Inflammatory Bowel Disease in Indian Migrants in Fiji

Probert, Chris; Venkataraman, Jayanthi; Mayberry, J F

doi:10.1159/000200743

Cited by 16 publications

(17 citation statements)

References 8 publications

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“…In Kurata et al. 's study, the prevalence rate of CD in Asian patients in California was low compared to that in whites and blacks 29 …”

Section: Introductionmentioning

confidence: 86%

“…The high incidence rates amongst Indians or patients of South‐Asian descent are seen in many studies on migrants in the UK (Table 2). In one study from Fiji, migrant Indians had a higher prevalence of UC compared with the indigenous Melanesians, who belong essentially to the same racial stock as the Malays in South‐East Asia 29 . In Kurata et al.…”

Section: Introductionmentioning

confidence: 96%

“…The incidence rates of UC and CD, expressed in 100 000 person–years and the prevalence rates expressed per 100 000 population in Asians and Western patients (selected population groups) are as shown for comparison in Tables 1 and 2 7–22, 23–30 …”

Section: Introductionmentioning

confidence: 99%

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Inflammatory bowel disease: A survey of the epidemiology in Asia

Goh¹,

Xiao²

2009

J of Digest Diseases

113

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Inflammatory bowel disease (IBD) has long been considered a disease that affects predominantly a Western population. The incidence and prevalence rates from Asian populations are much lower in comparison. More recent data, however, have shown significantly higher rates in Asians and time trend studies have shown an increase in the incidence of ulcerative colitis (UC) and a similar but lower rise in Crohn's disease (CD). The epidemiological changes that are taking place mirror that of the Western experience seen 50 years previously and seem to occur in parallel with the rapid socioeconomic development taking place in Asia. It appears that certain racial groups are more prone than others to develop IBD. For instance, Indians in South‐East Asia have higher rates compared to Chinese and Malays. While there is host genetic predisposition, environmental factor(s) may be responsible for this difference. Migrant studies of South Asians in the UK, where second‐generation immigrants have assumed incidence rates as high as the indigenous whites and Asian Jews who develop high incidence rates comparable to Jews from Europe or North America in Israel point to the role of environmental factors. It is unclear which specific factors are responsible. Studies have suggested a change in diet to a more Westernized one may underlie this epidemiological change in the Asian population. It is likely that there are racial groups amongst Asians who are more susceptible to IBD and who will demonstrate a higher frequency of IBD when exposed to putative environmental factors.

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“…In Kurata et al. 's study, the prevalence rate of CD in Asian patients in California was low compared to that in whites and blacks 29 …”

Section: Introductionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 96%

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Inflammatory bowel disease: A survey of the epidemiology in Asia

Goh¹,

Xiao²

2009

J of Digest Diseases

113

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“…Regarding ethnic Indians in non‐Western countries outside of Asia, a study in Fiji found that Indians had a higher incidence of UC compared with the indigenous Melanesians 54 …”

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confidence: 99%

Inflammatory bowel disease in Asia: A systematic review

Prideaux

Kamm

Cruz

et al. 2012

J of Gastro and Hepatol

302

249

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The incidence and prevalence of inflammatory bowel diseases (IBD), Crohn's disease (CD) and ulcerative colitis (UC), are lower in Asia than in the West. However, across Asia the incidence and prevalence of IBD has increased rapidly over the last two to four decades. These changes may relate to increased contact with the West, westernization of diet, increasing antibiotics use, improved hygiene, vaccinations, or changes in the gut microbiota. Genetic factors also differ between Asians and the Caucasians. In Asia, UC is more prevalent than CD, although CD incidence is rapidly increasing in certain areas. There is a male predominance of CD in Asia, but a trend towards equal sex distribution for UC. IBD is diagnosed at a slightly older age than in the West, and there is rarely a second incidence peak as in the West. A positive family history is much less common than in the West, as are extra-intestinal disease manifestations. There are clear ethnic differences in incidence within countries in Asia, and an increased incidence in IBD in migrants from Asia to the West. Research in Asia, an area of rapidly changing IBD epidemiology, may lead to the discovery of critical etiologic factors that lead to the development of IBD.

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“…[3–6] Epidemiological studies have shown that CD tends to increase worldwide, particularly in industrialized countries with geographical variations. [7–11] Few reports have been published in the last three decades from the Kingdom of Saudi Arabia (KSA) and Kuwait indicating that it used to be a rare disease in this part of the world. [12–15] However, recent reports from various centers in the KSA have shown an increasing incidence.…”

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confidence: 99%

Crohn′s disease in a Saudi outpatient population: Is it still rare?

Al-Mofarreh

Mofleh

Al-Teimi

et al. 2009

Saudi J Gastroenterol

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Background/Aim:To determine the epidemiology of Crohn's disease (CD) in an outpatient clinic and compare it with data previously reported from different centers in the Kingdom of Saudi Arabia and outside.Materials and Methods:The medical records of all patients with CD seen in the clinic in the period from January 1993 through December 2007 were reviewed. The demographic, clinical data and methods of diagnosis were retrieved.Results:Over a period of 15 years, we saw 133 Saudi patients with CD. They were predominantly young, with a median age of 26.2 years and male preponderance (2.3:1). The final diagnosis was established within 1 week of presentation in 47% of the patients. The leading symptoms were abdominal pain (88%), diarrhea (70%), bloating (61%), rectal bleeding (50%), weight loss (33%), constipation (24%) and perianal disease (23%). The diagnosis was established by endoscopy and histopathology. Ileocecal involvement was encountered in 40% of the patients.Conclusion:From the current study, it is obviously possible to diagnose a large proportion of patients with CD in a gastroenterology outpatient clinic. The data revealed a strikingly increased incidence of CD in a mainly young Saudi population in the past few years.

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Inflammatory Bowel Disease in Indian Migrants in Fiji

Cited by 16 publications

References 8 publications

Inflammatory bowel disease: A survey of the epidemiology in Asia

Inflammatory bowel disease: A survey of the epidemiology in Asia

Inflammatory bowel disease in Asia: A systematic review

Crohn′s disease in a Saudi outpatient population: Is it still rare?

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