Related Experiment Video
Updated: May 14, 2025
04:48
Control of Eating Behavior Using a Novel Feedback System
Published on: May 8, 2018
10.9K
Avoidant or Restrictive Food Intake Disorder Symptoms in Adults With Systemic Sclerosis: A Nationwide Study in Spain
Luis G Alcala-Gonzalez1, Helen Burton-Murray2, Micaela Atkins2
1Digestive System Research Unit, Digestive Diseases Department, Vall d'Hebron University Hospital, Barcelona, Spain.
Arthritis Care & Research
|May 13, 2025
Summary
Nearly half of systemic sclerosis patients screened positive for avoidant/restrictive food intake disorder (ARFID) symptoms, impacting quality of life. Further research is needed to distinguish adaptive responses from pathological eating disorders requiring treatment.
Area of Science:
- Gastroenterology
- Psychiatry
- Rheumatology
Background:
- Systemic sclerosis (SSc) patients often restrict food intake due to gastrointestinal (GI) symptoms.
- The prevalence and impact of avoidant/restrictive food intake disorder (ARFID) in SSc are not well understood.
Purpose of the Study:
- To determine the prevalence and characteristics of ARFID symptoms in SSc patients.
- To investigate the association between ARFID symptoms, GI symptom burden, and health-related quality of life (HRQoL) in SSc.
Main Methods:
- A cross-sectional internet survey was conducted nationwide in Spain.
- 200 SSc patients completed the Spanish Nine-Item ARFID Screen, UCLA SCTC GIT 2.0 (GI symptoms), and SF-12 (HRQoL).
Main Results:
- 49.5% of SSc patients screened positive for ARFID.
- Positive ARFID screens correlated with increased enteral nutrition use, weight loss, and self-imposed dietary restrictions.
- ARFID symptoms were moderately linked to higher GI symptom severity and significantly associated with worse HRQoL across all domains.
Conclusions:
- ARFID symptoms are common in SSc patients.
- Further research is required to differentiate adaptive dietary changes from pathological ARFID requiring intervention.
Related Concept Videos
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
246
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
246
01:28Anorexia Nervosa
35
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
35
01:17Assessment of the Gastrointestinal System I: Subjective Data
127
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
127
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
37
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
37
01:14Conditioned Taste Aversion
107
Conditioned taste aversion, also known as sauce béarnaise syndrome, is a phenomenon in which an individual develops an aversion to a certain food taste following a negative experience, typically illness. This form of aversion is a type of classical conditioning in which the taste of the food (conditioned stimulus, CS) is associated with the experience of illness (unconditioned stimulus, UCS).
A notable characteristic of conditioned taste aversion is that it often requires only a single...
A notable characteristic of conditioned taste aversion is that it often requires only a single...
107
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
98
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
98