Health Psychology Research / HPR / Volume 10 / Issue 2 / DOI: 10.52965/​001c.35482
GENERAL

Prevalence and Associated Risk Factors of Irritable Bowel Syndrome  Among Female Secondary School students in Ar Rass City, Qassim  Region 

Wjdan Alharbi1* Saulat Jahan2
Show Less
1 Family Medicine Academy, Qassim Health Cluster, Saudi Arabia
2 Research and Innovation Unit, Family Medicine Academy, Qassim Health Cluster, Saudi Arabia
Submitted: 7 March 2022 | Accepted: 10 April 2022 | Published: 30 May 2022
© 2022 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Background

Irritable bowel syndrome (IBS) is a common chronic gastrointestinal condition associated with many modifiable and non-modifiable risk factors.

Objectives

To determine the prevalence of IBS and the associated risk factors among female secondary school students in Ar Rass city, Qassim region, Saudi Arabia.

Methods

A cross-sectional study was conducted from June to August 2021 among female students attending government secondary schools at Ar Rass city, Qassim region. Two schools were selected by simple random sampling. A self-administered questionnaire using Google Form, submitted to the WhatsApp groups of the students, gathered personal data, and behavioral, lifestyle and health background characteristics of the participants. The questionnaire included Rome IV criteria for IBS diagnosis.

Results

Out of 612 invited students, 429 responded (response rate: 70.1%). Twenty-eight incomplete questionnaires were excluded leading to 401 participants in the final analysis. The mean (± SD) age of study participants was 17.3 (±2.05) years. The overall prevalence of IBS was 21.4% (n=86); 11.7% (n=47) were already diagnosed; however, 9.7% (n=39) were newly detected in our survey. The factors associated with IBS included frequent consumption of soft drinks (p=0.016), low vegetable consumption (p=0.003), poor mental health (p<0.0001), family history of IBS (p<0.0001) and history of chronic disease (p<0.0001).

Conclusion

IBS is prevalent among female secondary school students in Ar Rass city. Unhealthy diet and poor mental health are associated with IBS. Creating awareness regarding IBS and about importance of healthy lifestyle is recommended. School staff need to be trained to promote the physical and mental health of the students.

Keywords
adolescents
Irritable Bowel Syndrome
Rome IV criteria
secondary school
Saudi Arabia
survey
References

1. Almezani AMM, Alkhalaf AA, Alharbi MNK. Prevalence of Irritable Bowel Syndrome among Medical Students in Hail University, Saudi Arabia. Egypt J Hosp Med. 2018;71(2):2581-2584. doi:10.12816/0045659

2. Oka P, Parr H, Barberio B, Black CJ, Savarino EV, Ford AC. Global prevalence of irritable bowel syndrome according to Rome III or IV criteria: a systematic review and meta-analysis. Lancet Gastroenterol Hepatol. 2020;5(10):908-917. doi:10.1016/s2468-1253(20)30217-x

3. AlButaysh O, AlQuraini A, Almukhaitah A, Alahmdi Y, Alharbi F. Epidemiology of irritable bowel syndrome and its associated factors in Saudi undergraduate students. Saudi J Gastroenterol. 2020;0(0):0. doi:10.4103/sjg.sjg_459_19

4. Hakami RM, Elmakki E, Hasanain T, et al. Irritable Bowel Syndrome: assessment of prevalence and risk factors in Saudi University students using Rome IV Criteria. Gastroenterol Insights. 2019;10(1). doi:10.4081/gi.2019.8239

5. AlAmeel T, Roth LS, Al Sulais E. The Prevalence of Irritable Bowel Syndrome Among Board-Certified Medical Doctors In Saudi Arabia: A Cross-sectional Study. J Can Assoc Gastroenterol. 2019;3(6):e32-e36. doi:10.1093/jcag/gwz020

6. Alharbi SH, Alateeq FA, Alshammari KI, et al. Irritable Bowel Syndrome and Dietary Habits in Northern Saudi Arabia. Health. 2019;11(03):289-297. doi:10.4236/health.2019.113025

7. Khan A, Alsayegh H, Ali M, Qurini A, AlKhars H, AlKhars A. Assessment of Knowledge and Related Risk Factors of Irritable Bowel Syndrome in Alahsa, Saudi Arabia. IJMDC. 2019;3(1):30-35. doi:10.24911/ijmdc.51-1543467833

8. Alshahrani S. Prevalence and Risk Factors for Irritable Bowel Syndrome among Male Secondary School Saudi Students in Najran City, Saudi Arabia. Med J Cairo Univ. 2020;88(9):1917-1921. doi:10.21608/mjcu.2020.118549

9. Schmulson MJ, Drossman DA. What Is New in Rome IV. J Neurogastroenterol Motil. 2017;23(2):151-163. doi:10.5056/jnm16214

10. Devanarayana NM, Rajindrajith S, Pathmeswaran A, Abegunasekara C, Gunawardena NK, Benninga MA. Epidemiology of irritable bowel syndrome in children and adolescents in Asia. J Pediatr Gastroenterol Nutr. 2015;60(6):792-798. doi:10.1097/mpg.0000000000000714

11. Sullivan KM, Dean A, Soe MM. OpenEpi: a web-based epidemiologic and statistical calculator for public health. Public Health Rep. 2009;124(3):471-474. doi:10.1177/003335490912400320

12. Distribution of Schools, Classes, Students, Teachers by Education Level and Department for 2017-2018. Saudi Open Data. Published online 2017. Accessed February 26, 2022. https://data.gov.sa/Data/ar/dataset/istribution_of_schools-_classes-_students-teachers_by_education_level_and_department_for_2017_-2018/resource/976f812f-a927-4d77-a018-c98240d dd080?view_id=9262a7b7-e31a-48a1-944c-a7fe05a75 cc6

13. Alanazi E. Prevalence and risk factors for irritable bowel syndrome among high school female students in northern borders region, Saudi Arabia. www.discoveryjournals.org. Published online 2021. Accessed February 26, 2022. http://www.discoveryjou rnals.org/medicalscience/current_issue/v25/n109/A 7.htm

14. Gwee KA, Ghoshal UC, Chen M. Irritable bowel syndrome in Asia: pathogenesis, natural history, epidemiology, and management. J Gastroenterol Hepatol. 2018;33(1):99-110. doi:10.1111/igh.13987

15. Yamamoto R, Kaneita Y, Osaki Y, et al. Irritable bowel syndrome among Japanese adolescents: a nationally representative survey. J Gastroenterol Hepatol. 2015;30(9):1354-1360. doi:10.1111/igh.12974

16. Arishi AM, Elmakki EE, Hakami OM, et al. Irritable Bowel Syndrome: Prevalence and Risk Factors in Jazan Region, Saudi Arabia. Cureus. 2021;13(6):e15979. doi:10.7759/cureus.15979

17. Alaqeel MK, Alouaimer NA, Alonezan AF, Almegbel NY, Alaujan FY. Prevalence of Irritable Bowel Syndrome and its Association with Anxiety among Medical Students at King Saud bin Abdulaziz University for Health Sciences in Riyadh. Pak J Med Sci. 2017;33(1):33-36. doi:10.12669/pjms.331.12572

18. Lovell RM, Ford AC. Global prevalence of and risk factors for irritable bowel syndrome: a meta-analysis. Clin Gastroenterol Hepatol. 2012;10(7):712-721.e4. doi:10.1016/j.cgh.2012.02.029

19. Amin HS, Irfan F, Karim SI, et al. The prevalence of irritable bowel syndrome among Saudi population in Riyadh by use of Rome IV criteria and self-reported dietary restriction. Saudi J Gastroenterol. 2021;27(6):383-390. doi:10.4103/sjg.sjg_43_21

20. Ligaarden SC, Lydersen S, Farup PG. Diet in subjects with irritable bowel syndrome: a cross-sectional study in the general population. BMC Gastroenterol. 2012;12:61. doi:10.1186/1471-230x-12-61

21. Alzahrani TA, Aljuaid AS, Alhardhi TM, et al. The prevalence and risk factors of irritable bowel syndrome among medical students and interns: results of a national survey in Saudi Arabia. Int J Med Health Res. 2018;4(10):85-89. Accessed February 26, 2022. http://www.medicalsciencejournal.com/archive s/2018/vol4/issue10/4-9-59

22. Black CJ, Ford AC. Global burden of irritable bowel syndrome: trends, predictions and risk factors. Nat Rev Gastroenterol Hepatol. 2020;17(8):473-486. doi:10.1038/s41575-020-0286-8

23. Almutairi M, AlQazlan M, Alshebromi A, Alawad M. Abstract of Prevalence of IBS among Medical Students. Int J Sci Res. 2017;6(2). https://www.ijsr.ne t/get_count.php?paper_id=ART20163671

24. Hasosah MY, Alamri SA, Al-Husayni FA, Aljedaani RM, Zwawy MA, Al-Zahrani AA. Prevalence of Irritable Bowel Syndrome among Medical Students and Interns in Jeddah, Saudi Arabia. Journal of Clinical and Medical Case Studies. 2017;2(4):14-18. Accessed February 26, 2022. https://www.rroij.com/open-acces s/prevalence-of-irritable-bowel-syndrome-among-me dical-studentsand-interns-in-jeddah-saudi-arabia-.p hp?aid=86626

25. Alqahtani N, Mahfouz MM. The prevalence and risk factors of irritable bowel syndrome in Saudi Arabia in 2019. Int J Prev Med. 2022;13(1):13. doi:10.4103/ijpvm.ijpvm_486_20

26. Alzahrani A, Alghamdi M, Alzahrani H, Al-Ghamdi S, Al-Ghamdi A, Alkhaldi S. Risk factors of irritable bowel syndrome among male medical students in Majmmah University, Saudi Arabia. IJMDC. 2020;4(8):1150-1153. doi:10.24911/ijmdc.51-1590064231

Conflict of interest
The authors declare that they have no conflicts of interest.
Share
Back to top
Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research