能力和抑郁症与便秘的联合关联:一个横截面研究
Jian-Fei Huang1, Yu-Jun Xiong2, Xiang-Da Meng3
1Department of Proctology Surgery, Shaoxing People's Hospital, Shaoxing, China.
BMC gastroenterology
|July 14, 2025
概括
能力受损和抑郁症独立增加便秘的风险. 它们的综合作用是协同作用的,突出显示了需要综合口腔和精神健康护理来管理便秘的需要.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 牙科医学 牙科医学
背景情况:
- 便秘是一种常见的疾病,有多因素的原因.
- 能力和心理健康是潜在的促成因素.
- 调查它们的独立和联合效应对于全面管理至关重要.
研究的目的:
- 检查能力和抑郁症对便秘风险的独立和联合影响.
- 根据这些因素,识别较高风险的个人.
- 为综合预防和管理策略提供信息.
主要方法:
- 分析了2005-2010年国家健康和营养检查调查 (NHANES) 的10814名参与者.
- 按功能牙单位 (FTU) 评估的能力;按患者健康问卷-9 (PHQ-9) 评估的抑郁症.
- 后勤回归和受限立方线分析以确定关联和剂量反应关系.
主要成果:
- 较低的FTU和更高的PHQ-9分数与便秘风险的增加有显著联系.
- 最佳的能力 (10-12 FTU) 显示了最低的风险 (OR=0.637). 抑郁症强烈预测便秘 (OR=1.942).
- 低FTU (≤3) 和抑郁症的组合产生了最高的便秘患病率 (OR=2.363);抑郁症部分介导了FTU-便秘联系.
结论:
- 能力受损和抑郁症是便秘的独立风险因素.
- 它们的同时出现表明了协同效应,增加了便秘的可能性.
- 建议综合口腔健康和心理健康干预措施用于便秘的预防和管理.
相关概念视频
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
252
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
252
01:17Chronic Bowel Disorders: Introduction
541
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
541
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
164
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
164
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
426
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
426
01:21Drugs for Treatment of Constipation-Predominant IBS
347
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
347
01:17Irritable Bowel Syndrome I: Introduction
393
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
393