The University of Melbourne, Melbourne, Vic., Australia.
Department of Gastroenterology, St Vincent's Hospital Melbourne, Melbourne, Vic., Australia.
Neurogastroenterol Motil. 2022 Aug;34(8):e14278. doi: 10.1111/nmo.14278. Epub 2021 Oct 7.
Patients with gastrointestinal disorders are prone to heightened awareness of dietary intake. When diet-related thoughts or behaviors are excessive, they may lead to psychological distress, nutritional compromise, and impair medical treatment. Identification of disordered eating behavior and eating disorders is crucial for effective management, but data on their prevalence within this population remain scarce. We conducted a systematic review of the prevalence of disordered eating behavior and eating disorders in adults with gastrointestinal disorders.
MEDLINE, PubMed, and PsycInfo databases were searched up to June 2021. Studies examining disordered eating in adult patients with a primary gastrointestinal diagnosis were included.
A total of 17 studies met the inclusion criteria for the review. The range of gastrointestinal disorders examined included disorders of gut-brain interaction (DGBI), coeliac disease, and inflammatory bowel disease (IBD). The methods for examining disordered eating were highly variable. The prevalence of disordered eating ranged from 13-55%. The prevalence was higher in patients with disorders of gut-brain interaction (DGBI) than in those with organic gastrointestinal disorders. Factors associated with disordered eating included female sex, younger age, gastrointestinal symptom severity, anxiety and depression, and lower quality of life.
CONCLUSIONS & INFERENCES: Disordered eating is highly prevalent in adult patients with gastrointestinal illness, particularly those with DGBI. Understanding whether a patient's primary underlying diagnosis is that of an eating disorder or gastroenterological disorder remains a challenge for clinicians. There is an unmet need to identify at-risk patients so that psychological intervention can be included in the therapeutic strategy.
胃肠道疾病患者容易对饮食摄入有更高的意识。当与饮食相关的想法或行为过度时，可能会导致心理困扰、营养失调，并影响医疗治疗。识别饮食失调行为和饮食障碍对于有效管理至关重要，但该人群中此类疾病的患病率数据仍然很少。我们对胃肠道疾病成年患者中饮食失调行为和饮食障碍的患病率进行了系统评价。
检索了 MEDLINE、PubMed 和 PsycInfo 数据库，截至 2021 年 6 月。纳入了检查成年胃肠道疾病患者饮食失调的研究。
共有 17 项研究符合综述纳入标准。检查的胃肠道疾病范围包括肠脑互动障碍（DGBI）、乳糜泻和炎症性肠病（IBD）。检查饮食失调的方法差异很大。饮食失调的患病率从 13%到 55%不等。DGBI 患者的患病率高于器质性胃肠道疾病患者。与饮食失调相关的因素包括女性、年龄较小、胃肠道症状严重程度、焦虑和抑郁以及生活质量较低。
胃肠道疾病成年患者中饮食失调的患病率很高，尤其是 DGBI 患者。对于临床医生来说，了解患者的主要潜在诊断是饮食障碍还是胃肠道疾病仍然是一个挑战。有未满足的需求来识别高危患者，以便在治疗策略中包括心理干预。
