Mental, Physical, Dietary, and Nutritional Effects on Irritable Bowel Syndrome in Young Japanese Women

Katsuhisa Omagari; Toshie Murayama; Yuna Tanaka; Chisato Yoshikawa; Shin-ichi Inoue; Mayuko Ichimura; Maiko Hatanaka; Mari Saimei; Keiko Muto; Takuro Tobina; Motofumi Masaki; Shigeko Kato

doi:10.2169/internalmedicine.52.0248

ORIGINAL ARTICLES

Mental, Physical, Dietary, and Nutritional Effects on Irritable Bowel Syndrome in Young Japanese Women

Katsuhisa Omagari, Toshie Murayama, Yuna Tanaka, Chisato Yoshikawa, Shin-ichi Inoue, Mayuko Ichimura, Maiko Hatanaka, Mari Saimei, Keiko Muto, Takuro Tobina, Motofumi Masaki, Shigeko Kato

Author information

Katsuhisa Omagari
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan
Toshie Murayama
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan
Yuna Tanaka
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan
Chisato Yoshikawa
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan
Shin-ichi Inoue
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan
Mayuko Ichimura
Division of Nutritional Sciences, Graduate School of Human Health Science, University of Nagasaki, Japan
Maiko Hatanaka
Division of Nutritional Sciences, Graduate School of Human Health Science, University of Nagasaki, Japan
Mari Saimei
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan
Keiko Muto
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan
Takuro Tobina
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan
Motofumi Masaki
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan
Shigeko Kato
Department of Nutrition, Faculty of Nursing and Nutrition, University of Nagasaki, Japan

Keywords: irritable bowel syndrome, young women, lifestyle, food intake, mental status, physical activity

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 12 Pages 1295-1301

DOI https://doi.org/10.2169/internalmedicine.52.0248

Details

Abstract

Objective Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder. The pathogenesis of IBS is multifactorial. The aim of this study was to investigate the prevalence of IBS using the Rome III criteria in young Japanese women and to assess the effects of mental, physical, dietary and nutritional factors on IBS.
Methods In this cross-sectional study, data obtained from self-administered questionnaires, including age, height, weight, lifestyle, food habits, anxiety and depressive states and IBS-related symptoms, were analyzed in 245 participants. An established semiquantitative questionnaire available for clinical investigation (FFQg) was used to obtain a detailed assessment of food intake and the physical activity levels.
Results The prevalence of IBS was 12.0%. Of the IBS participants, constipation-predominant IBS (25.0%) was more prevalent than the diarrhea-predominant subtype (17.9%). The IBS participants had lower body mass indices, consumed less eggs and milk and were more physically active than the non-IBS participants. In addition, an anxiety state was more common in the IBS participants. Those who hesitated with evacuation of stool and who thought that there is an association between abdominal symptoms, such as constipation and diarrhea, and menstruation were more predominant among the IBS participants. The percentage of individuals who reported often rushing to the toilet within the past year and experiencing borborygmus (rumbling stomach) was greater among the IBS participants. A logistic regression analysis revealed that milk intake was an independent predictor of IBS.
Conclusion The prevalence of IBS observed in this study was similar to that reported in previous studies conducted in Japan and other countries. Mental, physical, dietary and nutritional factors have an impact on IBS.

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