Metadata

Name Irritable bowel syndrome (IBS)
Category Digestive
Sex
Adult Yes
UUID 15e4e23f-5048-4f70-8f32-8ae57de0f5c2
Definition Irritable bowel syndrome (IBS), referred to previously as spastic or nervous colon, and spastic bowel, is a functional gastrointestinal disorder characterized by a group of symptoms accompanied together that include abdominal pain and changes in the consistency of bowel movements.

Ontologies

Disease Ontology (DOID) DOID_9778
GWAS Catalogue EFO_0000555
MeSH D043183
SNOMED-CT 10743008
FinnGen K11_IBS

Key Summary Statistics

Cases from any source

Total 26707
Female (%) 19612 (73%)
Male (%) 7095 (27%)

Year first recorded

IBS year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced IBS cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of IBS

Baseline prevalence stratified by sex

Female 590.92 (575.05,606.79)
Male 249.47 (238.03,260.91)

Incidence stratified by sex

Female 17.14 (16.03,18.25)
Male 8.96 (8.1,9.83)

Incidence stratified by age

Ages 40-44 15.37 (12.87,17.87)
Ages 45-49 13.41 (11.41,15.42)
Ages 50-54 13.57 (11.7,15.43)
Ages 55-59 13.92 (12.21,15.64)
Ages 60-64 13.33 (11.9,14.77)
Ages 65-69 11.55 (10.03,13.08)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB IBS prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 361 (343,379) 402 (387,417) 369 (357,382)
CALIBER 839 (832,847) 865 (856,874) 840 (831,849)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 345(304,390) 413(380,449) 376(350,404)
Low 333(293,377) 359(328,392) 368(341,395)
Medium 351(311,395) 412(379,448) 344(318,371)
High 349(312,389) 399(366,433) 370(343,400)
Most deprived 411(373,451) 427(393,463) 391(361,423)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 259(243,277) 289(274,303) 279(268,292)
Scotland 700(631,776) 739(685,797) 673(625,723)
Wales 907(803,1019) 952(872,1038) 841(775,912)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=153979, Events=141

Factor Level Hazard Ratio P value
BMI overweight 1.41 (0.92, 2.17) 0.113
BMI obese 1.52 (0.95, 2.43) 0.0832
BMI underweight 0 (0, Inf) 0.992
smoking previous 0.89 (0.63, 1.27) 0.531
smoking current 0.83 (0.44, 1.56) 0.561
hypertension yes 1.5 (1.06, 2.12) 0.0207

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
20002 Non-cancer illness code, self-reported 1154 irritable bowel syndrome
41202 Diagnoses - main ICD10 K58 Irritable bowel syndrome
41204 Diagnoses - secondary ICD10 K58 Irritable bowel syndrome
40001 Underlying (primary) cause of death: ICD10 K58 Irritable bowel syndrome
40002 Contributory (secondary) causes of death: ICD10 K58 Irritable bowel syndrome
42040 GP clinical event records 14CF.00 History of irritable bowel syndrome
42040 GP clinical event records 8Cm..00 Management of irritable bowel syndrome
42040 GP clinical event records J521000 Irritable bowel syndrome with diarrhoea
42040 GP clinical event records J521.00 Irritable colon - Irritable bowel syndrome
42040 GP clinical event records J521.11 Irritable bowel syndrome
42040 GP clinical event records J521.13 Spastic colon
42040 GP clinical event records XaLBm History of irritable bowel syndrome
42040 GP clinical event records XaYnp Management of irritable bowel syndrome