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Published on: September 22, 2019
Factors associated with inflammatory bowel disease control among IBD patients in Palestine (2023-2024): A
Qusay Abdoh1, Fatima Al-Amouri2, Sinyal Kittaneh3
1Department of Internal Medicine, GI and Endoscopy Unit, An-Najah National University Hospital, Nablus 44839, Palestine.
Background:
Inflammatory bowel disease (IBD) is a chronic inflammatory condition that impacts many aspects of patients' lives and requires proper control to improve health outcomes. This study aimed to assess perceived IBD control and identify factors associated with it.
Methods:
An interview-based questionnaire was used to collect data related to sociodemographic, lifestyle, IBD-related information, and anthropometrics among 116 IBD patients. The inflammatory bowel disease control questionnaire was used to evaluate IBD control, the general health questionnaire-12 (GHQ-12) was used to assess general psychological distress, and the malnutrition universal screening tool (MUST) was used for malnutrition screening.
Results:
The mean age of the study participants was 36.4 ± 13.8 years, the mean time since being diagnosed with IBD was 6.2 ± 6.6 years, and the mean IBD-control score was 10.8 ± 4.8. Better IBD control (p < 0.05) was significantly associated with living with a spouse, having a higher educational level, being a non-current smoker, not having sleeping problems, not having changes in sleep duration after being diagnosed, being more physically active or having the same level of physical activity compared to before diagnosis, and being well-nourished. In addition, longer disease duration, higher midarm, calf, and hip circumferences, increased muscle mass, handgrip strength, peak flow rate, and GHQ score were all significantly correlated with IBD control score. In multivariate analysis only the GHQ-12 score and the principal component representing muscle mass and body size were found to be statistically significant.
Conclusions:
Psychological well-being and favorable body composition were independently associated with better perceived disease control among individuals with IBD. These findings necessitate the importance of psychological screening and nutritional or functional assessments into IBD management to enhance self-management and improve patients' overall disease experience.
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