Irritable bowel syndrome and erectile dysfunction in medical students at a Peruvian university: an analytical cross-sectional analysis.

IF 2.6 3区医学 Q1 MEDICINE, GENERAL & INTERNAL Sexual Medicine Pub Date : 2024-05-07 eCollection Date: 2024-04-01 DOI:10.1093/sexmed/qfae021

Mario J Valladares-Garrido, Luis E Zapata-Castro, Pedro P Quiroga-Castañeda, Iván Berrios-Villegas, Víctor J Vera-Ponce, Darwin A León-Figueroa, César J Pereira-Victorio, Danai Valladares-Garrido

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Abstract

Background: There is inconclusive evidence regarding the role of irritable bowel syndrome (IBS) in the development of erectile dysfunction (ED), especially among medical students due to high academic stress.

Aim: To determine the association between IBS and ED in medical students from a Peruvian university in 2022.

Methods: An analytical cross-sectional study was conducted with secondary data analysis on 133 medical students from a university in northern Peru during the 2021-II academic semester. The dependent variable was ED as measured with the 5-item International Index of Erectile Function, and the exposure variable was IBS as assessed with the Rome IV-Bristol questionnaire.

Outcomes: The results were the prevalence rates of IBS and ED and the association of these variables.

Results: Of the 133 medical students surveyed, the median age was 22 years (IQR, 19-24). The median score on the 5-item International Index of Erectile Function was 21 (IQR, 10-24). The prevalence of ED was 38.4% (95% CI, 30.05%-47.17%). Among the medical students 3% and 9% displayed moderate and severe ED, respectively, and 24.8%, 13.5%, and 24.1% showed moderate depressive, anxious, and severe symptoms. An overall 10.5% had IBS. Medical students with IBS had a 108% higher prevalence of ED than those without the syndrome (prevalence ratio, 2.08; 95% CI, 1.06-4.06). Other confounding variables were not significantly associated (P > .05).

Clinical implications: The results underline the importance of comprehensive sexual and mental health assessment, with an emphasis on the relationship between IBS and ED in medical students.

Strengths and limitations: Strengths include the use of validated and reliable instruments and rigorous biostatistical methods, and this is the first Peruvian investigation to explain the association between IBS and ED in medical students. Limitations include the cross-sectional design and nonprobability sampling, and there may be bias in applying the instruments.

Conclusion: This study reveals a significant association between IBS and a higher prevalence of ED in these students.

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秘鲁一所大学医学生的肠易激综合征和勃起功能障碍：横断面分析。

背景：关于肠易激综合征（IBS）与勃起功能障碍（ED）的关系，目前尚无定论：关于肠易激综合征（IBS）在勃起功能障碍（ED）发病中的作用，尤其是在学业压力较大的医学生中的作用，目前尚无定论。目的：确定2022年秘鲁一所大学医学生的肠易激综合征与ED之间的关联：方法：对秘鲁北部一所大学 2021-II 学年的 133 名医学生进行了横断面分析和二手数据分析。因变量是用 5 项国际勃起功能指数测量的 ED，暴露变量是用罗马 IV-布里斯托尔问卷评估的肠易激综合征：结果：结果是肠易激综合征和勃起功能障碍的患病率以及这些变量之间的关联：在接受调查的 133 名医学生中，年龄中位数为 22 岁（IQR，19-24 岁）。国际勃起功能指数 5 项得分的中位数为 21（IQR，10-24）。ED 患病率为 38.4%（95% CI，30.05%-47.17%）。医科学生中分别有 3% 和 9% 出现中度和重度 ED，24.8%、13.5% 和 24.1% 出现中度抑郁、焦虑和重度症状。总共有 10.5%的学生患有肠易激综合征。患有肠易激综合征的医学生的ED患病率比没有该综合征的医学生高108%（患病率比为2.08；95% CI为1.06-4.06）。其他混杂变量无明显关联（P > .05）：临床意义：研究结果凸显了对医学生进行全面性健康和心理健康评估的重要性，并强调了肠易激综合征与ED之间的关系：优点：该研究采用了经过验证的可靠工具和严格的生物统计方法，是秘鲁首次对医学生肠易激综合征与性欲减退之间关系的调查。局限性包括横断面设计和非概率抽样，以及在应用工具时可能存在偏差：本研究揭示了肠易激综合征与医学生较高的 ED 患病率之间的重要关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sexual Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

5.40

自引率

0.00%

发文量

103

审稿时长

22 weeks

期刊介绍： Sexual Medicine is an official publication of the International Society for Sexual Medicine, and serves the field as the peer-reviewed, open access journal for rapid dissemination of multidisciplinary clinical and basic research in all areas of global sexual medicine, and particularly acts as a venue for topics of regional or sub-specialty interest. The journal is focused on issues in clinical medicine and epidemiology but also publishes basic science papers with particular relevance to specific populations. Sexual Medicine offers clinicians and researchers a rapid route to publication and the opportunity to publish in a broadly distributed and highly visible global forum. The journal publishes high quality articles from all over the world and actively seeks submissions from countries with expanding sexual medicine communities. Sexual Medicine relies on the same expert panel of editors and reviewers as The Journal of Sexual Medicine and Sexual Medicine Reviews.