Sim Brasil Study - Women’s Gastrointestinal Health: Gastrointestinal Symptoms and Impact on the Brazilian Women Quality of Life

Del’Arco, Ana Paula Wolf Tasca; Magalhaes, P. S. V.; Quilici, Flávio Antonio

doi:10.1590/s0004-2803.201700000-09

Cited by 7 publications

(7 citation statements)

References 35 publications

(81 reference statements)

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“…Our study found that the lactose intolerant women presented a greater frequency for gastrointestinal symptoms than men. Similar results were evidenced in a Dutch study (21) , in which from a sample consisting of 16.758 individuals, 26% reported having gastrointestinal symptoms with a high prevalence of females (66%), and also in a Brazilian study by Del'Arco and collaborators (22) . Differences between the sexes in intestinal motility and visceral sensibility have already been suggested in the literature as factors associated with the higher frequency of functional gastrointestinal disease in women, including IBS and intestinal constipation (23,24) .…”

Section: Discussionsupporting

confidence: 81%

Analysis of Lactose Intolerance in Students With Suggestive Symptoms of Irritable Bowel Syndrome

Silva

Leite

Rodrigues

et al. 2019

Arq. Gastroenterol.

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BACKGROUND: Irritable bowel syndrome is a clinical condition presenting pain, distension and abdominal fullness, diarrhea, constipation, and other symptoms. It generates significant impacts on the quality of life of those affected. The pathophysiology is uncertain, but the role of various food types has been established in bowel sensitivity and its clinical manifestations. Carbohydrate intolerance, particularly to lactose, generates similar and sometimes indistinguishable symptoms from irritable bowel syndrome, and in clinical practice is both a frequent and underdiagnosed condition. Carbohydrate intolerance is related to enzymatic deficiencies, alterations of intestinal microbiota and even genetic change. The principal test for a diagnosis of lactose intolerance is the breath test, which measures hydrogen emission (produced only by bacteria), after ingestion of the corresponding substrate. OBJECTIVE: The present work aims to verify the prevalence of lactose intolerance in university students, presenting gastrointestinal symptoms suggestive of irritable bowel syndrome. METHODS: In a transversal study, to screen for those with suggestive symptoms, 124 medicine students participated by responding to a form. Those with abdominal pain were referred for anti-parasite treatment in order to exclude intestinal parasites as a secondary cause. Subsequently, using the hydrogen breath test, bacterial overgrowth was investigated, and if negative, lactose intolerance testing would be performed. Patients presenting high hydrogen concentrations of ≥20 ppm above the basal level were considered lactose intolerant. RESULTS: Of the total of students researched (n=124), 7 were excluded because they did not completing all study phases. From those 117 individuals effectively included in the survey; 8 (6.8%) were diagnosed with lactose intolerance and 2 (1.7%) with bacterial overgrowth. Intolerance was more frequent in; female individuals (75%), age range 18 to 25 years (62.5%), being colored (50%), and in their 5th semester of studies (37.5%). The presence of at least one gastrointestinal symptom among those presenting intolerance (100%), and those not presenting intolerance (42.2%) was found (P=0.002). In addition to abdominal pain (100%) (P<0.001), the most recurrent gastrointestinal symptom in the lactose intolerant students was the distension/flatulence (62.5%) (P=0.026). In relation to life habits and food patterns, there was no statistical difference between lactose tolerant and intolerant individuals, or for symptom frequencies. The more advanced students, completing more periods towards graduation, demonstrated more occurrences of gastrointestinal symptoms, yet without presenting significant statistical discrepancies. CONCLUSION: In view of the test sample quantity (n=21), a high prevalence of lactose intolerance (6.8%) in the academic environment, with epidemiological characteristics compatible to those found the literature is demonstrated, generating knowledge with understanding to prevent, diagnose, alleviate and treat lactose intolerant university students, and generate positive impacts towards well-being, improving the quality of life of these individuals.

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Section: Discussionsupporting

confidence: 81%

Analysis of Lactose Intolerance in Students With Suggestive Symptoms of Irritable Bowel Syndrome

Silva

Leite

Rodrigues

et al. 2019

Arq. Gastroenterol.

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“…Del' Arco (27) found in their study that gastrointestinal diseases, including constipation, negatively impact different elements of quality of life in Brazilian women, such as mood, concentration and sexuality, so studying the prevalence and correct management of this condition is important. Thus, this study seeks to contribute by identifying factors which are related to IC and to support planning actions aimed at patients suffering from constipation through these findings, thus improving the care provided by health professionals.…”

Section: Discussionmentioning

confidence: 99%

“…Physical inactivity in this study was not associated with the IC prevalence, and this may have happened because only physical activity was evaluated, not physical exercise. However, physical activity and proper nutrition appear as important actions to regulate gastrointestinal motility, as a high-fiber diet can increase stool weight, resulting in a shorter colon transit time, while a low-fiber diet leads to constipation (27) , while physical activity can increase propulsion movements in the large intestine (28) .…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Factors Associated With Constipation in Premenopausal Women: A Community-Based Study

Dantas

Barbosa

Castro

et al. 2020

Arq. Gastroenterol.

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BACKGROUND: Intestinal constipation is characterized by problems related to evacuation, and presents high prevalence in the female gender. This condition has demonstrated negative effects on the development of daily activities, causing damage to the physical and emotional well-being of individuals who are diagnosed with it. Studies that investigate what health impairments intestinal constipation can cause are scarce in the literature. OBJECTIVE: This study aimed to verify the prevalence and factors associated with intestinal constipation in premenopausal women living in Northeastern Brazil. METHODS: It is a cross-sectional study. This was carried out in the northeast of Brazil. Participated 195 women, adult and middle age. Social conditions, habits and lifestyle, clinical aspects and obstetric history were investigated. Constipation was diagnosed using the Rome III Criteria. Multivariate analysis was conducted using Poisson Regression with robust variance to analyze the relationship between intestinal constipation and independent variables. A statistical significance level of P<0.05 was considered. RESULTS: Most of the women were between 25 and 39 years old (49.2%) and had an income of up to one minimum wage (79.5%). The intestinal constipation prevalence was 35.4%. In the final multivariate regression model, hemorrhoid clinical aspects (P=0.01), pain (P=0.001) and a burning sensation (P=0.01) on bowel movement, and sexual dysfunction (P=0.03) remained associated with constipation. CONCLUSION: The present study found a significant prevalence of constipation among premenopausal women and clinical factors such as hemorrhoids, pain and a burning sensation, and sexual dysfunction were associated with intestinal constipation.

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“…14 This finding corroborates a previous study which demonstrated a negative impact of gastrointestinal diseases, including constipation, on different elements of quality of life in Brazilian women such as mood, concentration and sexuality. 22 …”

Section: Discussionmentioning

confidence: 99%

<p>Is Constipation Associated with Worse Functioning in Adult Women? A Cross-Sectional Study</p>

Dantas¹,

Pereira²,

Castro³

et al. 2020

JMDH

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Objective The aim of this study is to analyze the relationship between intestinal constipation and functioning in adult women living in a municipality in the interior of northeast Brazil. Materials and Methods This is a cross-sectional study conducted with 195 adult women in the city of Santa Cruz-RN. Constipation was diagnosed using the Rome III criteria. Functioning was measured through WHODAS 2.0. Social conditions, habits and lifestyle were also investigated. Inferential analysis was performed using the chi-squared test and the Mann–Whitney U -test, and the effect size was determined by eta squared (η 2 ). Multivariate analysis was performed using multiple linear regression to analyze the relationship between the WHODAS total score and constipation, being adjusted by covariates with p≤0.20 in the bivariate. A statistical significance level of p<0.05 was considered. Results Most of the participants in this study were aged 19 to 39 years (69.7%) and had an income of up to 1 minimum monthly salary (79.5%). WHODAS scores showed that women with constipation had more disability in the cognitive (p <0.001), mobility (p <0.002), self-care (p <0.001), and participation (p <0.001) domains, as well as the total score (p <0.001). After multiple linear regression analysis, the total WHODAS score remained associated with constipation (p <0.001), in which this condition increases the score by nine points. Conclusion The results of this study show that there is a reduction in functioning associated with the presence of constipation in adult women, mainly affecting the cognition, mobility, self-care and participation domains, in addition to the total score.

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Sim Brasil Study - Women’s Gastrointestinal Health: Gastrointestinal Symptoms and Impact on the Brazilian Women Quality of Life

Cited by 7 publications

References 35 publications

Analysis of Lactose Intolerance in Students With Suggestive Symptoms of Irritable Bowel Syndrome

Analysis of Lactose Intolerance in Students With Suggestive Symptoms of Irritable Bowel Syndrome

Prevalence and Factors Associated With Constipation in Premenopausal Women: A Community-Based Study

<p>Is Constipation Associated with Worse Functioning in Adult Women? A Cross-Sectional Study</p>

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