38, P = 0.001) but not epigastric pain. Individuals smoking 20 or more cigarettes per day reported significantly higher odds of IBS-diarrhoea (OR = 2.40, 95% CI 1.12-5.16, P = 0.025), diarrhoea (OR = 2.01, 95%CI 1.28-3.16, P = 0.003), urgency (OR = 2.21, 95%CI 1.41-3.47, P = 0.001) and flatus (OR = 1.77, 95%CI 1.14-2.76, P = 0.012) than non-smokers. Smoking was not associated with IBS-constipation or IBS-mixed. Conclusion Smoking is an important environmental risk factor for postprandial distress syndrome, the most common FD subgroup, with over a twofold increased odds of PDS in heavy smokers. The role of smoking in IBS-diarrhoea, but not constipation, is also likely important.
引用
收藏
页码:32 / 42
页数:11
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