{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:28:40Z","timestamp":1787927320586,"version":"build-2784847793"},"reference-count":36,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T00:00:00Z","timestamp":1693612800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and aim<\/jats:title><jats:p>The association between hypermobility spectrum disorders\/hypermobile type Ehlers\u2013Danlos syndrome (HDS\/hEDS) and irritable bowel syndrome (IBS) is yet to be clarified. We aimed to assess this association in a national sample of adolescents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population\u2010based cross\u2010sectional study included 1\u00a0627\u00a0345 Israeli adolescents (58% male; mean age 17\u00a0years) who were medically assessed before compulsory military service during 1998\u20132020. Diagnoses of HSD\/hEDS and IBS were confirmed by board\u2010certified specialists. The prevalence and odds ratios (ORs) for IBS in adolescents with and without HSD\/hEDS were computed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 4686 adolescents (2553 male) with HSD\/hEDS were identified, of whom 71 were diagnosed with IBS (prevalence\u00a0=\u00a01.5%). Of the 1\u00a0621\u00a0721 adolescents in the control group, 8751 were diagnosed with IBS (prevalence\u00a0=\u00a00.5%). Unadjusted logistic regression revealed a significant association between HSD\/hEDS and IBS (OR\u00a0=\u00a02.16 [95% confidence interval, CI, 1.90\u20132.45]), which persisted in multivariable adjusted models (OR\u00a0=\u00a02.58 [95% CI, 2.02\u20133.24]), and in several sensitivity analyses. The association was evident in both male and female adolescents with ORs of 2.60 (95% CI, 1.87\u20133.49), and 2.46 (95% CI, 1.66\u20133.49), respectively. The association was accentuated in a sensitivity analysis accounting for other medical and psychiatric comorbidities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found a significant association between HSD\/hEDS and IBS in both male and female adolescents. Clinical awareness of the association can promote early diagnosis of IBS and appropriate multidisciplinary treatment. Further research is required to identify the common pathological pathways of the conditions and to develop new IBS treatment strategies for people with HSD\/hEDS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.16341","type":"journal-article","created":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T12:14:25Z","timestamp":1693656865000},"page":"2076-2082","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Hypermobility spectrum disorders and irritable bowel syndrome: A nationwide study of 1.6 million adolescents"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1603-338X","authenticated-orcid":false,"given":"Yair","family":"Zloof","sequence":"first","affiliation":[{"name":"Israel Defense Forces Medical Corps  Ramat Gan Israel"},{"name":"Schneider Children's Medical Center of Israel  Petach Tikva Israel"},{"name":"Department of Preventive Medicine and Epidemiology, School of Public 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