Natural History of Functional Dyspepsia: A 10-Year Population-Based Study
Autor: | Linda Bjork Olafsdottir, Heidur Hrund Jonsdottir, Bjarni Thjodleifsson, Hallgrimur Gudjonsson |
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Rok vydání: | 2009 |
Předmět: |
Adult
Male medicine.medical_specialty Alcohol Drinking Nausea Population Pain Gastroenterology Body Mass Index Irritable Bowel Syndrome Age Distribution Heartburn Surveys and Questionnaires Internal medicine Epidemiology Prevalence medicine Humans Dyspepsia Sex Distribution education Irritable bowel syndrome Aged Aged 80 and over education.field_of_study business.industry Body Weight Smoking Middle Aged medicine.disease Natural history Vomiting Female medicine.symptom business Body mass index |
Zdroj: | Digestion. 81:53-61 |
ISSN: | 1421-9867 0012-2823 |
DOI: | 10.1159/000243783 |
Popis: | Background: Functional dyspepsia (FD) is a common disorder, but information on its natural history is limited. Aim: To study the natural history of FD as assessed by 2 criteria over a 10-year period. Method: A population-based study conducted by mailing a questionnaire to the same age- and gender-stratified random sample of the Icelandic population aged 18–75 in 1996 and again in 2006. FD was estimated by the Functional Dyspepsia Score List and by dyspepsia subgroups categorized into 4 groups: (1) frequent upper pain, (2) meal-related, (3) nausea or vomiting, and (4) combinations of these groups. Results: FD was diagnosed in 13.9% of the subjects in the 1996 sample (11.3% male, 15.8% female) and 16.7% in 2006 (12.3% male, 20.2% female) with a significant difference between males and females in 2006. Dyspepsia subgroup criteria showed a higher prevalence than conventional FD criteria. The proportion of FD subjects in one of the dyspepsia subgroups was low. There was a significant relationship between FD and heartburn and irritable bowel syndrome. A high proportion of subjects who seek medical care have FD. Conclusion: FD was stable over the 10-year period, but there was turnover in symptoms and increased intensity and frequency of gastrointestinal pain. Dyspepsia subgroup criteria showed a higher prevalence than FD, which was more common in young subjects and females. FD poses a heavy burden on the health care system. |
Databáze: | OpenAIRE |
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