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Minor digestive symptoms and their impact in the general population: a cluster analysis approach
BACKGROUND: The classification and treatment of patients who do not meet the criteria for a functional gastrointestinal (GI) disorder has not been well established. This study aimed to record the prevalence of minor digestive symptoms (MDSs) in the general population attempting to divide them into s...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5946602/ https://www.ncbi.nlm.nih.gov/pubmed/29760783 http://dx.doi.org/10.1177/1756284818768814 |
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author | L’Heureux-Bouron, Diane Legrain-Raspaud, Sophie Carruthers, Helen R. Whorwell, P. J. |
author_facet | L’Heureux-Bouron, Diane Legrain-Raspaud, Sophie Carruthers, Helen R. Whorwell, P. J. |
author_sort | L’Heureux-Bouron, Diane |
collection | PubMed |
description | BACKGROUND: The classification and treatment of patients who do not meet the criteria for a functional gastrointestinal (GI) disorder has not been well established. This study aimed to record the prevalence of minor digestive symptoms (MDSs) in the general population attempting to divide them into symptom clusters as well as trying to assess their impact and the way sufferers cope with them. METHODS: Following face-to-face interviews, a web-based, self-administered questionnaire was designed to capture a range of GI sensations using 34 questions and 12 images depicting abdominal symptoms. A randomly selected sample of 1515 women and 409 men representing the general population in France was studied. Cluster analysis was used to identify groups of respondents with naturally co-occurring symptoms. Data were also collected on other factors such as exacerbating and relieving strategies. RESULTS: MDSs were reported at least every 2 months in 66.5% of women and 47.7% of men. A total of 11 symptom clusters were identified: constipation-like, flatulence, abdominal pressure, abdominal swelling, acid reflux, diarrhoea-like, intestinal heaviness, intestinal pain, gurgling, burning and gastric pain. Despite being minor, these problems had a major impact on vitality and self-image as well as emotional, social and physical well-being. Respondents considered lifestyle, food and disordered function as the main factors responsible for MDSs. Physical measures and dietary modification were the most frequent strategies adopted to obtain relief. CONCLUSIONS: MDSs are common and improved methods of recognition are needed so that better management strategies can be developed for individuals with these symptoms. The definition of symptom clusters may offer one way of achieving this goal. |
format | Online Article Text |
id | pubmed-5946602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-59466022018-05-14 Minor digestive symptoms and their impact in the general population: a cluster analysis approach L’Heureux-Bouron, Diane Legrain-Raspaud, Sophie Carruthers, Helen R. Whorwell, P. J. Therap Adv Gastroenterol Original Research BACKGROUND: The classification and treatment of patients who do not meet the criteria for a functional gastrointestinal (GI) disorder has not been well established. This study aimed to record the prevalence of minor digestive symptoms (MDSs) in the general population attempting to divide them into symptom clusters as well as trying to assess their impact and the way sufferers cope with them. METHODS: Following face-to-face interviews, a web-based, self-administered questionnaire was designed to capture a range of GI sensations using 34 questions and 12 images depicting abdominal symptoms. A randomly selected sample of 1515 women and 409 men representing the general population in France was studied. Cluster analysis was used to identify groups of respondents with naturally co-occurring symptoms. Data were also collected on other factors such as exacerbating and relieving strategies. RESULTS: MDSs were reported at least every 2 months in 66.5% of women and 47.7% of men. A total of 11 symptom clusters were identified: constipation-like, flatulence, abdominal pressure, abdominal swelling, acid reflux, diarrhoea-like, intestinal heaviness, intestinal pain, gurgling, burning and gastric pain. Despite being minor, these problems had a major impact on vitality and self-image as well as emotional, social and physical well-being. Respondents considered lifestyle, food and disordered function as the main factors responsible for MDSs. Physical measures and dietary modification were the most frequent strategies adopted to obtain relief. CONCLUSIONS: MDSs are common and improved methods of recognition are needed so that better management strategies can be developed for individuals with these symptoms. The definition of symptom clusters may offer one way of achieving this goal. SAGE Publications 2018-04-22 /pmc/articles/PMC5946602/ /pubmed/29760783 http://dx.doi.org/10.1177/1756284818768814 Text en © The Author(s), 2018 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research L’Heureux-Bouron, Diane Legrain-Raspaud, Sophie Carruthers, Helen R. Whorwell, P. J. Minor digestive symptoms and their impact in the general population: a cluster analysis approach |
title | Minor digestive symptoms and their impact in the general population: a cluster analysis approach |
title_full | Minor digestive symptoms and their impact in the general population: a cluster analysis approach |
title_fullStr | Minor digestive symptoms and their impact in the general population: a cluster analysis approach |
title_full_unstemmed | Minor digestive symptoms and their impact in the general population: a cluster analysis approach |
title_short | Minor digestive symptoms and their impact in the general population: a cluster analysis approach |
title_sort | minor digestive symptoms and their impact in the general population: a cluster analysis approach |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5946602/ https://www.ncbi.nlm.nih.gov/pubmed/29760783 http://dx.doi.org/10.1177/1756284818768814 |
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