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KMID : 0371019970300040791
Journal of Preventive Medicine and Public Health
1997 Volume.30 No. 4 p.791 ~ p.804
Relationship between Life Style, the Level of Stress land Irritable Bowel Syndrome on 1498 Male White Collars
Kim Jong-Ryul

Urm Sang-Hwa
Chun Jin-Ho
Jeong Soo-Jin
Lee Chang-Hee
Jeong Ki-Won
Bae Ki-Taek
Abstract
Irritable bowel syndrome(IBS) is `one of the common health.:pxoblem that has been considered as stress-induced. This study was conducted to investigate the relationship between life style and the level of stress and IBS by structured¢¥¢¥, questionnaire which included questions on life style, the self-esteemed gastrointestinal symptoms, and


j Psychosocial Well-being Index(PWI). Subjects were 1,498 male white collars who get the regular health check and participated in survey at Inje University Health Pro-motion Center from January to December, 1996.


The overall prevalence of IBS was 37.5%(561 cases), and the level of stress by PWI score was higher in IBS group(41.8 14.2) than symptom-free group(34.6 12.6). As the result of comparison between the two groups, heavier smoking (adjusted O.R=2. 48, 95% C.I 1.81-3.41), longer daily working time (adjusted 0.=5.19, 95% C.I 3. 59-7.56), stimulatory food materials-mainly hot or salty (adjusted¢¥; O.R=1.87, 95% C.I 1.442.45), higher body mass index (adjusted O.R=1.80, 95% C.r! 1.27-2.57), and higher level of stress (adjusted O.R=2.81, 95% C.I 1.80-4.43) were estimated as risk factors of IBS.


On the contrary, 6-8 hours sleeping per day (adjusted O.R=0.38 95% C.I 0.21-0.70), 3-4 times exercise per week (adjusted O.R=0.57 95% C.I 0.39-0.83), and tenure more than 20 years (adjusted O.R=0.25 95% C.I 0.16-0.35) were conside tors to. IBS.


In summary, the assessment of the stress level might be placed to control IBS, at least by some degree, which suggested that IBS by avoiding such risk factors and by encouraging such protective factors.
KEYWORD
Irritable bowel syndrome, Life style, Stress, Psychosocial well-being index
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