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The Association between Drinking Water Quality and Inflammatory Bowel Disease—A Study in Eastern Croatia

Bibliographic Data

ID15464002
AuthorsDubravka Holik (0000-0003-3409-8029, University of Osijek), Atila Bezdan (0000-0003-3713-3002, University of Novi Sad), Monika Markovıć (0000-0002-8742-6922, University of Osijek, corresponding author), Želimir Orkić (University of Osijek), Andrea Milostić-Srb (0000-0002-4608-8373, University of Osijek), Štefica Mikšić (0000-0003-1199-3768, University of Osijek), Aleksandar Včev (0000-0003-0512-462X, University of Osijek)
Year2020
Volume17
Issue22
Pages8495-8495
Publication date2020-11-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17228495
PMID33207850
OpenAlexW3100115707
LanguageEN
Citations received1

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

Bacteria · Biology · Coliform bacteria · Disease · Environmental health · Hazard quotient · Human health · Incidence (geometry · Pathology · Rural area · Ulcerative colitis · Water quality · Water supply · Environmental Science · Gut microbiota and health · Inflammatory Bowel Disease · Medicine · Microscopic Colitis · Ecology · Environmental Engineering · Internal Medicine

  • Climate change, disability, and water, sanitation and hygiene

    Open Access•Jane Wilbur, Stephen Kovat et al.•PLOS Global Public Health•2025

Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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