约旦亚群中与非甾体抗炎药和咖啡因摄入有关的自述胃肠道症状

Q4 Medicine Medicina Pub Date : 2024-09-18 DOI:10.3390/medicina60091519
Sofian Al Shboul, Omar Maloul, Hamza Al-Trad, Yazan Maloul, Wa’ed AlHarahsheh, Doa’a Mosallam, Sondos Al-Sarayreh, Rania AlRashaydah, Aya AlSarayreh, Ashraf I. Khasawneh, Tareq Saleh
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引用次数: 0

摘要

背景:非甾体抗炎药(NSAIDs)和含咖啡因的饮料被广泛消费,但它们对胃肠道(GI)健康的影响还需要进一步调查。这项横断面研究调查了非甾体抗炎药的使用、含咖啡因饮料的消费与约旦亚人群自我报告的胃肠道症状发生率之间的关系。研究方法对 400 名 18-65 岁的约旦人进行了在线调查。调查收集了有关社会人口统计学、非甾体抗炎药使用、咖啡因消耗、消化性溃疡病(PUD)病史和消化道症状的数据。使用或然率表计算暴露与结果之间的几率比(OR)和 95% 置信区间(CI)。结果自我报告的 PUD 相关消化道症状发生率为 6.0%。非甾体抗炎药使用者出现 PUD(OR = 2.431)和相关消化道症状(包括腹痛(OR = 4.688,p < 0.001)和不适(OR = 8.068,p < 0.001)的几率更高。饮用咖啡因与自我报告的胃部灼痛(OR = 14.104,p < 0.001)、饱胀(OR = 8.304,p = 0.010)和腹胀(OR = 8.304,p = 0.010)有关。咖啡、茶、软饮料和能量饮料与出现各种消化道症状的几率增加有关(ORs 2.018-12.715,p <0.05)。结论非甾体抗炎药的使用和咖啡因的摄入与自我报告的 PUD 及相关胃肠道症状发生率的增加有独立关联。尽管没有对必要的混杂因素进行调整,但我们的研究结果强调了考虑非甾体抗炎药和咖啡因对胃肠道潜在影响的重要性。促进安全使用这些药物的公共卫生策略可能有助于减轻消化道疾病的负担。
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Self-Reported Gastrointestinal Symptoms Associated with NSAIDs and Caffeine Consumption in a Jordanian Subpopulation
Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) and caffeine-containing beverages are widely consumed but their impact on gastrointestinal (GI) health requires further investigation. This cross-sectional study investigated the relationship between NSAIDs use, caffeinated drink consumption, and the prevalence of self-reported GI symptoms in a Jordanian subpopulation. Methods: An online survey was administered to 400 Jordanian individuals aged 18–65 years. Data on sociodemographics, NSAIDs use, caffeine consumption, peptic ulcer disease (PUD) history, and GI symptoms were collected. Contingency tables were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between exposures and outcomes. Results: The prevalence of self-reported PUD-related GI symptoms was 6.0%. NSAID users had higher odds of PUD (OR = 2.431) and related GI symptoms, including abdominal pain (OR = 4.688, p < 0.001) and discomfort (OR = 8.068, p < 0.001). Caffeine consumption was associated with self-reported burning stomach pain (OR = 14.104, p < 0.001), fullness (OR = 8.304, p = 0.010), and bloating (OR = 8.304, p = 0.010). Coffee, tea, soft drinks, and energy drinks were associated with increased odds of various GI symptoms (ORs 2.018-12.715, p < 0.05). Conclusions: NSAIDs use and caffeine consumption were independently associated with the increased prevalence of self-reported PUD and related GI symptoms. Despite the lack of adjustment for necessary confounders, our findings highlight the importance of considering the potential GI effects of NSAIDs and caffeine. Public health strategies promoting their safe use may help reduce the burden of GI disorders.
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来源期刊
Medicina
Medicina Medicine-Medicine (all)
CiteScore
0.10
自引率
0.00%
发文量
66
审稿时长
24 weeks
期刊介绍: Publicada con el apoyo del Ministerio de Ciencia, Tecnología e Innovación Productiva. Medicina no tiene propósitos comerciales. El objeto de su creación ha sido propender al adelanto de la medicina argentina. Los beneficios que pudieran obtenerse serán aplicados exclusivamente a ese fin.
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