Changes in symptoms and lifestyle factors in patients seeking healthcare for gastrointestinal symptoms: An 18-year follow-up study
ABSTRACT Gastrointestinal symptoms and lifestyle change over time. The data from this 18-year longitudinal study are intended to further elucidate the long-term natural course of functional gastrointestinal (GI) symptoms and possible influencing factors.
The aim of this study was to evaluate the correlation between lifestyle factors over time by reassessing symptom profiles in patients who presented with GI symptoms in 1990.
The study population comprises a subset of individuals enrolled in the Swedish Dyspepsia Study, which commenced in 1990. In 1990, each participant in the Swedish Dyspepsia Study underwent physical assessment and completed a computer-based questionnaire on eight GI symptoms and lifestyle factors. An identical questionnaire was completed in 2008.
In total, 137 participants, 85 women and 52 men, were included in the follow-up study. None of the symptoms increased in frequency. Four of the symptoms decreased in frequency: abdominal pain [odds ratio (OR) 2.70], flatulence (OR 4.09), nausea (OR 3.05), and acid regurgitation (OR 1.59). Significant lifestyle changes included increased BMI (P<0.0001), decreased tobacco smoking (P<0.0001), and milk drinking (P=0.0080). Increased exercise was correlated with a decrease in acid regurgitation (OR 3.05) and vomiting (OR 7.38), but an increase in diarrhea (OR 0.23) and nausea (OR 0.33). Decreased smoking was correlated with a decrease in acid regurgitation (OR 3.45) and heartburn (OR 2.91).
The results indicated that the lifestyle changes in the studied population followed the same pattern as seen in the general population, and changes in lifestyle factors may have an impact on GI symptoms and may guide symptom management in the patient, all in order to reduce personal suffering and healthcare costs in the form of fewer visits to the doctor and lower numbers of drug prescriptions.
- Methods of Information in Medicine 11/1986; 25(4):222-8. · 2.25 Impact Factor
Article: Direct Patient Computer Interviewing[Show abstract] [Hide abstract]
ABSTRACT: Proposes that recent developments in direct computer interviewing of patients in clinical settings range from comprehensive behavioral and psychiatric assessment and diagnostic systems to special topic interviews (e.g., suicide risk, drug and alcohol use, sexual dysfunction). Early trials with computer-based psychotherapy have now been extended to cognitive therapy for depression and patient education. Advantages of computer interviewing include high patient acceptance, low costs for routine interviewing, and balance of structure and reliability with flexibility and individualized question flow. It is suggested that research in this area move from demonstration and feasibility studies to the impact of patient interviews on clinical and research systems and studies of the interview process itself. (56 ref) (PsycINFO Database Record (c) 2012 APA, all rights reserved)Journal of Consulting and Clinical Psychology 01/1986; 53(6):760-73. DOI:10.1037/0022-006X.53.6.760 · 4.85 Impact Factor
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ABSTRACT: It has been suggested that irritable bowel syndrome (IBS) and functional dyspepsia represent the same disease entity, the irritable gut. The aim of this study was to test the stability, consistency, and relevance of the current classification in the entire, unselected population of persons with gastrointestinal and/or abdominal symptoms, including those who had not consulted physicians. Sequential postal questionnaires were sent to 1290 representative persons (age range, 20-79 years) sampled from the population. Questions were asked about the prevalence of 24 gastrointestinal and/or abdominal symptoms and the site and type of abdominal pain, if any. The prevalence of dyspepsia was 14% (32% if predominant reflux symptoms and concomitant IBS symptoms were included), and the prevalence of IBS was 12.5%. The 3-month incidence rates of reflux, dyspepsia, and IBS among previously symptomless persons were 0.5, 8, and 2 per 1000, respectively. Of persons with IBS, 87% also fulfilled the dyspepsia criteria, and the overlap between dyspepsia subgroups was more than 50%. The use of stricter criteria did not eliminate this overlap. Over a 1-year period, approximately 50% changed their symptom profile. Principal component analysis did not show any natural clustering of the symptoms. The separation of functional gastrointestinal symptoms into dyspepsia, its subgroups, and IBS may be inappropriate.Gastroenterology 10/1995; 109(3):671-80. DOI:10.1016/0016-5085(95)90373-9 · 16.72 Impact Factor