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©The Author(s) 2022.
World J Gastroenterol. Mar 28, 2022; 28(12): 1272-1283
Published online Mar 28, 2022. doi: 10.3748/wjg.v28.i12.1272
Published online Mar 28, 2022. doi: 10.3748/wjg.v28.i12.1272
Subjects, n (%) | Coeliac disease | Frequency | 95%CI | P value | ||
Ethnicity | ||||||
Han | 1097 | 38.0 | 6 | 0.55 | 0.1-1.0 | < 0.001 |
Uygur | 1048 | 36.3 | 23 | 2.19 | 1.3-3.1 | |
Kazakh | 387 | 13.5 | 17 | 4.39 | 2.3-6.4 | |
Hui | 283 | 9.8 | 2 | 0.71 | 0.0-1.7 | |
Others | 69 | 2.4 | 2 | 2.90 | 0.0-7.0 | |
Gender | ||||||
Male | 1531 | 53.1 | 22 | 1.44 | 0.8-2.0 | 0.202 |
Female | 1353 | 46.9 | 28 | 2.07 | 1.3-2.8 | |
Age | ||||||
0-19 | 283 | 9.8 | 3 | 1.06 | 0.0-2.3 | 0.135 |
20-39 | 727 | 25.2 | 16 | 2.20 | 1.1-3.3 | |
40-59 | 989 | 34.3 | 22 | 2.22 | 1.3-3.1 | |
≥ 60 | 885 | 30.7 | 9 | 1.02 | 0.4-1.7 | |
BMI | ||||||
≤ 18.49 | 159 | 5.5 | 14 | 8.81 | 4.4-13.3 | < 0.001 |
18.5-23.99 | 1237 | 42.9 | 23 | 1.86 | 1.1-2.6 | |
24-27.99 | 1064 | 36.9 | 7 | 0.66 | 0.2-1.1 | |
≥ 28 | 424 | 14.7 | 6 | 1.42 | 0.3-2.5 | |
Total | 2884 | 100.0 | 50 | 1.73 | 1.3-2.2 |
Symptoms1 | Subjects without coeliac disease (n = 2834), n (%) | Coeliac disease | P value | Total (n = 2884), n (%) | Frequency of coeliac disease among patients with symptoms (95%CI) | P value | |||
Chronic diarrhea | 258 | 9.1 | 21 | 42.0 | < 0.001 | 279 | 9.7 | 7.53 (4.4-10.6) | < 0.001 |
Abdominal pain | 1437 | 50.7 | 27 | 54.0 | 0.644 | 1464 | 50.8 | 1.84 (1.2-2.5) | |
Abdominal distension | 1400 | 49.4 | 29 | 58.0 | 0.228 | 1429 | 49.5 | 2.03 (1.3-2.8) | |
Constipation | 397 | 14.0 | 5 | 10.0 | 0.417 | 402 | 13.9 | 1.24 (0.2-2.3) | |
Anorexia | 640 | 22.6 | 20 | 40.0 | 0.004 | 660 | 22.9 | 3.03 (1.7-4.3) | |
Vomit or/and nausea | 802 | 28.3 | 18 | 36.0 | 0.231 | 820 | 28.4 | 2.20 (1.2-3.2) | |
Heartburn or/and acid reflux | 740 | 26.1 | 12 | 24.0 | 0.736 | 752 | 26.1 | 1.60 (0.7-2.5) | |
Belch | 776 | 27.4 | 13 | 26.0 | 0.828 | 789 | 27.4 | 1.65 (0.8-2.5) | |
Headache or/and dizziness | 677 | 23.9 | 14 | 28.0 | 0.500 | 691 | 24.0 | 2.03 (1.0-3.1) | |
Anemia | 416 | 14.7 | 20 | 40.0 | < 0.001 | 436 | 15.1 | 4.59 (2.6-6.6) | |
Fatigue | 536 | 18.9 | 24 | 48.0 | < 0.001 | 560 | 19.4 | 4.29 (2.6-6.0) | |
Weight loss | 873 | 30.8 | 24 | 48.0 | 0.009 | 897 | 31.1 | 2.68 (1.6-3.7) | |
Osteopenia or osteoporosis | 329 | 11.6 | 38 | 76.0 | < 0.001 | 367 | 12.7 | 10.35 (7.2-13.5) | |
Sleep disorder | 771 | 27.2 | 23 | 46.0 | 0.003 | 794 | 27.5 | 2.90 (1.7-4.1) | |
Anxiety and depression | 808 | 28.5 | 17 | 34.0 | 0.395 | 825 | 28.6 | 2.06 (1.1-3.0) | |
H. pylori infection | 1627 | 57.4 | 24 | 48.0 | 0.182 | 1651 | 57.2 | 1.45 (0.9-2.0) |
Symptom, sign, associatedcondition or, test | HP (+) (n = 24) | HP (-) (n = 26) | OR (95%CI) | P value |
Chronic diarrhea | 12 (50.0) | 9 (34.6) | 1.89 (0.61-5.89) | 0.271 |
Abdominal pain | 17 (70.8) | 10 (38.5) | 3.89 (1.19-12.68) | 0.022 |
Abdominal distension | 15 (62.5) | 14(53.8) | 1.43 (0.46-4.42) | 0.536 |
Constipation | 4 (16.7) | 1 (3.8) | 5.0 (0.52-48.34) | 0.182 |
Anorexia | 8 (33.3) | 12 (46.2) | 0.58 (0.19-1.84) | 0.355 |
Vomit or/and nausea | 11 (20.8) | 7 (50.0) | 2.30 (0.71-7.45) | 0.164 |
Heartburn or/and acid reflux | 8 (33.3) | 4 (15.4) | 2.75 (0.70-10.74) | 0.138 |
Belch | 6 (25.0) | 7 (26.9) | 0.91 (0.26-3.21) | 0.877 |
Headache or/and dizziness | 5 (20.8) | 9 (34.6) | 0.50 (0.14-1.78) | 0.278 |
Anemia | 8 (33.3) | 12 (46.2) | 0.58 (0.19-1.84) | 0.355 |
Fatigue | 11 (45.8) | 13 (50.0) | 0.85 (0.28-2.57) | 0.768 |
Weight loss | 10 (41.7) | 14 (53.8) | 0.61 (0.20-1.88) | 0.389 |
Osteopenia or osteoporosis | 20 (83.3) | 18 (69.2) | 2.22 (0.57-8.65) | 0.243 |
Sleep disorder | 11 (45.8) | 12 (46.2) | 0.99 (0.32-3.01) | 0.982 |
Anxiety or/and depression | 6 (25.0) | 11 (42.3) | 0.46 (0.14-1.52) | 0.197 |
Celiac grading, No. (%) | 0.032 | |||
Marsh grade 2 (n = 17) | 12 (50.0) | 5 (19.2) | 1.0 (ref) | |
Marsh grade 3a (n = 16) | 6 (25.0) | 10 (38.5) | 0.25 (0.06-1.07) | |
Marsh grade 3b (n = 13) | 3 (12.5) | 10 (38.5) | 0.13 (0.02-0.66) | |
Marsh grade 3c (n = 4) | 3 (12.5) | 1 (3.8) | 1.25 (0.10-15.11) |
- Citation: Wang M, Kong WJ, Feng Y, Lu JJ, Hui WJ, Liu WD, Li ZQ, Shi T, Cui M, Sun ZZ, Gao F. Epidemiological, clinical, and histological presentation of celiac disease in Northwest China. World J Gastroenterol 2022; 28(12): 1272-1283
- URL: https://www.wjgnet.com/1007-9327/full/v28/i12/1272.htm
- DOI: https://dx.doi.org/10.3748/wjg.v28.i12.1272