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World J Gastroenterol. May 7, 2006; 12(17): 2661-2666
Published online May 7, 2006. doi: 10.3748/wjg.v12.i17.2661
Epidemiology of functional dyspepsia: A global perspective
Sanjiv Mahadeva, Khean-Lee Goh
Sanjiv Mahadeva, Khean-Lee Goh, Division of Gastro-enterology, Department of Medicine, University Malaya, Kuala Lumpur, Malaysia
Correspondence to: Professor Goh Khean Lee, Division of Gastroenterology, Department of Medicine, Faculty of Medicine, University, Malaya Kuala Lumpur 50603, Malaysia. gohkl@um.edu.my
Telephone: +60-3-79502299 Fax: +60-3-7956-6763
Received: March 3, 2006
Revised: March 12, 2006
Accepted: March 27, 2006
Published online: May 7, 2006
Abstract

Dyspepsia refers to group of upper gastrointestinal symptoms that occur commonly in adults. Dyspepsia is known to result from organic causes, but the majority of patients suffer from non-ulcer or functional dyspepsia. Epidemiological data from population-based studies of various geographical locations have been reviewed, as they provide more realistic information. Population-based studies on true functional dyspepsia (FD) are few, due to the logistic difficulties of excluding structural disease in large numbers of people. Globally, the prevalence of uninvestigated dyspepsia (UD) varies between 7% - 45%, depending on definition used and geographical location, whilst the prevalence of FD has been noted to vary between 11% - 29.2%. Risk factors for FD have been shown to include females and underlying psychological disturbances, whilst environmental/ lifestyle habits such as poor socio-economic status, smoking, increased caffeine intake and ingestion of non-steroidal anti-inflammatory drugs appear to be more relevant to UD. It is clear that dyspepsia and FD in particular are common conditions globally, affecting most populations, regardless of location.

Keywords: Dyspepsia; Uninvestigated dyspepsia; Functional dyspepsia; Prevalence; Epidemiology; Geographical variation