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Article 7, 4/2018

ORIGINAL PAPER

Abdominal Pain and Disturbed Bowel Movements are Frequent among Young People. A Population Based Study in Young Participants of the Woodstock Rock Festival in Poland
Ewa Stachowska1, Dominika Maciejewska1, Karina Ryterska1, Piotr Baszuk2, Karolina Skonieczna-Żydecka1, Maja Czerwińska-Rogowska1, Joanna Palma1, Anna Gudan1, Honorata Mruk1, Anna Wolska1, Tomasz Mazur1, Dagmara Paszkiewicz3, Zofia Stachowska4, Adam Stachowski5, Wojciech Marlicz6

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1) Dept. Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin;
2) Dept. Genetics and Pathomorphology, Pomeranian Medical University, Szczecin;
3) Poznan University of Life Sciences, Poznań;
4) University of Szczecin, Szczecin;
5) Poznan University of Medical Science, Poznań;
6) Dept. Gastroenterology, Pomeranian Medical University, Szczecin, Poland

DOI: http://dx.doi.org/10.15403/jgld.2014.1121.274.pol

ABSTRACT
Background & Aims: Functional gastrointestinal disorders are prevalent worldwide and alterations of gutbrain axis and intestinal barrier integrity may play a pivotal role in both the pathophysiology and clinical course of these bowel malfunctions. We aimed to assess the prevalence of abdominal pain in a selected adult population of Poland to determine potential environmental factors associated with gastrointestinal complaints.
Methods: There were 1479 individuals – 657 women (44.42%) and 822 men (55.58%), aged 24.20±6.08 years. The responders fulfilled an authors’ questionnaire based on Rome II and III criteria focused on the abdominal pain prevalence and environmental factors involved in its occurrence.
Results: The frequency of abdominal pain was found to be as high as 19.2%. Male gender (n=822) and basic education level (n=151) lowered the risk of abdominal pain occurrence (OR=0.7, p<0.012 and OR=0.5, p<0.021, respectively). Psychological distress, proton pump inhibitors (PPIs) and antibiotics usage were found as risk factors of abdominal pain (OR=2.503, p<0.01; OR=3.308, p<0.01; OR=3.105, p<0.01, respectively).
Conclusions: Abdominal pain is prevalent in young adult inhabitants of Poland, especially in women. Intense psychological stress, as well as PPIs and antibiotics usage elevate the risk.
Key words: abdominal pain – defecation – stress – Rome criteria – Functional gastrointestinal disorders – FGIDs – irritable bowel syndrome – functional dyspepsia.
Abbreviations: FD: functional dyspepsia; FGID: functional gastrointestinal disorders IBS: irritable bowel syndrome; NSAIDs: nonsteroidal anti-inflammatory drugs; PPI: proton pump inhibitors.