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Risk Factors for Hemorrhoids on Screening Colonoscopy

Peery, Anne F ; Sandler, Robert S ; Galanko, Joseph A ; Bresalier, Robert S ; Figueiredo, Jane C ; Ahnen, Dennis J ; Barry, Elizabeth L ; Baron, John A Green, John

PloS one, 2015-09, Vol.10 (9), p.e0139100-e0139100 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Risk Factors for Hemorrhoids on Screening Colonoscopy
Autor: Peery, Anne F ; Sandler, Robert S ; Galanko, Joseph A ; Bresalier, Robert S ; Figueiredo, Jane C ; Ahnen, Dennis J ; Barry, Elizabeth L ; Baron, John A
Green, John
Assuntos: Adenoma ; Adenoma - diagnosis ; Aged ; Body weight ; Cancer ; Care and treatment ; Colon ; Colonoscopy ; Colorectal cancer ; Colorectal Neoplasms - diagnosis ; Complications and side effects ; Confidence intervals ; Constipation ; Constipation - epidemiology ; Diagnosis ; Diet ; Diet - adverse effects ; Disease ; Exercise ; Fecal incontinence ; Female ; Gastroenterology ; Grain ; Gynecology ; Hemorrhoids ; Hemorrhoids - diagnosis ; Hemorrhoids - epidemiology ; Humans ; Intestine ; Male ; Medical screening ; Medicine ; Middle Aged ; Nutrient deficiency ; Obstetrics ; Overweight ; Patient outcomes ; Physical activity ; Pregnancy ; Questionnaires ; Risk analysis ; Risk factors ; Risk reduction ; Risk taking ; Sedentary Behavior ; Statistical analysis ; Studies ; Systematic review ; Tumors ; Varicose veins
É parte de: PloS one, 2015-09, Vol.10 (9), p.e0139100-e0139100
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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Competing Interests: The authors have declared that no competing interests exist.
Conceived and designed the experiments: AFP RSS JAG RSB JCF DJA ELB JAB. Analyzed the data: AFP RSS JAG RSB JCF DJA ELB JAB. Wrote the paper: AFP RSS JAG RSB JCF DJA ELB JAB.
Descrição: Constipation, a low fiber diet, sedentary lifestyle and gravidity are commonly assumed to increase the risk of hemorrhoids. However, evidence regarding these factors is limited. We examined the association between commonly cited risk factors and the prevalence of hemorrhoids. We performed a cross sectional study of participants who underwent a colonoscopy in a colorectal adenoma prevention trial and who had a detailed assessment of bowel habits, diet and activity. The presence of hemorrhoids was extracted from the subjects' colonoscopy reports. We used logistic regression to estimate odds ratios and 95% confidence intervals while adjusting for age and sex. The study included 2,813 participants. Of these, 1,074 had hemorrhoids recorded. Constipation was associated with an increased prevalence of hemorrhoids (OR 1.43, 95% CI 1.11, 1.86). Of the fiber subtypes, high grain fiber intake was associated with a reduced risk (OR for quartile 4 versus quartile 1 = 0.78, 95% CI 0.62, 0.98). We found no association when comparing gravid and nulligravida women (OR 0.93, 95% CI 0.62-1.40). Sedentary behavior was associated with a reduced risk (OR 0.80, 95% CI 0.65-0.98), but not physical activity (OR 0.83, 95% CI 0.66-1.03). Neither being overweight nor obese was associated with the presence of hemorrhoids (OR 0.89, 95% CI 0.72-1.09 and OR 0.86, 95% CI 0.70-1.06). Constipation is associated with an increased risk of hemorrhoids. Gravidity and physical activity do not appear to be associated. High grain fiber intake and sedentary behavior are associated with a decreased risk of hemorrhoids.
Editor: United States: Public Library of Science
Idioma: Inglês

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Risk Factors for Hemorrhoids on Screening Colonoscopy

Peery, Anne F ; Sandler, Robert S ; Galanko, Joseph A ; Bresalier, Robert S ; Figueiredo, Jane C ; Ahnen, Dennis J ; Barry, Elizabeth L ; Baron, John A Green, John

United States: Public Library of Science

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