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Updated: Apr 18, 2026
Investigating Intestinal Inflammation in DSS-induced Model of IBD
Published on: February 1, 2012
Body image dissatisfaction in patients with inflammatory bowel disease
Sumona Saha1, Ying-Qi Zhao, Samir A Shah
1*Division of Gastroenterology and Hepatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; †Department of Biostatics and Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; ‡Division of Gastroenterology, Warren Alpert School of Medicine at Brown University, Providence, Rhode Island; §Department of Pediatric Gastroenterology, Rhode Island Hospital, Providence, Rhode Island; ‖Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, Georgia; ¶Crohn's & Colitis Foundation of America, New York, New York; and **Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, New York.
Body image dissatisfaction (BID) in inflammatory bowel disease (IBD) patients remains stable over time. Factors like female gender and disease activity correlate with greater BID, impacting quality of life.
Area of Science:
- Gastroenterology
- Psychodermatology
- Health Psychology
Background:
- Inflammatory bowel diseases (IBD) and treatments can impact physical appearance, yet their effect on body image is not well understood.
- Body image dissatisfaction (BID) is a concern for patients with chronic conditions.
- This study investigates BID dynamics in IBD patients.
Purpose of the Study:
- To determine if BID changes over time in patients with IBD.
- To identify demographic and disease-related factors associated with decreased body image.
- To explore the relationship between BID and health-related quality of life.
Main Methods:
- Prospective study of 274 adult IBD patients with ≥2 years follow-up.
- Utilized a modified Adapted Satisfaction With Appearance questionnaire to assess BID.
- Employed general linear models and generalized estimating equations to analyze changes over time.
Main Results:
- BID remained stable in both men and women with IBD, irrespective of disease activity improvements.
- No significant differences in BID were observed based on IBD subtype.
- Factors associated with greater BID included female gender, higher disease activity, increased symptom burden, prolonged steroid use, dermatologic/musculoskeletal issues, and ileocolonic Crohn's disease.
Conclusions:
- Body image dissatisfaction (BID) is a stable issue for incident inflammatory bowel disease (IBD) patients.
- Despite improved disease control, BID persists and is linked to diminished health-related quality of life.
- Identifying factors associated with BID can inform targeted interventions to improve patient well-being.
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