子宫内膜异位症患者的体重差异与其饮食障碍和异常进食行为有关:来自意大利横断面研究的初步结果。

Eating Disorders and Disturbed Eating Behaviors Underlying Body Weight Differences in Patients Affected by Endometriosis: Preliminary Results from an Italian Cross-Sectional Study.

机构信息

Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40125 Bologna, Italy.

Endometriosis and Pelvic Pain Outpatient Clinic (Regional Diagnostic and Therapeutic Path), Family Care Center (Local Heath Authority of Bologna, Department of Primary Care), 40123 Bologna, Italy.

出版信息

Int J Environ Res Public Health. 2023 Jan 18;20(3):1727. doi: 10.3390/ijerph20031727.

Abstract

This study aimed to characterize the prevalence of eating disorders (EDs), disturbed eating behaviors (DEBs), and emotional eating attitudes (EEAs) among patients affected by endometriosis in order to understand a potential crosslink between this impacting gynecological disease and a Body Mass Index shift. A total of 30 patients were recruited at an endometriosis outpatient clinic in Bologna and were assessed by using standardized instruments and specific questionnaires for EDs, DEBs, and EEAs. Sociodemographic information and endometriosis clinical features and history information were collected by adopting a specific questionnaire. Retrospective reports of lifetime Body Mass Index (BMI) changes, current BMI, peak pain severity during the last menstrual period, and the average of pain intensity during the last intermenstrual period were used for a correlation with the mean score from eating-behavior scales' assessment. The preliminary results indicate that, although only 3.33% of endometriosis patients are affected by ED, statistically significant differences at the mean scores of DEBs and EEAs assessment scales were found by stratifying patients on the basis of BMI levels at risk for infertility and coronary heart disease and on the basis of moderate/severe pain levels. The enrichment of the sample size and the recruitment of the control group to complete the study enrollment will allow us to investigate more complex and strong correlation findings and to assess the prevalence of EDs among endometriosis patients.

摘要

本研究旨在描述子宫内膜异位症患者中饮食障碍(EDs)、饮食行为紊乱(DEBs)和情绪性饮食态度(EEAs)的流行情况,以了解这种影响妇科疾病与体重指数变化之间的潜在关联。共在博洛尼亚的子宫内膜异位症门诊招募了 30 名患者,并使用标准化工具和针对 EDs、DEBs 和 EEAs 的特定问卷进行评估。通过采用特定问卷收集社会人口统计学信息和子宫内膜异位症临床特征和病史信息。回顾性报告终生体重指数(BMI)变化、当前 BMI、最近一次月经期间的峰值疼痛严重程度以及最近一次月经间期的平均疼痛强度,与饮食行为量表评估的平均得分相关。初步结果表明,尽管只有 3.33%的子宫内膜异位症患者受到 ED 的影响,但根据不孕和冠心病风险的 BMI 水平以及中度/重度疼痛水平对患者进行分层后,发现 DEBs 和 EEAs 评估量表的平均得分存在统计学显著差异。增加样本量并招募对照组完成研究入组,将使我们能够发现更复杂和更强的相关性,并评估子宫内膜异位症患者中 EDs 的流行情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8ba/9914624/708c6303fa68/ijerph-20-01727-g001.jpg

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