Petropoulou Anastasia, Bakounaki Georgia, Grammatikopoulou Maria G, Bogdanos Dimitrios P, Goulis Dimitrios G, Vassilakou Tonia
Department of Nutritional Sciences & Dietetics, Faculty of Health Sciences, International Hellenic University, Alexander Campus, 57400 Thessaloniki, Greece.
Department of Rheumatology and Clinical Immunology, University General Hospital of Larissa, Faculty of Medicine, School of Health Sciences, University of Thessaly, 40500 Larissa, Greece.
Children (Basel). 2022 Jun 18;9(6):915. doi: 10.3390/children9060915.
As with the majority of chronic diseases having specific nutrition recommendations, in cystic fibrosis (CF), the emphasis placed on patients regarding their diet and ideal body weight status often increases the risk of developing disordered eating behaviors and by inference, eating disorders (EDs). Body weight appears to be an important concern for patients with CF, with many patients struggling to lose weight. Between sexes, women appear more preoccupied with dieting compared to men, but exhibit a better body image, mainly due to their preference for a lower weight. Several comorbidities appear to change these dynamics, and visibly apparent factors, including scars, ports, and tubes, and the need for supplementary oxygen supply, may also influence body image perception. Disordered eating is usually initiated during a bout of pulmonary infection, with the patient feeling unwell to eat. Regarding the prevalence of EDs, research appears conflicting on whether it is higher among individuals with a CF diagnosis or not. As for comorbidities, anxiety and depression consist of the most common psychiatric diagnoses in CF, also greatly prevalent in EDs. Despite the plethora of studies, non-specific CF tools, small samples, and lack of data regarding important outcomes, including lung health, indicate the need for more research.
与大多数有特定营养建议的慢性疾病一样，在囊性纤维化（CF）中，对患者饮食和理想体重状况的强调往往会增加出现饮食紊乱行为的风险，进而引发饮食失调（EDs）。体重似乎是CF患者的一个重要关注点，许多患者都在努力减肥。在性别方面，与男性相比，女性似乎更热衷于节食，但身体形象更好，这主要是因为她们更喜欢较低的体重。一些合并症似乎会改变这些动态，明显可见的因素，包括疤痕、端口和管子，以及补充氧气供应的需求，也可能影响身体形象认知。饮食紊乱通常在肺部感染发作期间开始，患者会因感觉不适而不想进食。关于饮食失调的患病率，研究对于CF诊断患者中饮食失调患病率是否更高存在相互矛盾的观点。至于合并症，焦虑和抑郁是CF中最常见的精神疾病诊断，在饮食失调中也非常普遍。尽管有大量研究，但非特异性的CF工具、样本量小以及缺乏包括肺部健康在内的重要结果数据，表明仍需要更多研究。
