Factores sociosanitarios y prevalencia del síndrome del intestino irritable según los criterios diagnósticos de Roma III en una población general de Colombia / Prevalence of irritable bowel syndrome and associated factors according to the Rome III diagnostic criteria in a general population in Colombia

Introducción: El síndrome del intestino irritable (SII) es un trastorno gastrointestinal funcional de diagnóstico clínico. La prevalencia y los factores asociados se desconocen en la población colombiana. El diagnóstico del SII hoy se hace por medio de la aplicación de los criterios de Roma III y se debe descartar otra condición médica antes de realizar el diagnóstico. Objetivo: Determinar la prevalencia del SII y sus factores sociosanitarios asociados en una población de entre 18 y 60 años de Bucaramanga, Colombia. Métodos: Estudio de corte transversal. Se realizó un cuestionario autoaplicado que investigó variables sociodemográficas, tipo de alimentos consumidos, identificación del SII por medio de los criterios de Roma III, SDS (Self-Rating Depression Scale escala autoaplicada para depresión ) de Zung, test de STAI (State-Trait Anxiety Inventory inventario de ansiedad estado-rasgo ) y autoinforme del uso de servicios médicos en una muestra aleatorizada de la población adulta del municipio de Bucaramanga. Se usó el análisis bivariado y la regresión logística para establecer asociaciones. Resultados: De un total de 615 individuos seleccionados, 558 se incluyeron en el estudio. La edad promedio fue de 36,4 años y el 62,4% fueron mujeres. La prevalencia de SII fue del 19,9%. El análisis de regresión logística mostró asociación a los síntomas depresivos y al sexo femenino independiente de los síntomas de la ansiedad y de la edad. Conclusión: El SII presenta una prevalencia alta y se asocia con síntomas depresivos y al sexo femenino en una población adulta de Colombia. Su presencia genera mayor utilización del sistema sanitario, incapacidad médica y restricción en las actividades de la vida diaria (AU)

Introduction: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder with a clinical diagnosis. The prevalence of this disorder and associated factors are unknown among the Colombian population. Nowadays, diagnosis of IBS is made by applying the Rome III criteria, and other disorders should be excluded before establishing the diagnosis. Objective: To assess the prevalence of IBS and associated factors in a population aged between 18 and 60 years old in Bucaramanga, Colombia. Methods: A cross-sectional study was performed. We applied a questionnaire that included sociodemographic variables, types of food, identification of IBS by the Rome III criteria, the Zung self-rating depression scale, the State-Trait Anxiety Inventory (STAI) test and self-reported use of medical services among a random sample of an adult population in Bucaramanga. Univariate analysis and logistic regression was used to establish associations. Results: Of the 615 individuals selected, 558 were included in the study. The mean age was 36.4 years and 62.4% was female. The prevalence of IBS was 19.9%. Logistic regression analysis showed an association with depressive symptoms and female sex independently of age and anxiety symptoms. Conclusions:The prevalence of IBS is high and is associated with depressive symptoms and female sex in an adult population in Colombia. This disorder generates substantial health system utilization and medical disability and restricts activities of daily life (AU)

[Prevalence of irritable bowel syndrome and associated factors according to the Rome III diagnostic criteria in a general population in Colombia]. / Factores sociosanitarios y prevalencia del síndrome del intestino irritable según los criterios diagnósticos de Roma III en una población general de Colombia.

INTRODUCTION: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder with a clinical diagnosis. The prevalence of this disorder and associated factors are unknown among the Colombian population. Nowadays, diagnosis of IBS is made by applying the Rome III criteria, and other disorders should be excluded before establishing the diagnosis. OBJECTIVE: To assess the prevalence of IBS and associated factors in a population aged between 18 and 60 years old in Bucaramanga, Colombia. METHODS: A cross-sectional study was performed. We applied a questionnaire that included sociodemographic variables, types of food, identification of IBS by the Rome III criteria, the Zung self-rating depression scale, the State-Trait Anxiety Inventory (STAI) test and self-reported use of medical services among a random sample of an adult population in Bucaramanga. Univariate analysis and logistic regression was used to establish associations. RESULTS: Of the 615 individuals selected, 558 were included in the study. The mean age was 36.4 years and 62.4% was female. The prevalence of IBS was 19.9%. Logistic regression analysis showed an association with depressive symptoms and female sex independently of age and anxiety symptoms. CONCLUSIONS: The prevalence of IBS is high and is associated with depressive symptoms and female sex in an adult population in Colombia. This disorder generates substantial health system utilization and medical disability and restricts activities of daily life.