Digestive Diseases and Sciences

, Volume 47, Issue 11, pp 2621–2624

Epidemiology of Irritable Bowel Syndrome in Chinese

  • E.M.C. Lau
  • F.K.L. Chan
  • E.T.C. Ziea
  • C.S.Y. Chan
  • J.C.Y. Wu
  • J.J.Y. Sung
Article

Abstract

Irritable bowel syndrome (IBS) is common in Caucasians and Japanese, but its epidemiology has not been studied in urbanized Chinese populations. Our aim was to compare diagnostic criteria and study the epidemiology of IBS in Hong Kong Chinese. In all, 964 subjects from public housing and 334 subjects from private housing were recruited for face-to-face interviews in Shatin, Hong Kong. A structured questionnaire was used to measure the prevalence of IBS according to the Manning, Rome I, and Rome II criteria. The SF-36 scale was used to measure quality of life (QOL) in subjects with IBS and in normal controls. The results were compared by the analysis of covariance (ANCOVA). Relevant medical consultations and absence from work were recorded. There was fair agreement between the Manning and Rome II criteria (κ = 0.23; P < 0.001), but good agreement between the Rome I and Rome II criteria (κ = 0.5; P < 0.001). The prevalence of IBS, based on the Rome II criteria, was 3.6% (95% CI = 2.0–5.2) in men and 3.8% (95% CI = 2.5–5.2) in women. Men with IBS had significantly lower vitality scores on the SF-36 scale than the controls (P < 0.05 by ANCOVA), and women with IBS had significantly lower mental health scores than controls (P < 0.05 by ANCOVA). In conclusion, IBS is quite prevalent in Hong Kong Chinese, and the QOL of subjects with IBS was significantly affected.

Irritable bowel syndrome quality of life Rome II criteria Manning criteria, Chinese 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  1. 1.
    Drossman DA (ed): The Functional Gastrointestinal Disorders, 2nd ed. McLean, Virginia, Allen Press, 2000Google Scholar
  2. 2.
    Drossman DA, Li Z, Andruzzi E, Temple RD, Talley NJ, Thompson W, Whitehead WE, Janssens J, Funch-Jensen P, Corazziari E, Richter Je, Koch GG: US householder survey of functional gastrointestinal disorders: prevalence, sociodemography and health impact. Dig Dis Sci 38: 1569–1580, 1993Google Scholar
  3. 3.
    Thompson WG, Heaton KW: Functional bowel disorders in apparently health people. Gastroenterology 79:283–288, 1980Google Scholar
  4. 4.
    Drossman DA, Sandler RS, McKee DC, Lovitz AJ: Bowel patterns amongst subjects not seeking health care. Gastroenterology 83:529–534, 1982Google Scholar
  5. 5.
    Whitehead WE, Winget C, Fedoravicius AS, Wooley S, Blackwell B: Learned illness behavior in patients with irritable bowel syndrome and peptic ulcer. Dig Dis Sci 27:202–208, 1982Google Scholar
  6. 6.
    Bommelaer G, Rouch M, Dapoigny M, Pais D, Loisy P, Gualino M, Tournut R. Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterol Clin Biol 10:7–12, 1986Google Scholar
  7. 7.
    Welch GW, Pomare EW: Functional gastrointestinal symptoms in a Wellington community sample. NZ Med J 103:418–420, 1990Google Scholar
  8. 8.
    Talley NJ, Zinsmeister AR, Van Dyke C, Melton LJ 3rd: Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology 101:927–934, 1991Google Scholar
  9. 9.
    Heaton KW, O'Donnell LJD, Braddon FEM, Mountford RA, Hughes AO, Cripps PJ: Symptoms of irritable bowel syndrome in a British urban community: consulters and nonconsulters. Gastroenterology 102:1962–1967, 1992Google Scholar
  10. 10.
    Talley NJ, O'Keefe EA, Zimsmeister AR, Melton LJ 3rd: I. Prevalence of gastrointestinal symptoms in the elderly: a population-based study. Gastroenterology 102:895–901, 1992Google Scholar
  11. 11.
    Jones R, Lydiard S. Irritable bowel syndrome in the general population: Brit Med J 304:87–90, 1992Google Scholar
  12. 12.
    Kay L, Jorgensen T, Jensen KH: The epidemiology of irritable bowel syndrome in a random population: prevalence, incidence, natural history and risk factors. J Intern Med 236:23–30, 1994Google Scholar
  13. 13.
    Longstreth GF, Wolde-Tsadik G: Irritable bowel-type symptoms in HMO examinees: prevalence, demographics and clinical correlates. Dig Dis Sci 38:1581–1589, 1993Google Scholar
  14. 14.
    Zuckerman MJ, Guerra LG, Drossman DA, Foland JA, Gregory GG: Comparison of bowel patterns in Hispanics and non-Hispanic whites. Dig Dis Sci 40:1763–1769, 1995Google Scholar
  15. 15.
    Taub E, Cuevas JL, Cook EW, Crowell M, Whitehead WE: Irritable bowel syndrome defined by factor analysis. Dig Dis Sci 40:2647–2655, 1995Google Scholar
  16. 16.
    Talley NJ, Zinsmeister AR, Melton LJ 3rd: Irritable bowel syndrome in a community: symptom subgroups, risk factors and health care utilization. Am J Epidemiol 142:76–83, 1995Google Scholar
  17. 17.
    Talley NJ, Boyce PM, Jones M: Predictors of health care seeking for irritable bowel syndrome: a population based study. Gut 41(3):459–461, 1997Google Scholar
  18. 18.
    Hyams JS, Burke G, Davis PM, Rzepski B, Andrulonis PA: Abdominal pain and irritable bowel syndrome in adolescents: a community-based study. J Pediatr 129:220–226, 1996Google Scholar
  19. 19.
    Inoue M: Irritable colon syndrome. Jpn J Clin Med 41:495–504, 1992Google Scholar
  20. 20.
    Schlemper RJ, Van Der Werf SD, Vandenbroucke JP, Biemond I, Lamers CB: Peptic Ulcer, Non-Ulcer Dyspepsia and Irritable Bowel Syndrome in The Netherlands and Japan. Scand J Gastroenterol 28(Suppl 200):33–41, 1993Google Scholar
  21. 21.
    Primparkar BD: Irritable colon syndrome. J Indian Med Assoc 54:95–105, 1970Google Scholar
  22. 22.
    Mendis BLJ, Wijesiriwardena BC, Sheriff JHR, Dharmadasa K: Irritable bowel syndrome. Ceylon Med J 27:171–181, 1982Google Scholar
  23. 23.
    Mathur A, Tandon BN, Prakkash OM: Irritable colon syndrome. J Indian Med Assoc 46:651–655, 1966Google Scholar
  24. 24.
    Bordie AK: Functional disorders of the colon. J Indian Med Assoc 58:451–456, 1972Google Scholar
  25. 25.
    Kapoor KK, Nigam P, Rastogi CK, Kumar A, Gupta AK: Clinical profile of the irritable bowel syndrome. Indian J Gasteroenterol 4:15–16, 1985Google Scholar
  26. 26.
    Bi-zhen W, Qi-Ying P: Functional bowel disorders in apparently healthy Chinese people. Chin J Epidemiol 9:345–349, 1988Google Scholar
  27. 27.
    Census and Statistics Department Hong Kong: 1996 Population by-census main report. Hong Kong, Hong Kong Government Press, 1996Google Scholar
  28. 28.
    Lau E, Symmons D, Bankhead C, Macgregor A, Donnan S, Silman A: Low prevalence of rheumatoid arthritis in the urbanized Chinese of Hong Kong. J Rheumatol 20:1133–1137, 1993Google Scholar
  29. 29.
    Lau EMC, Egger P, Coggon D, Cooper C, Valenti L, O'Connell D. Low back pain in Hong Kong: prevalence and characteristics compared with Britain. J Epidemiol and Community Health 49:492–494, 1995Google Scholar
  30. 30.
    Lam CLK, Gandek B, Ren XS, Chan MS: Test of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 Health Survey. J Clin Epidemiol 51(11):1139–1147, 1998Google Scholar
  31. 31.
    Hahn BA, Yan S, Strassels S: Impact of irritable bowel syndrome on quality of life and resource use in the United States and United Kingdom. Digestion 60:77–81, 1999Google Scholar
  32. 32.
    Ho KY, Kang JY, Seow A: Prevalence of gastrointestinal symptoms in a multifacial Asian population, with particular reference to reflex type symptoms. Am J Gastroenterol 93(10):1816–1822, 1998Google Scholar
  33. 33.
    Whitehead WE, Burnett CK, Cook EW, Taub E: Impact of irritable bowel syndrome on quality of life. Dig Dis Sci 41(11):2248–2253, 1996Google Scholar
  34. 34.
    Chassany O, Marquis P, Scherrer B, Read NW, Finger T, Bergmann JF, Fraitag B, Geneve J, Caulin C: Validation of a specific quality of life questionnaire for functional digestive disorders. Gut 44:527–533, 1999Google Scholar
  35. 35.
    Patrick DL, Drossman DA, Frederick IO, Dicesare J, Puder KL: Quality of life in persons with irritable bowel syndrome: development and validation of a new measure. Dig Dis Sci 43(2):400–411, 1998Google Scholar

Copyright information

© Plenum Publishing Corporation 2002

Authors and Affiliations

  • E.M.C. Lau
    • 1
  • F.K.L. Chan
    • 2
  • E.T.C. Ziea
    • 1
  • C.S.Y. Chan
    • 1
  • J.C.Y. Wu
    • 2
  • J.J.Y. Sung
    • 2
  1. 1.Department of Community & Family MedicineThe Chinese University of Hong KongShatin, N. T.Hong Kong
  2. 2.Department of Medicine and TherapeuticsThe Chinese University of Hong KongShatin, N.T.Hong Kong

Personalised recommendations