SOCIO-BEHAVIORAL ASPECTS OF THE PREVALENCE OF IRRITABLE BOWEL SYNDROME AMONG MILITARY SERVICEMEN AND THEIR FAMILY MEMBERS

Objective. Identification and assessment of socio-behavioral risk factors for the formation of irritable bowel syndrome (IBS) among military personnel and members of their families (ARC).

Material and technique. IBS was diagnosed according to Rome IV criteria. The level of emotional stress (ES) on the Rider scale. A total of 1977 cadets (aged 17–22) were examined. 326 officers (aged 24–55) and 257 of their wives (aged 23–51).

Results and discussion. The detection rate of IBS among SCD varies from 18.7±2.2 to 22.2±2.6% (P > 0.05). IBS-C (constipation) is most often detected than IBS-D (diarrhea), because patients with diarrhea are more likely to visit doctors and receive treatment. In general, the medical negotiability of patients is poor and averages 30.7±2.3%, and 37.3±2.4% of patients carry out self-treatment, another 32.0±2.3% of patients tolerate the clinical manifestations of IBS (P > 0.05). When IBS is combined with other syndromes, medical negotiability increases to 62.1±9.2%. During the period of adaptation to the conditions of life and study at the school, the level of strong ES in cadets increases to 32.3±2.3%, as adaptation (after 4 years) it decreases to 3.4±1.1% (P < 0.001) . The incidence of IBS is higher in patients with poor housing conditions, incomplete marital status and tobacco addiction.

Conclusion. Effective management of the identified socio-behavioral risk factors for the formation of IBS can significantly reduce the risk of SCD and their families with IBS.

1. Drossman D.A., Hasler W.L. Rome IV – Functional Gl Disorders: Disorders of Gut-Brain Interaction. Gastroenterology. 2016;150(6):1257-1261.

2. Dicheva D.T., Andreev D.N., Shcheglanova M.P. Sindrom razdrazhennogo kishechnika v svete Rimskih kriteriev IV peresmotra (2016 g.) // Medicinskij sovet, № 3, 2018, s. 60-66.

3. Stangnellini V., Chan F.K.L., Hasler W.L., Malagelada J.R., Suzuki H., Tack J., Talley N.J. Gastroduodenal Disorders. Gastroenterology. 2016; 150(6):1380-92.

4. Baranov S.A., Nachaev V.M., Shul‘yakova Yu.O. i dr. Funkcional‘naya dispepsiya i metody ee lecheniya // Nauchno statisticheskaya revmatologiya 2020, 58(1): 84-90.

5. Ballou SK, Keefer L. Multicultural considerations in the diagnosis and management of irritable bowel syndrome: a selective summary. Eur J Gastroenterol Hepatol 2013; (25): 1127.

6. Tihonova T.A., Kozlova I.V. Sindrom razdrazhennogo kishechnika: epidemiologicheskie i patogeneticheskie aspekty (obzor) // Saratovskij nauchno-medicinskij zhurnal 2018; 14(1): 53-60.

7. Fried M, Gwee KA, Khalif I, et al. Irritable Bowel Syndrome: a Global Perspective. World Gastroenterology Organization 2015; (9): 3-26.

8. Cimmerman Ya.S. Sindrom razdrazhennoj kishki: kakova ego istinnaya sushchnost‘? Klinicheskaya medicina 2014; (7): 19-28

9. Lacy BE, Patel NK. Rome Criteria and a Diagnostic Approach to Irritable Bowel Syndrome. J Clin Med, 2017, 6(11).pii:E99.

10. Drossman D.A. The functional gastrointestinal disorders and the Rome III process / D.A. Drossman Gastroenterology. – 2006. – Vol. 130. № 5. – P. 1377–1390.

11. Cimmerman Ya.S. «Rimskie kriterii – III» sindroma funkcional‘noj (gastroduonal‘noj) dispepsii. Klin. med. 2008, 4: 59-66.

12. Dent J, Brun J, Fendrick A.M, et al. An evidencebased appraisal of reflux disease management – the Genval Workshop report. Gut. 1999; 44: 1-16.

13. Vakin N, Van Zanden SV, Kahrilas P, et al. The Monreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am. J. Gastroenterol. 2006;101:1900-1920.

14. Riegler G, Esposito I. Bristol scale stool form. A still valid help in medical practice and clinical research. Tech Coloproctol, 2001, 5(3): 163-4.

15. Reeder LG, Chapman JM, Coulson AH. Socioenvironmental stress, tranquilizers and cardiovascular disease. Proceedings of the Excerpta Medica International Congress Series 1968; 182: 226-38

16. Gerasimov A.N. Medicinskaya statistika. – M. 2007. S. 475.

17. Sahautdinova G.M., Nagaeva R.R., Asanbaeva K.E. Sovremennye predstavleniya ob etiologii sindroma razdrazhennogo kishechnika // Medicinskij sovet, № 3, 2019, s. 152–155.

18. Sheptulin A.A., Vize-Hripunova M.A. Rimskie kriterii sindroma razdrazhennogo kishechnika IV peresmotra: est‘ li principial‘nye izmeneniya? Rossijskij zhurnal gastroenterologii, gepatologii, koloproktologii, 2016; 26(5): 99-103.