Naslov
The association between drinking water quality and inflammatory bowel disease—a study in Eastern Croatia

Autori
Holik, Dubravka ; Bezdan, Atila ; Marković, Monika ; Orkić, Želimir ; Milostić-Srb, Andrea ; Mikšić, Štefica ; Včev, Aleksandar

Izvornik
International Journal of Environmental Research and Public Health (1660-4601) 17 (2020), 22; 8495, 16

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
inflammatory bowel disease ; ulcerative colitis ; Crohn’s disease ; Eastern Croatia ; drinking water quality ; rural public supply ; private wells

Sažetak
Abstract: The incidence rate of inflammatory bowel disease (IBD) is becoming a global health problem that could be caused by changes in environmental and lifestyle habits. The study aimed to identify the association between the quality of drinking water, i.e., physiochemical and biological aspects of the phenotype and activity of IBD in Eastern Croatia. The study included 312 patients (63.4% ulcerative colitis, UC, and 36.6% Crohn’s disease, CD) from the area of Eastern Croatia. The data were collected by questionnaires and the analysis of the water safety, based on 65 samples of drinking water by the patient’s water supply method (public supply, rural water supply, and private well). IBD was active in 38.0% patients (34.0% CD and 40.0% UC). Significant differences (p = 0.001) were observed in the distribution of patients, according to counties in which they lived in. The largest deviation was noted in coliform bacteria, Escherichia coli, and enterococci bacteria, Fe, Al, and nitrate in rural water supply and private wells, although, without significant impact on IBD phenotype and activity. The hazard quotient (HQ) simulations showed that children are a sensitive group, regarding exposure to nitrates in drinking water over a long period of time, so there is a need for further monitoring and analysis of this issue.

Izvorni jezik
Engleski

Znanstvena područja
Interdisciplinarne prirodne znanosti, Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita, Poljoprivreda (agronomija), Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje)

POVEZANOST RADA