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The prevalence of hemorrhoids in adults
Stefan Riss1, Friedrich Anton Weiser, Katrin Schwameis
1Department of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. stefan.riss@meduniwien.ac.at
Insights
Hemorrhoids are common in adults, affecting nearly 40%. A high body mass index (BMI) is a significant risk factor for developing hemorrhoids, increasing risk by 3.5% per BMI unit.
Area of Science:
- Gastroenterology
- Epidemiology
Background:
- Prevalence data for hemorrhoids are scarce.
- This study aimed to determine hemorrhoid prevalence and associated risk factors in the general adult population.
Purpose of the Study:
- To investigate the prevalence of hemorrhoids in adults.
- To identify risk factors associated with hemorrhoid development.
Main Methods:
- Prospective study of 976 patients undergoing colorectal cancer screening.
- Flexible colonoscopy and detailed examination were used to diagnose hemorrhoids.
- Univariate and multivariate analyses identified risk factors.
Main Results:
- Hemorrhoids were present in 38.93% of participants.
- Body Mass Index (BMI) was a significant independent risk factor (p<0.05).
- Each one-unit increase in BMI correlated with a 3.5% increased risk of hemorrhoids.
Conclusions:
- Hemorrhoids are highly prevalent in the adult population.
- A significant proportion of individuals with hemorrhoids are asymptomatic.
- Elevated BMI is an independent risk factor for hemorrhoids.
Introduction:
Exact data on the prevalence of hemorrhoids are rare. Therefore, we designed a study to investigate the prevalence of hemorrhoids and associated risk factors in an adult general population.
Methods:
Between 2008 and 2009, consecutive patients were included in a prospective study. They attended the Austrian national wide health care program for colorectal cancer screening at four medical institutions. A flexible colonoscopy and detailed examination were conducted in all patients. Hemorrhoids were defined according to a standardized grading system. Independent variables included baseline characteristics, sociodemographic data, and health status. Potential risk factors were calculated by univariate and multivariate analysis.
Results:
Of 976 participants, 380 patients (38.93%) suffered from hemorrhoids. In 277 patients (72.89%), hemorrhoids were classified as grade I, in 70 patients (18.42%) as grade II, in 31 patients (8.16%) as grade III, and in 2 patients (0.53%) as grade IV. One hundred seventy patients (44.74%) complained about symptoms associated with hemorrhoids, whereas 210 patients (55.26%) reported no symptoms. In the univariate and multivariate analysis, body mass index (BMI) had a significant effect on the occurrence of hemorrhoids with p = 0.0391 and p = 0.0282, respectively. Even when correcting for other potential risk factors, an increase in the BMI of one increased the risk of hemorrhoids by 3.5%.
Conclusion:
Hemorrhoids occur frequently in the adult general population. Notably, a considerable number of people with hemorrhoids do not complain about symptoms. In addition, a high BMI can be regarded as an independent risk factor for hemorrhoids.
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