Impact of the coronavirus disease 2019 pandemic on irritable bowel syndrome

Quek, Sabrina Xin Zi, Loo, Evelyn Xiu Ling, Demutska, Alla, Chua, Chun En, Kew, Guan Sen, Wong, Scott, Lau, Hui Xing, Low, En Xian Sarah, Loh, Tze Liang, Lung, Ooi Shien, Hung, Emily C W, Rahman, M. Masudur, Ghoshal, Uday C, Wong, Sunny H, Cheung, Cynthia K Y, Syam, Ari F, Tan, Niandi, Xiao, Yinglian, Liu, Jin‐Song, Lu, Fang, Chen, Chien‐Lin, Lee, Yeong Yeh, Maralit, Ruter M, Kim, Yong‐Sung, Oshima, Tadayuki, Miwa, Hiroto, Pang, Junxiong, and Siah, Kewin Tien Ho (2021) Impact of the coronavirus disease 2019 pandemic on irritable bowel syndrome. Journal of Gastroenterology and Hepatology, 36 (8). pp. 2187-2197.

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Background and aim: Gastrointestinal manifestations of the coronavirus disease 2019 (COVID-19) pandemic may mimic irritable bowel syndrome (IBS), and social distancing measures may affect IBS patients negatively. We aimed to study the impact of COVID-19 on respondents with self-reported IBS.

Methods: We conducted an anonymized survey from May to June 2020 in 33 countries. Knowledge, attitudes, and practices on personal hygiene and social distancing as well as psychological impact of COVID-19 were assessed. Statistical analysis was performed to determine differences in well-being and compliance to social distancing measures between respondents with and without self-reported IBS. Factors associated with improvement or worsening of IBS symptoms were evaluated.

Results: Out of 2704 respondents, 2024 (74.9%) did not have IBS, 305 (11.3%) had self-reported IBS, and 374 (13.8%) did not know what IBS was. Self-reported IBS respondents reported significantly worse emotional, social, and psychological well-being compared with non-IBS respondents and were less compliant to social distancing measures (28.2% vs 35.3%, P = 0.029); 61.6% reported no change, 26.6% reported improvement, and 11.8% reported worsening IBS symptoms. Higher proportion of respondents with no change in IBS symptoms were willing to practice social distancing indefinitely versus those who deteriorated (74.9% vs 51.4%, P = 0.016). In multivariate analysis, willingness to continue social distancing for another 2-3 weeks (vs longer period) was significantly associated with higher odds of worsening IBS.

Conclusion: Our study showed that self-reported IBS respondents had worse well-being and compliance to social distancing measures than non-IBS respondents. Future research will focus on occupational stress and dietary changes during COVID-19 that may influence IBS.

Item ID: 68617
Item Type: Article (Research - C1)
ISSN: 1440-1746
Copyright Information: © 2021 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. This article is currently freely available via the publisher's website.
Date Deposited: 28 Jul 2021 04:25
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420605 Preventative health care @ 30%
52 PSYCHOLOGY > 5299 Other psychology > 529999 Other psychology not elsewhere classified @ 20%
42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion @ 50%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200104 Prevention of human diseases and conditions @ 100%
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