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Bowel habit subtypes and temporal patterns in irritable bowel syndrome: systematic review.

UNLABELLED: Irritable bowel syndrome (IBS) is a heterogeneous condition characterized by the presence of abdominal discomfort or pain and bowel habit alterations: constipation (C-IBS), diarrhea (D-IBS), or alternating C and D (A-IBS). Its clinical course is poorly known. OBJECTIVES: (i) To compare bowel habit subtypes distribution in IBS according to sample origin and diagnosis criteria; (ii) To evaluate IBS temporal patterns based on follow-up studies. METHODS: A literature search (1966-2003) was conducted in the MEDLINE and EMBASE databases. A total of 72 studies were found and 22 were finally selected. RESULTS: Population-based studies from the United States (Manning) found similar distribution among C-IBS, D-IBS, and A-IBS, while European studies (Rome I, Rome II, or self-reporting) showed either C-IBS or A-IBS as the most prevalent subtypes. Primary care office-based studies (Rome I or Rome II) showed A-IBS as the most prevalent group. Gastroenterology specialized office-based studies found either C-IBS or D-IBS as the most frequently reported subtype. Prospective follow-up investigations showed that the most frequent IBS temporal pattern profile consists of mild to moderate symptoms appearing in cluster in an intermittent way, about once a week, and lasting 2-5 days on average. CONCLUSION: IBS clinical subtypes distribution differs depending on the population evaluated, the geographical location, and the criteria employed to define IBS and bowel habit subtypes. In most cases, clinical course is characterized by the presence of mild-to-moderate symptoms appearing sequentially. Prospective studies, using clear and stable diagnostic criteria and subtype definitions, and based on daily data collection should further characterize IBS clinical course.

Abdominal Pain↗

The relation between drinking habits and neuroticism and weak ego among male and female alcoholic patients.

The relationship between drinking habits and personality functioning was studied in a consecutive series of 300 alcoholic inpatients during treatment and 2 1/2 years later. The alcoholic sample showed more signs of neuroticism and lack of ego strength than the general population. Among the alcoholics there was a relationship between advanced drinking habits and more pathological personality functioning. However at the follow-up improved drinking habits were connected only with improved self-esteem, particularly among female patients.

Adult↗

Tooth loss, prosthetics and dental treatment habits in a group of Swedish men.

Dental history, dental status, the need for prosthetic treatment and dental treatment habits were studied in 389 men aged 21--54 years. The men were selected from a group undergoing military refresher training in the south of Sweden. One percent of the men were toothless. About 3% had full dentures in one or both jaws and an equal percentage had partial dentures. About 3% of the men had bridges in the maxilla and 2% in the mandible. Tooth loss was greatest in the mandibular molar segment, followed by the maxillary molar segment. By means of an index for dental status about 8% of the men were judged to be in great need of prosthetic treatment for aesthetic reasons and/or to improve occlusion. Age, place of birth, educational level and smoking habits were among the factors which seemed to be related to dental status. Seventy percent of the men reported that they went to the dentist once a year, while about 10% seemed rarely or never to seek dental treatment. Dental treatment habits were correlated to place of birth, number of brothers and sisters, edentulousness and the need for prosthetic treatment, among other factors.

Adult↗

Interview or questionnaire? A comparison based on the relationship between caries and dietary habits in preschoolchildren.

The aim was to select a method for gaining correct past history data about dietary habits by studying how caries varied in relation to dietary habits. Therefore, an interview was used in one group of preschoolchildren and a questionnaire in another group. Ninety-three 4-year-old children were included and divided by lot into two groups. The groups were comparable concerning dmfs, gingival status and oral hygiene. The parents were either interviewed or filled in a questionnaire about the children's dietary habits. The interview contained the same questions as the questionnaire and was standardized with the instructions for filling in the questionnaire, which concentrated on frequency of eating different foods. An average frequency of cariologically unsuitable eating of food per day was calculated for each child. Each group was distributed over frequency classes: less than 2, greater than or equal to 2 less than 5 and greater than or equal to 5 unsuitable food intakes per day, and the mean caries value was calculated for each class. The amount of caries increased in a logical way with increasing frequency of unsuitable eating in the interview group, but not in the questionnaire group. It might therefore be concluded, for groups of preschooldchildren, that the interview technique gives more relevant information than the questionnaire technique.

Child, Preschool↗

Dental health habits of 3-year-old Finnish children.

The aim was to study whether 3-yr-old children's toothbrushing habits are associated with the child's other dental health habits and whether the mother's background influences the child's toothbrushing frequency. The survey used stratified randomized cluster sampling, confidential questionnaires and clinical dental examinations. A random sample of 1443 (91.2%) of a Finnish province's 1582 primiparous women participated in the study at the onset of their pregnancy. Dental health care clinics of the public health care system carried out dental examinations in 1018 (83.5%) 3-yr-old children born of these pregnancies. The variables used in the study included consumption of juice at night and sugar at the age of 1.5 yr and the use of fluoride tablets and sweets at the age of 3. The mother's background factors included age, basic education and occupation. Daily toothbrushing was practised by 78.2% of the children. Addition of sugar to the diet and frequent use of sweets at the age 3 were more common in those who brushed their teeth only occasionally, whereas the use of fluoride tablets was less frequent in them than in those brushing their teeth every day. Of the mothers' background factors, age was the most significant. The youngest mothers paid the least attention to their children's toothbrushing habits. The proportion of those brushing their teeth was 67.9% in rural areas, 78.6% in semi-urban population centers and 80.1% in towns (P = 0.02). The results indicate that the health education provided by dental health care clinics should be focussed on young mothers and rural families.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Nursing caries, linear hypoplasia, and nursing and weaning habits in Tanzanian infants.

A cross-sectional survey on the prevalence of rampant caries in infants and a case-control study were executed to determine the prevalence of rampant caries and its etiology. A total of 2192 infants aged between 1 and 4.0 yr from nine regions of Tanzania comprised the sample of the prevalence survey. The overall prevalence of rampant caries resembling nursing caries was 6.8%. The prevalence varied considerably between 1.5% and 12.8% in the different regions and was closely associated with the varying prevalence of linear hypoplasia but not with fluoride content in drinking water. The relative risk of developing rampant caries in the presence of linear hypoplasia was 14.5. The case-control study comprised 116 cases, infants with rampant caries and 243 controls, without the disorder. Risk factors such as breast feeding frequency and duration during day and night, bottle feeding and weaning habits were assessed through a structured interview with the mother. Bottlefeeding was performed in only a minority of the infants for a short period (1.1 months) and in a low exposure frequency (0.4 daily) and was not associated with rampant caries. The frequency of sugar moments in the supplementary diet was on average 1.5 times per day and was not associated with rampant caries. The duration and frequency of breast feeding during the day was also not associated. The habit of allowing infants to sleep with the breast nipple in their mouths and the presence of linear hypoplasia were strongly associated with rampant caries. Odds ratios for these variables were 17.8 and 15.6 respectively. Based on these associations it is concluded that rampant caries in this sample was caused by the habit of allowing infants to sleep with the breast nipple in their mouths, whereas linear hypoplasia is considered to be a predisposing factor.

Age Factors↗

Oral health counselling in changing schoolchildren's oral hygiene habits: a qualitative study.

OBJECTIVE: This study explored oral health counselling concerning changes of oral hygiene habits in 11- to 13-year-old schoolchildren within a theoretical framework of the transtheoretical model and the motivational interview. METHODS: The follow-up data (2002-2003) formed two sequential parts: the first part comprised 66 counselling sessions in 2002; the second part included 31 counselling sessions in 2003. Thirty-one (n = 31) schoolchildren were included in the counselling sessions that were conducted by four dental hygienists. The audiotaped and transcribed data were analysed qualitatively by using content analysis. RESULTS: In 2002, nearly every schoolchild needed to establish changes in oral hygiene habits but the assessment of schoolchildren's readiness for change often remained unclear. In 2002, giving normative advice was the most commonly used counselling strategy when addressing the need for change, but dental hygienist-centred change discussion and goal setting were also apparent and were related to the schoolchildren's rarely manifested changes of oral hygiene habits after a follow-up year. CONCLUSIONS: Our results suggest that the theoretical framework might be useful in constructing and focusing on oral hygiene counselling for schoolchildren that concentrates on the personal dynamics of change. Further qualitative research is called for.

Adolescent↗

Role of chewing and smoking habits in the etiology of oral submucous fibrosis (OSF): a case-control study.

Oral submucous fibrosis (OSF), a premalignant and crippling condition of the oral mucous membrane, was studied to identify its relationship to various chewing and smoking habits. Two hundred and thirty-six consecutive cases of OSF were compared with 221 control subjects matched for age, sex and socio-economic conditions. It was found that chewing of areca nut/quid or pan masala (a commercial preparation of areca nuts, lime, catechu and undisclosed colouring, flavouring and sweetening agents) was directly related to OSF. Also, pan masala was chewed by a comparatively younger age group and was associated with OSF changes earlier than areca nut/quid chewing. However, chewing or smoking tobacco with various other chewing habits did not increase the risk of developing OSF. It was also found that frequency of chewing rather than the total duration of the habit was directly correlated to OSF.

Adolescent↗

Sucking habits and occlusion in 3-year-old children.

The material for the present study comprises plaster models of 310 Copenhagen children, impressions for which were taken during the month each child attained the age of 3 years. The occlusion was related to information concerning the child's sucking habits up to the time of the study. The effect of sucking habits of sagittal occlusion was observed in the canine region and the molar region. A higher proportion of distal canine relationships was recorded in children who continued to suck dummies at the age of 3 years than among finger-suckers of children who have never sucked. In primary second molar region no significant difference was recorded between the various sucking groups. The open bite is clearly dominant among children who persist with a sucking habit.

Child, Preschool↗

Relation of different measures of psychological characteristics to oral health habits, diabetes adherence and related clinical variables among diabetic patients.

Among diabetic patients, oral health status and oral health behavior have been found to relate to metabolic control. The aim was to analyse which psychological characteristics, i.e. intention, self-efficacy, locus of control or self-esteem related to health behavior most comprehensively explain oral health habits, diabetes adherence, dental caries, deepened periodontal pockets, and the metabolic parameter HbA1c (glycosylated hemoglobin). The study subjects consisted of a group of 149 insulin-dependent diabetic patients. Data were obtained from self-completed questionnaires. The proportions of variance explained by the linear regression model were used as measures in the comparisons. It was found that oral health habits and diabetes adherence correlated. Both dental and diabetes self-efficacy scores were related to oral health habits and diabetes adherence. This indicates that self-efficacy is the best overall determinant of various health behavior practices. The ability of psychological characteristics to explain oral health was limited. Improvement of self-efficacy therefore may have a positive effect on various aspects of health behaviors.

Adolescent↗

Supplement use and nutritional habits in Norwegian elite athletes.

The purpose of this study was to examine nutritional and supplemental habits among international alpine- and cross-country skiers and power sport athletes in Norway. Data from all the athletes of the National alpine skiing team (ALP; n = 33, 19 men and 14 women) and the National cross-country skiing team (CRO; n = 34, 17 men and 17 women) plus a mixed group of power sport athletes (POW: n = 33, all men) from the National teams of boxers, weightlifters and track and field athletes, were collected through a semi-structured interview during their annual medical examination. Twenty percent of all the athletes reported unsatisfactory nutritional habits (CRO 6%, ALP 27% and POW 27%; CRO vs. ALP/POW P < 0.05). Eight-four percent used one or more micronutrient supplement (ALP 70%, POW 88%, CRO 95%; ALP vs. CRO/POW P < 0.01). Power sport athletes had the most frequent use of supplemental creatine (45%), proteins/amino acids (30%), vitamins (88%) and minerals (82%), and CRO had the most frequent intake of iron (94%), vitamin C (88%) and fish oils (91%). Among ALP, only 7% of the female athletes supplemented iron regularly compared to 37% of male ALP (P < 0.05) Overall, male athletes supplemented mostly on a regular basis and female athletes more on an occasional basis. The results show that in spite of differences between sport groups, many elite athletes report unsatisfactory nutritional habits. Micronutrient supplementation was prevalent, but varied between both groups of sports and gender.

Adolescent↗

An epidemiological study of child health and nutrition in a northern Swedish county. VII. A comparative study of general and dental health, food habits and socio-economic conditions in 4-year-old children.

A study of the general and dental health and the food habits of randomly selected 4-year-old Swedish urban children was performed. The results were compared with the findings of an investigation carried out four years earlier in the same area. In comparison with the earlier study no significant differences were found in haemoglobin values, packed red cell volume, microsedimentation rate and anthropometric measurements. The food habits had altered. A reduction in the frequency of between-meal consumption, particularly of sweets and soft drinks, as well as a reduction of the frequency of meat, fish and egg consumption was found. The children had an increased sandwich and milk consumption. The caries frequency was markedly reduced, which might be explained by the decreased between-meal consumption and an increased consumption of fluoride tablets. The food habits and the caries situation were generally influenced by the parents' socio-economic conditions, especially their educational level.

Anthropometry↗

Greek immigrant children in southern Sweden in comparison with Greek and Swedish children. II. Meal pattern and food habits.

Greek immigrant children (GI) belonging to the second generation of immigrants in Sweden have been compared with Swedish children (S) and Greek children in Greece (G) regarding meal pattern and food habits. Interviews were performed in the homes. Meal pattern and frequency of consumption of various food items were studied by 24-hour recalls, and the food frequency interview method. The meal pattern and the distribution of meals and snacks during the day did not show large differences between the groups. In the GI and G groups it was common to start the day with milk and sugar. The same habit was reported before going to bed. It was common in the GI and G groups to have a prepared meal (dinner) relatively late in the evening. Of the S children only 55% had dinner. GI children had a less frequent intake of vegetables compared to S and G children. GI and G children were heavy consumers of sweets and snacks. In conclusion, the Greek immigrant group had food habits similar to those of Greek rural children with few distinctive exceptions. Greek immigrant families had no difficulties in preparing Greek food.

Child↗

The relationship between breakfast habits and plasma cholesterol levels in schoolchildren.

The relationship between breakfast habits and plasma total cholesterol (TC) levels was examined in a sample of 530 US schoolchildren ages 9-19. Based on response to a 124-item food checklist, subjects' usual breakfast habits were classified into one of six discrete categories: 1) Skipper, 2) Ready-to-Eat (RTE) cereal with Fiber, 3) Traditional Breakfast, 4) Chips or Sweets, 5) Other RTE, or 6) Mixed Breakfasts. Breakfast skippers, controlling for age, gender, and body mass index, had significantly (p less than 0.05) higher TC levels, 172 mg/dl, than breakfast consumers, 160 mg/dl. Among breakfast eaters, the mean TC of the "Fiber RTE" group was significantly lower (p less than 0.01) than all other breakfast consumers. Usual skippers were less likely to believe in the importance and benefits of breakfast as well as the need to eat foods high in fiber. These findings suggest that encouraging chronic breakfast skippers to modify their dietary habits may improve their nutritional status and possibly reduce their risk for future heart disease.

Adolescent↗

Perceptions of school toilets as a cause for irregular toilet habits among schoolchildren aged 6 to 16 years.

Irregular bladder and bowel habits can contribute to urinary and bowel problems. Schoolchildren undergoing treatment for these problems often do not follow the recommendation of regular toilet visits at school, claiming negative perceptions of school toilets. This study examined 6- to 16-year-old schoolchildren's perceptions of school toilets and whether the perceptions affect bladder and bowel habits at school Some 385 Swedish schoolchildren aged 6 to 16 years were surveyed using a semistructured questionnaire. Children aged 13 to 16 years had the most negative perceptions. Twenty-five percent (overall 16%) of older children reported never using the school toilet to urinate, and 80% (overall 63%) never used it to defecate. Perceptions of sight and smell and emotional constraints hindered children from using the school toilets. Children generally based their perceptions of school toilets on physical appearance, offensive smell, and feelings of insecurity. Children's perceptions affected their toilet habits and would rather endure physical discomfort than the psychological and social discomfort of using the school toilet. Children already suffering from urinary tract or intestinal problems face particular difficulties without regular toilet visits during the day.

Adolescent↗

Eating habits and attitudes of mothers of children with non-organic failure to thrive.

The eating habits and attitudes concerning body shape and weight among 26 mothers of children with non-organic failure to thrive (the index group) were studied using the eating disorder examination. They were compared with equivalent data on 26 individually matched women who participated in a large community survey. The index mothers' views of their child's weight and shape were also studied. The principal findings were, firstly, that when compared with the comparison group, mothers of children with non-organic failure to thrive had higher levels of dietary restraint. Secondly, despite their child's low weight, 50% of the index mothers were restricting their child's intake of 'sweet' foods, and a further 30% were restricting foods they considered 'fattening' or 'unhealthy'. These results raise the question of whether maternal eating habits and attitudes have a causal role in the genesis of non-organic failure to thrive. They suggest that careful inquiry about the mothers' eating habits and attitudes is needed when assessing children with non-organic failure to thrive.

Adult↗

Smoking habits of men and women.

The smoking habits of 1501 cigarette smokers attending 28 general practitioners in five group practices in London were assessed. Prevalence of smoking, daily cigarette consumption, and the use of cigars, untipped cigarettes, and hand-rolled cigarettes were lower in the women. After controlling for consumption the proportions of men and women who smoked every day were similar. Women who smoked 20 or more a day were similar to men in their self-reported inhaling habits and use of low-nicotine cigarettes. The results suggest that women differ from men in those aspects of smoking that are determined predominantly by social factors but that their smoking habits become similar when pharmacological motivation takes over. This apparently occurs when consumption reaches about 20 cigarettes a day, when smoking almost inevitably becomes a regular event and the sex differences disappear.

Adolescent↗

Modifying risk of developing lung cancer by changing habits of cigarette smoking.

Data from a hospital based case-control study of lung cancer in Western Europe were used to examine changes in the risk of developing lung cancer after changes in habits of cigarette smoking. Only data for subjects who had smoked regularly at some time in their lives were included. The large size of the study population (7181 patients and 11 006 controls) permitted precise estimates of the effect of giving up smoking. Risks of developing lung cancer for people who had given up smoking 10 or more years before interview were less than half of those for people who continued to smoke. The reduction in risk was seen in men and women and in former smokers of both filter and non-filter cigarettes but varied by duration of smoking habit before giving up. The protective effect of giving up became progressively greater with shorter duration of smoking habit. The risks after not smoking for 10 years for both men and women who had previously smoked for less than 20 years were roughly the same as those for lifelong non-smokers. Reducing the number of cigarettes smoked a day or switching from non-filter to filter cigarettes also lowered the risk of developing lung cancer but not to the extent associated with giving up smoking.

Europe↗