PREVALENCE OF IRRITABLE BOWEL SYNDROME IN COLLEGE STUDENTS AND ASSOCIATION WITH ANXIETY, DEPRESSION AND FODMAP DIET

Abstract

Gopi K. Jaladi1, Shanthi Vijayaraghavan2, Sridhar C. G3

BACKGROUND: Irritable bowel syndrome (IBS) is the most common functional gastro-intestinal disorder. The data regarding the prevalence of IBS in young adults is limited along with its association with anxiety and depression in a community setting in India.

MATERIALS AND METHODS: the prevalence of IBS and its subtypes based on Rome iii criteria were assessed in 2078 college students above 18 years of age along with the prevalence of anxiety and depression based on hospital anxiety depression scale. Frequency of intake of food containing fermentable oligo-di-monosaccharides and polyols (Fodmaps) were obtained. RESULTS: The mean age of the study group is 19.73±1.4 years. The prevalence of IBS is 5.2%, the prevalence in females (6.1%) as compared with males (3.9%). Mixed type of IBS is the most common involving 47.9% of students followed by diarrhea predominant in 22.9%, un subtyped in 17.7% and constipation predominant in 11.5%. The mean anxiety score in students with IBS is 9.61±3.74 as compared to 7.15±3.73 in students without IBS with a p-value of 0.000. The mean depression score as per hads-d in students with IBS is 5.79±3.290 as compared to 4.39±2.942 in students without IBS with a p-value of 0.000. Among students with IBS 48.9% were found to have psychological disorders as compared to 21% without IBS. There was no difference in the intake of food containing fodmaps.

image