Risk Factors of Peptic Ulcer in Military Personnel: A Systematic Review of the Literature

Chunmei Wang, Xiaozhong Guo, Yang An, Shixue Xu, Dan Zhang, Yong Qin, Xingshun Qi
2020 Exploratory Research and Hypothesis in Medicine  
and objective: In recent years, there has been a significant increase in the incidence of peptic ulcer cases among military personnel. It is important for clinicians to identify the risk factors of peptic ulcer and then implement the appropriate prophylactic measures in a timely manner. This study aims to systematically review the risk factors of peptic ulcer in military personnel. Methods: We searched literature from the PubMed, EMBASE, Wanfang, China National Knowledge Infrastructure, and VIP
more » ... astructure, and VIP databases up to November 17, 2019. Eligible studies analyzed at least one risk factor of peptic ulcer in military personnel with descriptive or comparative data. The risk factors' data were then extracted and tabulated. Results: Of the 1,008 studies initially identified, 11 were eligible for the present study. The total sample size was 29,925 (ranging from 203 to 10,046). The study population included military officers and soldiers, pilots, armed policemen, and firefighters. The most studied risk factor of peptic ulcer was history of smoking (n = 8), followed by high-intensity training (n = 5), mental stress (n = 5), family history of peptic ulcer (n = 4), history of alcohol drinking (n = 4), and use of non-steroidal anti-inflammatory drugs (n = 4). Conclusions: Several major risk factors of peptic ulcer have been systematically identified, of which some are modifiable. In the future, proper intervention of these modifiable risk factors may be helpful in preventing military personnel from the development of peptic ulcer.
doi:10.14218/erhm.2020.00026 fatcat:oiaqilxckrhq7ktw2ht455v7ni