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Environmental factors in a population-based inception cohort of inflammatory bowel disease patients in Europe--an ECCO-EpiCom study
J. Burisch, N. Pedersen, S. Cukovic-Cavka, N. Turk, I. Kaimakliotis, D. Duricova, M. Bortlik, O. Shonová, I. Vind, S. Avnstrøm, N. Thorsgaard, S. Krabbe, V. Andersen, JF. Dahlerup, J. Kjeldsen, R. Salupere, J. Olsen, KR. Nielsen, P. Manninen, P....
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články, práce podpořená grantem
- MeSH
- apendektomie statistika a číselné údaje MeSH
- Crohnova nemoc epidemiologie patologie terapie MeSH
- dospělí MeSH
- hospitalizace statistika a číselné údaje MeSH
- konzumní sacharóza MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- pertuse epidemiologie MeSH
- potravní vláknina statistika a číselné údaje MeSH
- příušnice epidemiologie MeSH
- prospektivní studie MeSH
- průmyslově zpracované potraviny statistika a číselné údaje MeSH
- průzkumy a dotazníky MeSH
- rizikové faktory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- spalničky epidemiologie MeSH
- stupeň závažnosti nemoci MeSH
- ulcerózní kolitida epidemiologie patologie terapie MeSH
- vakcinace statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND AND AIMS: The incidence of inflammatory bowel disease (IBD) is increasing in Eastern Europe possibly due to changes in environmental factors towards a more "westernised" standard of living. The aim of this study was to investigate differences in exposure to environmental factors prior to diagnosis in Eastern and Western European IBD patients. METHODS: The EpiCom cohort is a population-based, prospective inception cohort of 1560 unselected IBD patients from 31 European countries covering a background population of 10.1 million. At the time of diagnosis patients were asked to complete an 87-item questionnaire concerning environmental factors. RESULTS: A total of 1182 patients (76%) answered the questionnaire, 444 (38%) had Crohn's disease (CD), 627 (53%) ulcerative colitis (UC), and 111 (9%) IBD unclassified. No geographic differences regarding smoking status, caffeine intake, use of oral contraceptives, or number of first-degree relatives with IBD were found. Sugar intake was higher in CD and UC patients from Eastern Europe than in Western Europe while fibre intake was lower (p<0.01). Daily consumption of fast food as well as appendectomy before the age of 20 was more frequent in Eastern European than in Western European UC patients (p<0.01). Eastern European CD and UC patients had received more vaccinations and experienced fewer childhood infections than Western European patients (p<0.01). CONCLUSIONS: In this European population-based inception cohort of unselected IBD patients, Eastern and Western European patients differed in environmental factors prior to diagnosis. Eastern European patients exhibited higher occurrences of suspected risk factors for IBD included in the Western lifestyle.
1st Department of Medicine Semmelweis University Budapest Hungary
Clinic of Gastroenterology University of Medicine 'Victor Babes' Timisoara Romania
Department of Gastroenterology Adelaide and Meath Hospital TCD Dublin Ireland
Department of Gastroenterology Hospital de São João Porto Portugal
Department of Gastroenterology Moscow Regional Research Clinical Institute Moscow Russian Federation
Department of Gastroenterology UHL County Council of Östergötland Linköping Sweden
Department of Medical Gastroenterology Gentofte Hospital Copenhagen Denmark
Department of Medical Gastroenterology Odense University Hospital Odense Denmark
Department of Medicine 5 Aarhus University Hospital Arhus Denmark
Department of Medicine Amager Hospital Amager Denmark
Department of Medicine Division of Gastroenterology Örebro University Hospital Örebro Sweden
Department of Medicine Herning Central Hospital Herning Denmark
Digestive Disease Centre Medical Section Herlev University Hospital Copenhagen Denmark
Division of Endocrinology and Gastroenterology Tartu University Hospital Tartu Estonia
Division of Gastroenterology and Hepatology Karolinska Institutet Stockholm Sweden
Gastroenterology Department Complexo Hospitalario Universitario de Vigo Vigo Spain
Gastroenterology Department Hospital České Budějovice České Budějovice Czech Republic
Gastroenterology Unit Careggi Hospital Florence Italy
Hospital de Vale de Sousa Porto Portugal
Hull and East Yorkshire NHS Trust Hull and York Medical School Hull Royal Infirmary Hull UK
IBD Center ISCARE Charles University Prague Czech Republic
Institute for Digestive Research Lithuanian University of Health Sciences Kaunas Lithuania
Institute for Molecular and Cell Biology University of Porto Porto Portugal
Institute of Pharmacology and Therapeutics Oporto Medical School Porto Portugal
Institute of Regional Health Research University of Southern Denmark Odense Denmark
Medical Department Dronning Ingrids Hospital Nuuk Greenland
Medical Department The National Hospital of the Faroe Islands Torshavn Faroe Islands
Medical Department Viborg Regional Hospital Viborg Denmark
Nicosia Private Practice Nicosia Cyprus
Organ Centre Hospital of Southern Jutland Aabenraa Denmark
School of Health and Medical Sciences Örebro University Örebro Sweden
St Mark's Hospital Imperial College London London UK
U O Gastroenterologia Azienda Ospedaliera Università di Padova Padova Italy
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- $a 10.1016/j.crohns.2013.11.021 $2 doi
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- $a Burisch, J $u Digestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark. Electronic address: burisch@dadlnet.dk.
- 245 10
- $a Environmental factors in a population-based inception cohort of inflammatory bowel disease patients in Europe--an ECCO-EpiCom study / $c J. Burisch, N. Pedersen, S. Cukovic-Cavka, N. Turk, I. Kaimakliotis, D. Duricova, M. Bortlik, O. Shonová, I. Vind, S. Avnstrøm, N. Thorsgaard, S. Krabbe, V. Andersen, JF. Dahlerup, J. Kjeldsen, R. Salupere, J. Olsen, KR. Nielsen, P. Manninen, P. Collin, KH. Katsanos, EV. Tsianos, K. Ladefoged, L. Lakatos, G. Ragnarsson, E. Björnsson, Y. Bailey, C. O'Morain, D. Schwartz, S. Odes, M. Giannotta, G. Girardin, G. Kiudelis, L. Kupcinskas, S. Turcan, L. Barros, F. Magro, D. Lazar, A. Goldis, I. Nikulina, E. Belousova, D. Martinez-Ares, V. Hernandez, S. Almer, Y. Zhulina, J. Halfvarson, N. Arebi, HH. Tsai, S. Sebastian, PL. Lakatos, E. Langholz, P. Munkholm, . ,
- 520 9_
- $a BACKGROUND AND AIMS: The incidence of inflammatory bowel disease (IBD) is increasing in Eastern Europe possibly due to changes in environmental factors towards a more "westernised" standard of living. The aim of this study was to investigate differences in exposure to environmental factors prior to diagnosis in Eastern and Western European IBD patients. METHODS: The EpiCom cohort is a population-based, prospective inception cohort of 1560 unselected IBD patients from 31 European countries covering a background population of 10.1 million. At the time of diagnosis patients were asked to complete an 87-item questionnaire concerning environmental factors. RESULTS: A total of 1182 patients (76%) answered the questionnaire, 444 (38%) had Crohn's disease (CD), 627 (53%) ulcerative colitis (UC), and 111 (9%) IBD unclassified. No geographic differences regarding smoking status, caffeine intake, use of oral contraceptives, or number of first-degree relatives with IBD were found. Sugar intake was higher in CD and UC patients from Eastern Europe than in Western Europe while fibre intake was lower (p<0.01). Daily consumption of fast food as well as appendectomy before the age of 20 was more frequent in Eastern European than in Western European UC patients (p<0.01). Eastern European CD and UC patients had received more vaccinations and experienced fewer childhood infections than Western European patients (p<0.01). CONCLUSIONS: In this European population-based inception cohort of unselected IBD patients, Eastern and Western European patients differed in environmental factors prior to diagnosis. Eastern European patients exhibited higher occurrences of suspected risk factors for IBD included in the Western lifestyle.
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