The current prevalence of irritable bowel syndrome in Asia.
The current prevalence of irritable bowel syndrome in Asia.
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DOI：
10.5056/jnm.2010.16.4.389
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发表时间：
2010-10
影响因子：
3.4
通讯作者：
Chen TS
中科院分区：
文献类型：
--
作者：
Chang FY;Lu CL;Chen TS
肠易激综合征（IBS）是常见的胃肠道疾病之一。有趣的是，它在社会中的普遍程度。西方研究表明，大多数基于人群的IBS患病率范围为10%-15%。据认为，IBS在东西方国家都很普遍，但患病率没有显着差异。最近，与南亚相比，亚洲富裕城市的IBS患病率有较高的趋势。由于近十年来发表了许多关于亚洲IBS患病率的研究，我们可以比较各种标准划分的IBS患病率数据，看看它们是否也与西方社区具有可比性。总的来说，大多数亚洲社区IBS患病率基于各种标准通常在1%-10%的范围内，明显低于选定的人群。在同一人群中，根据曼宁标准，患病率顺序首先较高，然后是罗马I标准，最后是罗马II标准。总体而言，根据各种标准定义的亚洲IBS患病率的中位数范围为6.5%-10.1%。在性别差异方面，女性占优势的现象普遍存在，但并非唯一存在。在IBS亚型中，腹泻型IBS占0.8%~ 74.0%，便秘型IBS占12%~ 77%。综上所述，目前亚洲IBS患病率至少与西方国家相当。在亚洲女性占优势的患病率是普遍的，但不是唯一存在的，而IBS亚型的比例变化太大，无法找到一个规则。
Irritable bowel syndrome (IBS) has been one of the commonly presented gastrointestinal disorders. It is of interest how commonly it presents in the society. Western studies indicated that most population-based IBS prevalences range 10%-15%. It is believed that IBS is prevalent in both East and West countries without a significant prevalence difference. Most recently, the Asia IBS prevalence has a higher trend in the affluent cities compared to South Asia. Since many Asia IBS prevalence studies have been published in the recent decade, we could compare the IBS prevalence data divided by various criteria in looking whether they were also comparable to this of West community. Summarized together, most Asia community IBS prevalences based on various criteria are usually within the range 1%-10% and are apparently lower than these of selected populations. Within the same population, the prevalence orders are first higher based on Manning criteria, then followed by Rome I criteria and finally reported in Rome II criteria. Overall, the median value of Asia IBS prevalences defined by various criteria ranges 6.5%-10.1%. With regard to gender difference, female predominance is usually found but not uniquely existed. For the IBS subtypes, the proportions of diarrhea predominant-IBS distribute widely from 0.8% to 74.0%, while constipation predominant-IBS proportion ranges 12%-77%. In conclusions, current Asia IBS prevalence is at least equal to the Western countries. Female predominant prevalence in Asia is common but not uniquely existed, while the proportions of IBS subtypes are too variable to find a rule.