The impact of post-infectious functional gastrointestinal disorders and symptoms on the health-related quality of life of US military personnel returning from deployment to the middle east

Kashyap H. Trivedi, Carey D. Schlett, David R. Tribble, Marshall R. Monteville, John W. Sanders, Mark S. Riddle*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Background and Aim Mental and physical health-related quality of life (HRQOL) are important health impact measures following military deployment. While conditions such as post-traumatic stress disorder (PTSD) are known to adversely affect QOL, little is known about the effect of post-infectious functional gastrointestinal disorders (PIFGID). Our aim was to evaluate the risk of PI-FGID and its impact on HRQOL among military personnel returning from deployment. Methods A cross-sectional cohort of active-duty military deployed to Egypt or Turkey between 2004 and 2005 was asked to complete a questionnaire (Rome II and SF-36 instruments) on travelers' diarrhea (TD) during deployment and FGID symptoms and HRQOL 6 months after returning from deployment. Results A total of 121 military personnel returning from Egypt (n = 33) and Turkey (n = 88) completed the postdeployment questionnaire. Nearly half (48.3%) met the definition for an FGID at the time of the survey, and 53% of individuals reporting one or more episodes of TD during deployment developed an FGID, compared to 33% of those not reporting TD (odds ratio [OR] 2.2, P = 0.08). Compared to those not meeting the FGID criteria, those with post-deployment FGID had lower mean mental HRQOL scores (-13.4%, P<0.0001) and lower physical HRQOL scores (-7.2%, P = 0.004). Conclusions There was a high prevalence of FGID symptoms in military personnel returning from deployment, and TD was a noted risk factor. FGID and symptoms decreased QOL, with mental HRQOL being affected more than physical HRQOL. These findings require further research in order to assess the long-term impact of these and other post-infectious sequela related to TD during deployments among returning veterans.

Original languageEnglish
Pages (from-to)3602-3609
Number of pages8
JournalDigestive Diseases and Sciences
Volume56
Issue number12
DOIs
StatePublished - Dec 2011

Keywords

  • Epidemiology
  • Functional gastrointestinal disorders
  • Military personnel
  • Quality of life
  • Travelers' diarrhea

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