Prevalence, symptoms and lifestyle aspect of peptic ulcer disease among students of a Nigerian University
Click to view file (PDF)

Keywords

Peptic ulcer
lifestyle
diet
students

How to Cite

Anaemene, D., & Ochogu, E. (2022). Prevalence, symptoms and lifestyle aspect of peptic ulcer disease among students of a Nigerian University. African Journal of Biomedical Research, 25(2), 129–133. https://doi.org/10.4314/ajbr.v25i2.3

Abstract

Peptic ulcer disease (PUD) may result to frequent illness, absenteeism in classes and consequent poor academic performance but its distribution and management among university students has been poorly studied. This study assessed the prevalence and symptoms of PUD as well as lifestyle and nutritional status of students with PUD. A total of 297 students (48% females and 52% males) were selected using multistage random sampling method. Information on knowledge, lifestyle and dietary habit was obtained via structured questionnaire. The study revealed 7.9% confirmed PUD cases. Students complained of symptoms suggestive of PUD such as bloating (23.7%), nausea (33.8%), burping (32.4%), bloody stool (15.8%) and heart burn (46.4%). About 68.2% of students with PUD had good knowledge of PUD while 44.1% practice healthy lifestyle. About 36.4%, 59.1% and 4.5% of the confirmed cases were underweight, normal and overweight, respectively. There was no significant relationship between knowledge of healthy lifestyle in PUD and nutritional status. Factors that affected the use of good practice in PUD included early morning lectures (81.8%), food vendors opening late (54.5%) and poor meal variety (50%). In conclusion, low prevalence rate of PUD but high occurrence of symptoms related to PUD was found among the students. An appreciable number of students with PUD were underweight and knowledge of healthy lifestyle did not influence nutritional status. Early morning lectures was the greatest challenge faced by undergraduate students living with PUD. Measures should be taken to detect students with PUD and tackle nutritional challenges faced by these students.

https://doi.org/10.4314/ajbr.v25i2.3
Click to view file (PDF)

References

Archampong, T. N. A., Asmah, R.H., Wiredu, E.K., Ghansi, R.K. and Nkrumah K.N. (2016): Factors associated with gastro-duodenal disease in patients undergoing upper GI endoscopy at the Korle-Bu Teaching Hospital, Accra, Ghana. African Health Science, 16 (2), 611–619.

Arisa, N., Anaemene, D. and Mekwunye, W. (2020): Assessment of overweight, obesity and the dietary habits of undergraduate students of Lagos State University. European Journal of Nutrition & Food Safety ,12 (5), 25–34.

Bayana, E., Olani, A., Biratu, Y., Negash, A., Gelan, M., Eba, A., Nigatu, D. and Amsalu, B. (2021): Peptic ulcer disease: a cross-sectional study of symptoms and risk factors among students at Jimma University, Ethiopia. Gastrointestinal Nursing, 19 (2), 36–40.

Brook, R.A., Kleinman, N.L., Choung, R.S., Melkonian, A.K., Smeeding, J.E, Talley, N.J., et al. (2010): Functional dyspepsia impacts absenteeism and direct and indirect costs. Clin Gastroenterol Hepatol, 8, 498-503.

Debruyne, L.K., Pinna, K. and Whitney, E. (2016): Nutrition and Diet Therapy. 9th Edition.pp 480. Cengage Learning, Boston, USA.

Dunlap, J. J. and Patterson, S. (2019): Peptic ulcer disease. Gastroenterol Nurs. 42 (5), 451–454.

Eniojukan, J. F., Okonkwo, O. C. and Adje, U. D. (2017): Risk Factors, management and other correlates of peptic ulcer disease in a university community in south-south Nigeria. UK Journal of Pharmaceutical and Biosciences Journal, 5 (6), 07–15.

Heidelbaugh, J.J. (2013): Proton pump inhibitors and risk of vitamin and mineral deficiency: evidence and clinical implications. Ther Adv Drug S, 4, 125-133.

Hussen, B. M., Qader, S.S, Ahmed, H.F. and Ahmed, S.H. (2013): The prevalence of Helicobacter pylori among university students in Iraq. Indian Journal of Science and Technology, 6 (8), 5019–5023.

Kainat, S.,Bahisht, R., Sana, N., Arooj, F., Minaj, S., Momima, S. and Hafiza, M.R. (2020): Determinants of peptic ulcer disease: A systematic review. EAS Journal of Nutrition and Food Sciences, 2 (5), 257–264.

Koroush, S. and Hamed, T. (2016): Systematic review and meta-analysis: prevalence of peptic ulcer in Iran.’, Govaresh, 20(4), p. 258.

Lanas, A. and Chan, F. K. L. (2017): Peptic ulcer disease. Lancet, 390 (10094), 613–624.

Lau, J.Y., Sung, J.J., Metz, D.C. and Howden, C.W. (2008): Systematic review of the epidemiology of complicated peptic ulcer: incidence, recurrence, risk factors and mortality. Gastroenterology, 134(Supp 1), A32.

Lim, S.L., Canavarro, C., Zaw, M.H., Zhu, F., Loke, W-C., Chan, Y-H. and Yeoh, K-G. (2013): Irregular meal timing is associated with Helicobacter pylori infection and gastritis. ISRN Nutrition, Article ID 714970.

Narayanan, M., Reddy K.M. and Marsican, J.E. (2018): Peptic ulcer disease and Helicobacter pylori infection. Missouri Medicare.

Nix, S. (2017): Williams' Basic Nutrition and Diet Therapy. 15th Edition. pp 311. Elsevier, Missouri.

Ogunmodede, J.A., Bojuwoye, M.O., Olokoba, A.B., Bolariwa, O.A. and Kolo, P.M. (2016): Self-reported symptoms of univestigated dyspepsia among university staff in Ilorin, Nigeria. Res J of Health Sci., 4 (4), 296-303

Onoh, C. C., Aguocha, J.A., Osuagwu, I.K., Amadi, C.O., Akalonu, G.I and Nwabueze, R.N. (2017): Magnitude and pattern of disease presentation among students in Federal University of Technology Owerri Nigeria. IOSR Journal of Dental and Medical Sciences, 16, (3), 116-121.

Pyo, J. H., Lee, H., Kim, J.E., Choi, Y.H., Kim, T.J, Min, Y.W., et al (2019): Obesity and risk of peptic ulcer disease: A large-scale health check-up cohort study. Nutrients, 11 (6), 1288.

Ray-Offor, E. and Opusunju, K.A (2020): Current status of peptic ulcer disease in Port Harcourt metropolis, Nigeria. African Health Science, 20 (3), 1446–1451.

Shah, A., Tayyaba, U. and Rabia, A. (2019): Global incidence and prevalence of peptic ulcer disease: A systematic review study. Indo. Am. J. P. Sci., 6 (6), 11267-11273.

Zaman, W.S.W.K., Loh, S.P. and Esa, N.M. (2019): Coffee and gastrointestinal health: A review. Malaysian J. of Medicare and Health Sci., 15 (SP1), 96-103.

Ushanthika, T. and Mohanraj, K. G. (2019): Knowledge and awareness of the risk factor of peptic ulcer among college students. Drug Invention Today, 12 (10).

Vomera, N., D. and Colpo, E. (2014): Nutritional care in peptic ulcer. ABCD Arq Bras Cir Dig, 27 (4), 298–302.

World Health Organisation. (2000): Obesity: Preventing and managing global epidemic. WHO Technical Report Series, 894.

Zibima, S. B. Oniso, J.I., Wasini, K.B. and Ogu, J.C. (2020): Prevalence trends and associated modifiable risk factors of peptic ulcer disease among students in a university community South-South Nigeria. Int J Health Sci Res. 10 (6), 97-105.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2022 African Journal of Biomedical Research