Validation of Rome II criteria for functional gastrointestinal disorders by factor analysis of symptoms in Asian patient sample

Kwan, Ambrose Chi Pong; Bao, Tran Ngoc; Chakkaphak, Suriya; Chang, Full Young; Ke, Mei Yun; Law, Ngai Moh; Leelakusolvong, Somchai; Luo, Jin Yan; Manan, Chudahman; Park, Hyojin; Piyaniran, Wanich; Qureshi, A.; Long, Ting; Xu, Guokai; Xu, Liying; Yuen, Hon K.

doi:10.1046/j.1440-1746.2003.03081.x

Cited by 73 publications

(61 citation statements)

References 15 publications

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“…20 The Chinese version of ESS, modified Chinese version of the Rome II questionnaire (gastroduodenal, bowel, and biliary items only) and the Chinese version of Reflux Disease Questionnaire (RDQ) were applied to measure EDS, FGIDs, and GERD. 6,16,[21][22][23] The ESS is an 8-item, self-administered questionnaire covering eight situations commonly encountered in daily life. Each participant was instructed to answer how likely it is that he/she would fall asleep in different situations by giving a score ranging from 0 to 3.…”

Section: Measurementsmentioning

confidence: 99%

“…Furthermore, global consensus-based definitions of FGIDs and GERD were used, and reliability and validation of Chinese version of ESS were confirmed. 6,22,46 However, this study was a cross-sectional study and these types of studies are insufficient in establishing cause-effect relationships. Also, the prevalence of EDS found in this study might be overestimated because the ESS is a subjective measuring method.…”

mentioning

confidence: 97%

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Association Between Excessive Daytime Sleepiness and Functional Gastrointestinal Disorders: A Population-based Study in China

Chen

Zhao

et al. 2017

J Neurogastroenterol Motil

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Background/AimsSeveral studies have demonstrated that sleep problems are associated with functional gastrointestinal disorders (FGIDs): irritable bowel syndrome (IBS), functional dyspepsia, etc, but the relationship between excessive daytime sleepiness (EDS) and FGIDs has not been systematically studied in the general population. This study aims to explore the relationship between EDS and specific types of FGIDs and the effect of the number of FGIDs on EDS. MethodsA sample of 3600 individuals (aged 18-80 years) was selected from 5 regions in China using a randomized, stratified, multi-stage sampling method. EDS was measured by the Epworth Sleepiness Scale, while gastroesophageal reflux disease (GERD) and other FGIDs were assessed by Reflux Disease Questionnaire and the Rome II diagnostic criteria, respectively. ResultsThe survey was completed by 2906 individuals (response rate: 80.72%), and 644 individuals (22.16%) had EDS. EDS was significantly associated with ulcer-like dyspepsia (OR, 2.50; 95% CI, 1.08-5.79), diarrhea-predominant IBS (OR, 2.00; 95% CI, 1.09-3.66), alternating IBS (OR, 2.32; 95% CI, 1.30-4.13), functional constipation (OR, 1.68; 95% CI, 1.20-2.35), and GERD (OR, 1.72; 95% CI, 1.08-2.72). Risk of EDS increased along with the increasing numbers of FGIDs: with 1 FGID (OR, 1.72; 95% CI, 1.37-2.15); with 2 FGIDs (OR, 2.43; 95% CI, 1.63-3.62); and with 3 or more FGIDs (OR, 3.26; 95% CI,). ConclusionsFGIDs, such as ulcer-like dyspepsia, diarrhea-predominant IBS, alternating IBS, functional constipation, and GERD, were significantly associated with EDS. Those who suffered from more kinds of FGIDs were more susceptible to EDS.

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Section: Measurementsmentioning

confidence: 99%

mentioning

confidence: 97%

Association Between Excessive Daytime Sleepiness and Functional Gastrointestinal Disorders: A Population-based Study in China

Chen

Zhao

et al. 2017

J Neurogastroenterol Motil

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“…18 and Taiwan 19 show a decreasing trend of FD with age. In this study, most of the patients were in 30-39 years age group (42.86 %) followed by 40-49 years (27.27 %).…”

Section: Britainmentioning

confidence: 88%

“…Though most population based studies showed that frequency of uninvestigated dyspepsia (UD) was not related to gender, several studies in different population have noted a consistent female predominance with dyspepsia. [18][19][20][21][22] Female gender was found to be the only independent risk factor of FD among 2865 Taiwanese health check attendees. 21 In one population based study in Australia, female adults significantly outnumbered males in most GI disorders including FD.…”

Section: 16mentioning

confidence: 99%

Diagnosis of Functional Dyspepsia on the basis of Rome III clinical diagnostic criteria in a tertiary care hospital: A cross-sectional observational study

et al. 2018

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Background: Though functional dyspepsia (FD) is often a diagnosis of exclusion, whether minor mucosal gut pathology represents organic disease or FD, it still remains controversial. Aims and Objectives: The present study has been conducted to determine the accuracy of symptom based diagnosis of FD based on Rome III diagnostic criteria in a tertiary care center. Materials and Methods: Total 140 patients aged between 18-55 years of both sexes with upper abdominal symptoms without known or post investigational organic diseases, were included in this study. Patients fulfilling the Rome III criteria were diagnosed as FD and undergone upper GI endoscopy (UGIE). Those devoid of organic lesions were confirmed as 'true FD'. Results: Out of 140 study patients, 100 patients fulfilled Rome III criteria (clinical FD) out of which 77 were confirmed as 'true FD' after UGIE with an accuracy of 83.57 %. Conclusion: Rome III clinical criteria can be applied to diagnose FD in a tertiary care center with some limitations. The authors suggest some modification of Rome III criteria.

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“…Tack et al have reported a higher frequency of epigastric pain in a subset of heartburn negative functional dyspepsia patients with pathological esophageal acid exposure (16). Epigastric pain together with nausea/vomiting, postprandial fullness or early satiation, comprise the different groups of symptoms in functional dyspepsia (17)(18)(19)(20). Hence, it is possible that the increased frequency of the first two symptoms in the IBS subjects compared to the controls in our study volunteers, is related to gastroesophageal reflux but we can not rule out that they may be a manifestation of a comorbidity with functional dyspepsia.…”

Section: Discussionmentioning

confidence: 99%

Heartburn and other related symptoms are independent of body mass index in irritable bowel syndrome

Schmulson¹,

Pulido²,

Escobar³

et al. 2010

Rev. esp. enferm. dig.

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Background: increasing body mass index (BMI) is a risk factor for GERD but little is known about this association in the irritable bowel syndrome (IBS).Aims: to determine the presence of heartburn and other related symptoms in relation with BMI in IBS.Methods: volunteers (n = 483) answered the Rome II-Modular Questionnaire, and were divided into IBS and non-IBS (controls) groups. The frequency of heartburn, chest pain, epigastric pain, nausea, vomiting and belching was compared between the groups in the study sample and within three BMI categories.Results: the IBS (23.7%) and controls (76.3%) were similar in gender (females: 68.1%), age (32.2 ± 12.7 years), and BMI (25.4 ± 4.4). Raw associations analysis showed that heartburn: OR: 1.62 (95%CI: 1.04-2.53), chest pain: 1.77 (1.13-2.77), epigastric pain: 1.75 (1.03-2.98) and nausea: 2.45 (1.10-5.32) were more frequent in IBS vs. controls. Meanwhile, according to BMI, in those with obesity, heartburn was more frequent in IBS and among those with overweight, epigastric pain and nausea were also more frequent in IBS. However, in an adjusted log linear model, no significant interaction was found between BMI and any other studied symptom and heartburn was found to be independent of IBS: 1,4 (0.9, 4.7). Finally, a logistic regression model found no interaction between BMI and the presence of heartburn or IBS.Conclusions: while heartburn and other reflux-related symptoms are more frequent in IBS than in controls, these associations are independent of BMI.

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Validation of Rome II criteria for functional gastrointestinal disorders by factor analysis of symptoms in Asian patient sample

Abstract: Factor analysis of symptoms from a sample of Asian patients with functional GI disorders partially supported the use of the Rome II classification.

Cited by 73 publications

References 15 publications

Association Between Excessive Daytime Sleepiness and Functional Gastrointestinal Disorders: A Population-based Study in China

Association Between Excessive Daytime Sleepiness and Functional Gastrointestinal Disorders: A Population-based Study in China

Diagnosis of Functional Dyspepsia on the basis of Rome III clinical diagnostic criteria in a tertiary care hospital: A cross-sectional observational study

Heartburn and other related symptoms are independent of body mass index in irritable bowel syndrome

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