一项多中心研究,评估患有炎症性肠病的患者的避免/限制性食物摄入障碍
Laurie B Grossberg1, Kajali Mishra2, Loren G Rabinowitz1
1Department of Medicine, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
很大一部分炎症性肠病 (IBD) 患者患有回避性限制性食物摄入障碍 (ARFID). 胃肠道特异性焦虑是非活性IBD中ARFID的关键预测因素,这强调了综合护理的必要性.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 临床营养学 临床营养学
背景情况:
- 在炎症性肠病 (IBD) 患者中,饮食失调很普遍.
- 避免性限制性食物摄入障碍 (ARFID) 是一种特定类型的饮食障碍.
- 了解ARFID患病率和IBD的预测因素对于患者护理至关重要.
研究的目的:
- 为了确定ARFID在IBD患者中的患病率.
- 确定预测IBD患者ARFID的因素.
- 探索ARFID与疾病活动/特征之间的关系.
主要方法:
- 多中心研究涉及325名IBD患者.
- 使用皮卡,ARFID和食障碍问卷 (PARDI-AR-Q) 进行ARFID查.
- 评估疾病特征,心理社会变量和客观疾病活动.
主要成果:
- 17.8%的所有IBD患者的查结果为ARFID阳性.
- 16.3%的不活跃IBD患者的查结果为ARFID阳性.
- 胃肠道特异性焦虑是非活性IBD中ARFID的唯一显著预测因素.
结论:
- 无论客观的疾病活动如何,ARFID都会影响相当多的IBD患者.
- 胃肠道特异性焦虑是与非活性IBD中的ARFID相关的关键因素.
- 多学科护理方法对于在IBD患者中管理ARFID至关重要.
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