患有易怒肠综合征的成年人中饮食障碍的患病率:一个横截面研究
Hector Ricardo Ordaz-Alvarez1, Bryan Adrian Priego-Parra1,2, Sara Alejandra Reyes-Diaz1
1Departamento de Fisiología Digestiva y Motilidad Gastrointestinal, Instituto de Investigaciones Médico-Biológicas.
Journal of clinical gastroenterology
|February 7, 2025
概括
患有刺激性肠综合征 (IBS) 的墨西哥成年人表现出明显更高的饮食障碍 (ED) 症状风险. 早期对ED进行查至关重要,特别是在年轻的IBS患者和焦虑或抑郁症患者中.
科学领域:
- 胃肠病学和精神病学 在
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 刺激性肠综合征 (IBS) 和饮食障碍 (EDs) 之间的相互作用是复杂的,研究不足,特别是在拉丁美洲人口中.
- 现有的文献表明存在潜在联系,但有关墨西哥成年人IBS患病的流行率和风险因素的具体数据有限.
研究的目的:
- 确定墨西哥成年人被诊断患有刺激性肠综合征 (IBS) 的饮食障碍症状的患病率.
- 为了比较IBS患者和健康对照者 (HCs) 之间的ED症状风险.
- 为了确定与IBS患者群体中ED症状相关的潜在的人口或临床因素.
主要方法:
- 这是一项涉及369名墨西哥成年人 (133名IBS患者,236名HC患者) 的跨界研究,年龄在18-69岁之间.
- 使用了罗马IV标准来诊断IBS,西班牙饮食障碍检查问卷 (S-EDE-Q),IBS症状严重程度表 (IBS-SSS) 和医院焦虑和抑郁量表 (HADS).
- 统计分析包括t测试,威尔科克森等级和,克鲁斯卡尔-瓦利斯和后勤回归 (P<0.05).
主要成果:
- 与HC相比,患有IBS的人患有临床显著的ED症状的风险明显高 (12.8%与3.8%,OR 3.6,P=0.001).
- 在IBS群体中,饮食限制增加,对饮食,身体形状,体重以及更频繁的暴饮暴食事件的担忧增加.
- 在具有显著ED症状的IBS患者中,严重的IBS症状与较高的S-EDE-Q得分相关,并同时出现焦虑和抑郁症.
结论:
- 与健康人相比,患有IBS的墨西哥成年人患饮食障碍的风险明显增加.
- 在IBS患者开始饮食干预之前,建议对ED症状进行例行查.
- 应特别注意较年轻的IBS患者和与焦虑和抑郁症并存的患者,因为他们的风险概况增加.
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