Symptoms of functional dyspepsia and irritable bowel syndrome among medical students in Slovakia and their relation to diet and exercise

Author:

Liptak Peter1,Duricek Martin1,Schnierer Martin1,Ziaciková Ivana Liptak2,Rosolanka Robert3,Baranovicova Eva4,Sturdik Igor56,Jackuliak Peter5,Veseliny Eduard7,Varady Alena8,Banovcin Peter1

Affiliation:

1. Clinic of Internal Medicine-Gastroenterology

2. Clinic of Pneumology and Phthisiology

3. Clinic of Infectology and Travel Medicine, University Hospital in Martin

4. Biomedical Centre BioMed, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia

5. Fifth Department of Internal Medicine, Faculty of Medicine, Comenius University in Bratislava, Slovakia

6. Gastroenterology Center Bezrucova, Bratislava

7. Second Department of Internal Medicine, Medical School of PJ Safarik University and L. Pasteur University Hospital in Kosice

8. Department of Nursing, Jessenius Faculty of Medicine in Martin (JFM CU), Comenius University in Bratislava, Slovakia

Abstract

Introduction There is a substantial lack of data regarding the prevalence of irritable bowel syndrome (IBS) and functional dyspepsia (FD) in the region of Central/Eastern Europe. It is a well-described and known fact that environmental, ethnic, dietary, and cultural factors can influence the reporting of symptoms. Therefore, we aim to provide the first data documenting the prevalence of specific disorders of gut-brain interaction in Slovakia. Methods This is a multicenter-based study. The study population consists of medical students from three medical faculties in Slovakia, mainly with Slovakian and Scandinavian permanent residency. Data collection was performed by means of anonymous questionnaires consisting of several demographic questions. Two forms of questionnaires were used. One was in paper form, and the second was distributed via email. Results Altogether, 1061 students participated in this study. Symptoms of IBS were presented in 7.3% of students, and FD in 13%. In the Slovakian group, these were FD 12%, and IBS 7%. The subgroup from Scandinavia shows a prevalence of IBS of 11.7% and FD of 14.0%. A lack of exercise and a vegan diet are related to a higher presence of FD. Conclusion The results of this multicentre study represent the first published data for the presence of symptoms of IBS and FD in Slovakia. Our data also show a significantly higher prevalence of IBS in students from Scandinavia compared with those from Central/Eastern Europe. A higher frequency of physical exercise is associated with a lower presence of symptoms of FD. On the other hand, the symptoms of FD were mostly prevalent in the group adhering to a vegan and vegetarian type diet.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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