Prevalence and Associated Dietary Factors of Rome IV Functional Gastrointestinal Disorders in Rural Western Honduras
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ORIGINAL ARTICLE
Prevalence and Associated Dietary Factors of Rome IV Functional Gastrointestinal Disorders in Rural Western Honduras Dalton A. Norwood1 · Lucia B. Dominguez1 · Andrea A. Paredes1 · Eleazar E. Montalvan1 · Aida Rodriguez Murillo1 · Michael K. Dougherty2 · Olafur S. Palsson2,3 · Ricardo L. Dominguez1 · Douglas R. Morgan4 Received: 26 February 2020 / Accepted: 24 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background The literature is limited regarding the prevalence of functional gastrointestinal disorders (FGIDs) in Central America, and the role of dietary factors. Methods The Rome IV diagnostic questionnaire and National Cancer Institute Diet History questionnaire were administered in one-on-one interviews to a distributed cross section of the general adult population of Western Honduras. Our aim was to estimate prevalence of common FGIDs and symptoms and their relationships to dietary habits. Results In total, 815 subjects were interviewed, of whom 151 fulfilled criteria for an FGID (18.5%). Gastroduodenal FGIDs were noted in 9.4%, with epigastric pain syndrome (EPS) more common than postprandial distress syndrome, 8.5% versus 1.6%. Among bowel disorders, functional abdominal bloating (FAB) was most prevalent (6.3%), followed by irritable bowel syndrome (3.6%), functional diarrhea (FDr; 3.4%), and functional constipation (1.1%). A significant inverse association was noted between regular bean intake and any FGID (OR 0.41, 95% CI 0.27–0.63), driven by IBS and FDr. Vegetable consumption was associated with lower prevalence of functional diarrhea (OR 0.12; 95% CI 0.04–0.35) and any diarrheal disorder (OR 0.11; 95% CI 0.04–0.31). Subjects with a median daily intake of ≥ 4 corn tortillas had 1.75 (95% CI 1.22–2.50) times the odds of having any FGID. Conclusions FGIDs were common in this rural low-resource setting in Central America, with an intriguing distribution of specific FGIDs. EPS and FAB were common, but IBS was not. Local dietary factors were associated with specific FGIDs, suggesting that diet may play a role in global variations of FGIDs. Keywords Functional gastrointestinal disorders · Irritable bowel syndrome · Dyspepsia · Diet · FODMAPs · Rome IV criteria
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10620-020-06639-y) contains supplementary material, which is available to authorized users. * Douglas R. Morgan [email protected] Dalton A. Norwood [email protected] Lucia B. Dominguez [email protected] Michael K. Dougherty [email protected] Olafur S. Palsson [email protected] Ricardo L. Dominguez [email protected]
1
Western Honduras Gastric Cancer Prevention Initiative, Western Regional Hospital, Hospital de Occidente, Avenida Solidaridad, 41101 Santa Rosa de Copan, Honduras
2
Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, 4182, Bioinformatics, 130 Mason Farm RD, Chapel Hill, NC
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