Kip Merve, Kaya Neşe, Çapar Aslı Gizem
Faculty of Health Science, Department of Nutrition and Dietetics, Nuh Naci Yazgan University, Kayseri, Turkey.
Ir J Med Sci. 2024 Dec;193(6):2761-2771. doi: 10.1007/s11845-024-03805-3. Epub 2024 Sep 17.
The potential link between functional gastrointestinal disorders and eating disorders has been reported recently.
The present study aimed to explore the relationship between orthorexic tendencies and irritable bowel syndrome (IBS)-related quality of life in IBS patients.
This cross-sectional study was conducted with 121 IBS patients. The data were collected using Orthorexia Nervosa-11 (ORTO-11) to assess orthorexic tendencies, Irritable Bowel Syndrome Quality of Life Scale (IBS-QoL) to measure quality of life, and Irritable Bowel Syndrome Symptom Severity Score (IBS-SSS) to measure IBS symptoms. Food consumption record was taken to assess diet quality with the Healthy Eating Index 2015 (HEI-2015). The relationship between measured variables was assessed.
The mean ORTO-11 score of the patients was 24.76 ± 3.99. Most patients had poor diet quality (52.00%). A moderate positive correlation was found between ORTO-11 and IBS-QoL (model 0, p < 0.005 and model 1, p < 0.001) and a strong negative correlation between IBS-SSS and IBS-QoL (p < 0.001).
In conclusion, we can conclude that both altered IBS symptoms and orthorexic tendencies affect the quality of life of irritable bowel patients independently of each other. These findings provide valuable insights into the treatment of IBS and inform clinicians and researchers in the fields of gastroenterology, nutrition, psychiatry,and psychology.
近期有报道称功能性胃肠疾病与饮食失调之间存在潜在联系。
本研究旨在探讨肠易激综合征（IBS）患者的正食癖倾向与IBS相关生活质量之间的关系。
对121例IBS患者进行了这项横断面研究。使用神经性正食癖量表（ORTO - 11）评估正食癖倾向，使用肠易激综合征生活质量量表（IBS - QoL）测量生活质量，使用肠易激综合征症状严重程度评分（IBS - SSS）测量IBS症状。采用食物消费记录，通过2015年健康饮食指数（HEI - 2015）评估饮食质量。评估所测变量之间的关系。
患者的ORTO - 11平均得分为24.76 ± 3.99。大多数患者饮食质量较差（52.00%）。发现ORTO - 11与IBS - QoL之间存在中度正相关（模型0，p < 0.005；模型1，p < 0.001），IBS - SSS与IBS - QoL之间存在强负相关（p < 0.001）。
总之，我们可以得出结论，IBS症状改变和正食癖倾向均相互独立地影响肠易激患者的生活质量。这些发现为IBS的治疗提供了有价值的见解，并为胃肠病学、营养、精神病学和心理学领域的临床医生和研究人员提供了参考。
