TY - JOUR
T1 - Prevalence and Associated Factors of Bloating
T2 - Results From the Rome Foundation Global Epidemiology Study
AU - Ballou, Sarah
AU - Singh, Prashant
AU - Nee, Judy
AU - Rangan, Vikram
AU - Iturrino, Johanna
AU - Geeganage, Grace
AU - Löwe, Bernd
AU - Bangdiwala, Shrikant I.
AU - Palsson, Olafur S.
AU - Sperber, Ami D.
AU - Lembo, Anthony
AU - Lehmann, Marco
N1 - Funding Information:
Funding Prashant Singh was supported by National Institutes of Health grant K23DK129327. Grace Geeganage was supported by a grant from the Amherst College Loeb Center through the Charles Hamilton Houston program. The Rome Foundation Global Epidemiology Study was conducted under the auspices of the Rome Foundation Research Institute.
Funding Information:
Funding Prashant Singh was supported by National Institutes of Health grant K23DK129327 . Grace Geeganage was supported by a grant from the Amherst College Loeb Center through the Charles Hamilton Houston program. The Rome Foundation Global Epidemiology Study was conducted under the auspices of the Rome Foundation Research Institute.
Publisher Copyright:
© 2023 AGA Institute
PY - 2023/9/1
Y1 - 2023/9/1
N2 - Background & Aims: Bloating is a common symptom in the general population and among disorders of gut–brain interaction, although its prevalence has not been well characterized. The aim of this study was to report the prevalence of bloating as a symptom in the worldwide population and to identify factors associated with this symptom in the general population. Methods: Rome Foundation Global Epidemiology Study internet survey data were analyzed. After excluding respondents with potential organic causes of bowel symptoms, the current analysis included 51,425 individuals in 26 countries. Data included diet, medical history, quality of life, and Rome IV diagnostic questions. Presence of bloating was defined as experiencing bloating at least once per week for the last 3 months. Descriptive statistics estimated prevalence by country, region, and disorder of gut–brain interaction diagnosis. Logistic regression evaluated predictors of bloating. Results: Nearly 18% of the global study population reported bloating (ranging from 11% in East Asia to 20% in Latin America). Prevalence decreased with age and women were approximately twice as likely as men to report bloating. More than one-half of respondents who reported weekly epigastric pain (71.39%), nausea (59.7%), or abdominal pain (61.69%) also reported bloating at least once per week. In logistic regression, the strongest associations were with abdominal pain (odds ratio, 2.90) and epigastric pain (odds ratio, 2.07). Conclusions: Bloating is common throughout the world. Nearly 18% of the general population experience bloating at least once per week. Reported bloating prevalence is lower in older age groups, most common in women, and strongly associated with abdominal pain.
AB - Background & Aims: Bloating is a common symptom in the general population and among disorders of gut–brain interaction, although its prevalence has not been well characterized. The aim of this study was to report the prevalence of bloating as a symptom in the worldwide population and to identify factors associated with this symptom in the general population. Methods: Rome Foundation Global Epidemiology Study internet survey data were analyzed. After excluding respondents with potential organic causes of bowel symptoms, the current analysis included 51,425 individuals in 26 countries. Data included diet, medical history, quality of life, and Rome IV diagnostic questions. Presence of bloating was defined as experiencing bloating at least once per week for the last 3 months. Descriptive statistics estimated prevalence by country, region, and disorder of gut–brain interaction diagnosis. Logistic regression evaluated predictors of bloating. Results: Nearly 18% of the global study population reported bloating (ranging from 11% in East Asia to 20% in Latin America). Prevalence decreased with age and women were approximately twice as likely as men to report bloating. More than one-half of respondents who reported weekly epigastric pain (71.39%), nausea (59.7%), or abdominal pain (61.69%) also reported bloating at least once per week. In logistic regression, the strongest associations were with abdominal pain (odds ratio, 2.90) and epigastric pain (odds ratio, 2.07). Conclusions: Bloating is common throughout the world. Nearly 18% of the general population experience bloating at least once per week. Reported bloating prevalence is lower in older age groups, most common in women, and strongly associated with abdominal pain.
KW - Distention
KW - Epidemiology
KW - Functional Bowel Disorders
KW - Irritable Bowel Syndrome
UR - http://www.scopus.com/inward/record.url?scp=85165665608&partnerID=8YFLogxK
U2 - 10.1053/j.gastro.2023.05.049
DO - 10.1053/j.gastro.2023.05.049
M3 - Article
C2 - 37315866
AN - SCOPUS:85165665608
SN - 0016-5085
VL - 165
SP - 647-655.e4
JO - Gastroenterology
JF - Gastroenterology
IS - 3
ER -