Journal of Food and Nutrition Research
ISSN (Print): 2333-1119 ISSN (Online): 2333-1240 Website: https://www.sciepub.com/journal/jfnr Editor-in-chief: Prabhat Kumar Mandal
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Journal of Food and Nutrition Research. 2023, 11(10), 614-620
DOI: 10.12691/jfnr-11-10-2
Open AccessArticle

Impact of Irritable Bowel Syndrome on Healthcare Students' Quality of Life

Meisa Al Foraih1 and Hajar Alasmari2,

1Food Science and Nutrition Department, College of Health Sciences, Public Authority for Applied Education and Training, Shuwaikh Industrial, Kuwait

2Nursing Department, College of Applied Medical Sciences, Taif University,Taif, Saudi Arabia

Pub. Date: October 17, 2023

Cite this paper:
Meisa Al Foraih and Hajar Alasmari. Impact of Irritable Bowel Syndrome on Healthcare Students' Quality of Life. Journal of Food and Nutrition Research. 2023; 11(10):614-620. doi: 10.12691/jfnr-11-10-2

Abstract

Irritable bowel syndrome is one of the most prevalent diagnosed gastrointestinal disorders. Although IBS is a non-life-threatening condition, it can have a profound negative impact on patients' quality of life (QoL) (i.e., affecting sleep quality, concentration, energy levels, self-esteem personal relationships, travel and work attendance, performance, and productivity). There is limited information, however, in Saudi Arabia, on the effect of IBS has on the quality of life of students studying health care degrees. Aim: To measure the prevalence of IBS in a group of health care students in Taif, Saudi Arabia, and to determine the relationship between anxiety and IBS; and its’ impact on their quality of life. Methods: An exploratory cross-sectional study was conducted in the Health College at Taif University (TU), through an internet-based questionnaire. The study was carried out across the six specialties at TU: nursing, physiotherapy, laboratory, radiology, medicine, and pharmacology. A sample of 351 students were included, in the academic year of 2020–2021.Results: A total of 116 students had symptoms of IBS at a frequency of 33.05 %. Most of the study sample were females (77.5 %), with their ages ranging between 18 -22 ± 2.87 (63.6%). Students from nursing school who experienced symptoms of IBS comprised 65% of the studied sample. A significant association between the frequency of meals eaten per day and IBS (chi-square p-value = 0.002) was reported. High fat diet was associated with symptoms of IBS in 38.2%, and spicy food in 30.5% of the studied sample. A statistically significant association was observed between anxiety and IBS and between Quality of Life and IBS. Eight types of regression models were used to identify the effect of IBS on healthcare students’ quality of life. Results showed a strong relationship between IBS in healthcare students and quality of life (QoL), specifically food avoidance and interference activity. Conclusion: Undergraduate students, particularly, those studying health care are likely to be subjected to substantial amounts of anxiety, hence contributing to the development of IBS symptoms, which consequently impacts their quality of life, specifically food avoidance and interference with daily activities. Raising awareness among students regarding IBS-related symptoms and factors leading to its development such as anxiety, would probably play an important role in mitigating the impact of this disorder on their quality of life.

Keywords:
irritable bowel syndrome anxiety quality of life healthcare students

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References:

[1]  Malagelada, J.-R., A symptom-based approach to making a positive diagnosis of irritable bowel syndrome with constipation. International Journal of Clinical Practice, 60(1), p. 57-63, 2006.
 
[2]  Elhosseiny, D., N.E. Mahmoud, and A.F. Manzour, Factors associated with irritable bowel syndrome among medical students at Ain Shams University, J Egypt Public Health Assoc, 94(1), p. 23, 2019.
 
[3]  Fauzi, M.F., et al., Stress, Anxiety and Depression among a Cohort of Health Sciences Undergraduate Students: The Prevalence and Risk Factors, International journal of environmental research and public health, 18(6), p. 3269, 2021.
 
[4]  Umrani, S., W. Jamshed, and A. Rizwan, Association Between Psychological Disorders and Irritable Bowel Syndrome, Cureus, 13(4), p. e14513, 2021.
 
[5]  Black, C.J. and A.C. Ford, Global burden of irritable bowel syndrome: trends, predictions and risk factors, Nature Reviews Gastroenterology & Hepatology, 17(8), p. 473-486, 2020.
 
[6]  Lacy, B.E. and N.K. Patel, Rome Criteria and a Diagnostic Approach to Irritable Bowel Syndrome, Journal of Clinical Medicine, 6(11), p. 99, 2017.
 
[7]  Wilson, S., et al., Prevalence of irritable bowel syndrome: a community survey, Br J Gen Pract, 54(504), p. 495-502, 2004.
 
[8]  Sperber, A.D., et al., Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders, Results of Rome Foundation Global Study, Gastroenterology, 160(1), p. 99-114.e3, 2021.
 
[9]  Andrews, E.B., et al., Prevalence and demographics of irritable bowel syndrome: results from a large web-based survey, Aliment Pharmacol Ther, 22(10), p. 935-42, 2005.
 
[10]  Spiegel, B.M., The burden of IBS: looking at metrics, Curr Gastroenterol Rep, 11(4), p. 265-9, 2009.
 
[11]  Macauley, K., et al., Prevalence and Predictors of Anxiety in Healthcare Professions Students, Health Professions Education, 4(3), p. 176-185, 2018.
 
[12]  Kathem, S.H., et al., Measuring depression and anxiety prevalence among Iraqi healthcare college students using hospital anxiety and depression scale, Pharmacy Practice (Granada), 19, 2021.
 
[13]  Park, B.H. and K.S. Lee, Model Predicting Irritable Bowel Syndrome Severity in University Students, Journal of Korean Biological Nursing Science, 22(2), p. 91–101, 2022.
 
[14]  Alaqeel, M.K., et al., Prevalence of Irritable Bowel Syndrome and its Association with Anxiety among Medical Students at King Saud bin Abdulaziz University for Health Sciences in Riyadh, Pakistan journal of medical sciences, 33(1), p. 33-36, 2017.
 
[15]  Ibrahim, N.K.R., W.F. Battarjee, and S.A. Almehmadi, Prevalence and predictors of irritable bowel syndrome among medical students and interns in King Abdulaziz University, Jeddah, Libyan Journal of Medicine, 8(1), p. 21287, 2013.
 
[16]  AlKandari, N., Students Anxiety Experiences in Higher Education Institutions In Anxiety Disorders: The New Achievements, London: IntechOpen, 2020.
 
[17]  Mirza AA, B.M., Beyari GM, Halawani MA, Mirza AA., Depression and Anxiety Among Medical Students: A Brief Overview. Advances in Medical Education and Practice, 12 p. 393-398, 2021.
 
[18]  Fallah, M., et al., Irritable bowel syndrome (IBS) prevalence in medical students of Gilan University of Medical Sciences. Govaresh, 11(1), p. 7-11, 2006.
 
[19]  Shah, S.I.A. and M. Ahmed, Medical students’ anxiety on beginning clinical studies, Al Ameen Journal of Medical Sciences, 6, p. 195-201, 2013.
 
[20]  Bassols, A.M., First- and last-year medical students: is there a difference in the prevalence and intensity of anxiety and depressive symptoms? Revista Brasileira de Psiquiatria, 36(3), p. 233-240, 2014.
 
[21]  Alhaznn, A., Irritable bowel syndrome in secondary school male students in AlJouf Province, north of Saudi Arabia. JPMA-Journal of the Pakistan Medical Association, 61(11), p. 1111, 2011.
 
[22]  Khan, A.S., et al., Assessment of knowledge and related risk factors of irritable bowel syndrome in Alahsa, Saudi Arabia. International Journal of Medicine in Developing Countries, 3(1): p. 030-035, 2019.
 
[23]  Ibrahim, N.K., et al., Irritable bowel syndrome among nurses working in king Abdulaziz University Hospital, Jeddah, Saudi Arabia. Libyan Journal of Medicine, 11(1), 2016.
 
[24]  Aljammaz, K., A. Alrashed, and A. Alzwaid, Irritable bowel syndrome: Epidemiology and risk factors in the adult Saudi population of the central region, Nigerian Journal of Clinical Practice, 23(10), p. 1414-1418, 2020.
 
[25]  Schmulson, M.J. and D.A. Drossman, What Is New in Rome IV, J Neurogastroenterol Motil, 23(2), p. 151-163, 2017.
 
[26]  Hamilton, M., The assessment of anxiety states by rating. Br J Med Psychol, 32(1), p. 50-5, 1959.
 
[27]  Patrick, D.L., Information Sheet on the Irritable Bowel Syndrome-Quality of Life Measure (IBS-QOL), 2007.
 
[28]  Qureshi, S.R., et al., Irritable bowel syndrome: a global challenge among medical student, Cureus, 8(8), 2016.
 
[29]  Elhosseiny, D., N.E. Mahmoud, and A.F. Manzour, Factors associated with irritable bowel syndrome among medical students at Ain Shams University, Journal of the Egyptian Public Health Association, 94(1), p. 23, 2019.
 
[30]  Costanian, C., H. Tamim, and S. Assaad, Prevalence and factors associated with irritable bowel syndrome among university students in Lebanon: Findings from a cross-sectional study, World journal of gastroenterology WJG, 21, 2015.
 
[31]  Wang, Y., et al., Gender differences in irritable bowel syndrome among medical students at Inner Mongolia Medical University, China: a cross-sectional study, Psychol Health Med, 21(8), p. 964-74, 2016.
 
[32]  Kim, Y.S. and N. Kim, Sex-Gender Differences in Irritable Bowel Syndrome, Journal of neurogastroenterology and motility, 24(4), p. 544-558, 2018.
 
[33]  Okami, Y., et al., Lifestyle and psychological factors related to irritable bowel syndrome in nursing and medical school students, J Gastroenterol, 46(12), p. 1403-10, 2011.
 
[34]  Basandra, S. and D. Bajaj, Epidemiology of Dyspepsia and Irritable Bowel Syndrome (IBS) in Medical Students of Northern India, J Clin Diagn Res, 8(12), p. Jc13-6, 2014.
 
[35]  Sun-young, K. and N. Kim, Sex-Gender Differences in Irritable Bowel Syndrome, Journal of neurogastroenterology and motility, 24, p. 544-558, 2018.
 
[36]  Pickett-Blakely, O., L.A. Lee, and G. Mullin, Chapter 32 - Gender Differences in Irritable Bowel Syndrome, in Principles of Gender-Specific Medicine (Second Edition), M.J. Legato, Academic Press: San Diego. 2010, p. 347-356.
 
[37]  Ahlawat, S.K., M.T. Cuddihy, and G.R. Locke III, Gender-related differences in dyspepsia: a qualitative systematic review, Gender medicine, 3(1), p. 31-42, 2006.
 
[38]  Pickett-Blakely, O., L. Lee, and G. Mullin, Gender Differences in Irritable Bowel Syndrome, Principles of Gender-Specific Medicine, p. 347-356, 2010.
 
[39]  Chang, L. and M.M. Heitkemper, Gender differences in irritable bowel syndrome, Gastroenterology, 123(5), p. 1686-1701, 2002.
 
[40]  Adeyemo, M.A., B.M.R. Spiegel, and L. Chang, Meta-analysis: do irritable bowel syndrome symptoms vary between men and women? Alimentary Pharmacology & Therapeutics, 32(6), p. 738-755, 2010.
 
[41]  Anbardan, S.J., et al., Gender Role in Irritable Bowel Syndrome: A Comparison of Irritable Bowel Syndrome Module (ROME III) Between Male and Female Patients, J Neurogastroenterol Motil, 18(1), p. 70-7, 2012.
 
[42]  Herman, J., et al., Gender distribution in irritable bowel syndrome is proportional to the severity of constipation relative to diarrhea, Gender Medicine, 7(3), p. 240-246, 2010.
 
[43]  Chang, L. and M.M. Heitkemper, Gender differences in irritable bowel syndrome, Gastroenterology, 123(5), p. 1686-701, 2002.
 
[44]  Longstreth, G.F. and J.F. Yao, Irritable bowel syndrome and surgery: a multivariable analysis, Gastroenterology, 126(7), p. 1665-73, 2004.
 
[45]  Whorwell, P.J., et al., Non-colonic features of irritable bowel syndrome, Gut, 27(1), p. 37-40, 1986.
 
[46]  Saito, Y.A., The role of genetics in IBS. Gastroenterol Clin North Am, 40(1), p. 45-67, 2011.
 
[47]  Pace, F., et al., Family history of irritable bowel syndrome is the major determinant of persistent abdominal complaints in young adults with a history of pediatric recurrent abdominal pain, World J Gastroenterol, 12(24), p. 3874-7, 2006.
 
[48]  Saito-Loftus, Y., et al., Irritable Bowel Syndrome (IBS) Is Not a Major Gene, Mendelian Disorder: 1207. Official journal of the American College of Gastroenterology| ACG, 103, p. S472, 2008.
 
[49]  Vakhshoori, M., et al., The association between meal and snack frequency and irritable bowel syndrome, Public Health Nutrition, 24(13), p. 4144-4155, 2021.
 
[50]  Guo, Y.B., et al., Association between Diet and Lifestyle Habits and Irritable Bowel Syndrome: A Case-Control Study, Gut Liver, 9(5), p. 649-56, 2015.
 
[51]  Kim, Y.J. and D.J. Ban, Prevalence of irritable bowel syndrome, influence of lifestyle factors and bowel habits in Korean college students, Int J Nurs Stud, 42(3), p. 247-54, 2005.
 
[52]  Hosoda, S., Life style and discomfort on defecation, Juntendo Med J, 50(4), p. 330-7, 2004.
 
[53]  Kopczyńska, M., et al., Quality of life and depression in patients with irritable bowel syndrome, Przeglad gastroenterologiczny, 13(2), p. 102-108, 2018.
 
[54]  Drossman, D.A., et al., International survey of patients with IBS: symptom features and their severity, health status, treatments, and risk taking to achieve clinical benefit, Journal of clinical gastroenterology, 43(6), p. 541, 2009.
 
[55]  Khoshbaten, M., et al., Irritable bowel syndrome in women undergoing hysterectomy and tubular ligation, Gastroenterol Hepatol Bed Bench, 4(3), p. 138-41, 2011.