Eating disorders in patients with irritable bowel syndrome |
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| Affiliation: | 1. Department of Internal Medicine, Division of Gastroenterology, Van Education and Research Hospital, Van, Turkey;2. Department of Pediatry, Van Education and Research Hospital, Van, Turkey;3. Department of Psychiatry, BezmialemVakıf University, Istanbul, Turkey;1. Department of Digestive Diseases, Miguel Servet University Hospital, Zaragoza, Spain;2. Aragón Health Research Institute (IIS Aragón), Spain;1. Servicio de Aparato Digestivo, Hospital Galdakao-Usansolo, Galdakao, España;2. Biocruces Bizkaia Health Research Institute, Barakaldo, España;3. Laboratorio de Microbiología, Hospital Galdakao-Usansolo, Galdakao, España;4. Unidad de Investigación. Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), España;1. Servicio de Medicina Digestiva. Hospital Universitari i Politècnic La Fe, Valencia, España;2. Unidad de Enfermedad Inflamatoria Intestinal - Instituto de Investigación Sanitaria La Fe, Valencia, España;3. CIBERehd, Madrid, España;1. Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, China;2. Department of Rheumatology, The First Affiliated Hospital of Nanchang University, Nanchang, China;3. Department of Gastroenterological Surgery and Hernia Center, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Guangzhou, China;4. Department of Cardiovascular Medicine, The Second Affiliated Hospital of Nanchang University, Nanchang, China;1. Servicio de Cirugía General y Aparato Digestivo, Hospital San Francisco de Asís, Madrid, España;2. Servicio de Radiología Digestiva, Hospital San Francisco de Asís, Madrid, España;3. Servicio de Anestesia y Reanimación, Hospital San Francisco de Asís, Madrid, España |
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| Abstract: | IntroductionEating disorders (ED) constitute an important group of conditions that commonly occur in adolescents. Gastrointestinal complaints are frequently reported in ED patients. Few studies assessed the association of irritable bowel syndrome (IBS) with ED. The aim of the current study is to determine the prevalence of ED in a group of IBS patients and compare it with a healthy control group and assess the relationship of IBS sub-types, it's duration and severity with ED.Patients and methods100 IBS patients diagnosed according to the Rome-IV criteria and a control group consisting of 100 healthy adults, between 18 and 65 years old, were enrolled in this study. Sub-type, duration and severity of IBS were determined. All participants were requested to fill questionnaires to screen for ED.Results200 subjects participated in the study. 118(59%) were female and 92(41%) were male. The Eating Attitudes Test (EAT) score was significantly higher in the IBS group (Odds ratio: 5.3 CI 95%:4.3–9.3; p < 0.001). The number of subjects with EAT score >30 was significantly higher in the IBS group (p < 0.001). EAT scores were significantly higher in female IBS patients and in younger patients (p = 0.013 and p = 0.043; respectively). No significant association between the IBS sub-type and EAT score was found (p > 0.05). However, IBS severity and duration positively correlated with EAT scores.DiscussionED should be considered in the management of IBS patients. Since many psychological factors can exacerbate IBS symptoms a multidisciplinary approach consisting of medical and behavioral therapeutic modalities should be employed for a better management of these patients. |
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| Keywords: | Irritable bowel syndrome Eating disorders Eating Attitudes Test Síndrome de colon irritable Trastornos de la alimentación Prueba de actitudes alimentarias |
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