Inns Stephen, Su Heidi, Chen Amanda, Ovenden Crispin, Alcantara Joy, Lilic Priyanka, Myint Helen
Gastroenterology Department, Health New Zealand Te Whatu Ora, Lower Hutt 5040, New Zealand.
Department of Medicine, University of Otago, Wellington 6242, New Zealand.
Nutrients. 2024 Dec 24;17(1):15. doi: 10.3390/nu17010015.
: Body image dissatisfaction is elevated in inflammatory bowel disease (IBD) as well as other chronic diseases. The aim of this study was to determine if the higher rate of body image dissatisfaction in IBD is specific to IBD or characteristic of chronic disease in general by comparing body image dissatisfaction in IBD patients with age- and gender-matched healthy individuals and those with type 1 diabetes mellitus (T1DM). : In this New Zealand-based case-control study conducted in a secondary care hospital, consecutive IBD patients aged 16 years and older were matched 1:1 with healthy individuals and T1DM patients based on age and gender. However, availability of controls resulted in a slightly different number of pairs for each comparison between groups. Demographics were documented, and participants completed the Body Image Disturbance Questionnaire (BIDQ), RAND SF-36 Quality of Life measures, and Hospital Anxiety and Depression Scale (HADS). : Forty-five matched pairs compared IBD patients to healthy controls, while 38 compared IBD patients to T1DM patients. BIDQ scores were higher for IBD patients than healthy controls (2.05 vs. 1.58, = 0.004) but not significantly different from T1DM patients (2.03 vs. 1.72, = 0.09). No differences were seen in BMI, smoking, or relationship status across groups. IBD patients had higher depression scores than controls (mean 6.51 vs. 3.87, = 0.002) but similar anxiety scores (5.51 vs. 4.89, = 0.258). A 1-point BIDQ increase in IBD patients was associated with a 4.6-fold increase in depression ( = 0.025), after adjusting for clinical and demographic factors. : Body image dissatisfaction is prevalent in IBD patients and may be a common feature across chronic diseases. Body image dissatisfaction strongly associates with depression, highlighting the importance of addressing it in IBD management.
在炎症性肠病（IBD）以及其他慢性疾病中，身体意象不满情绪有所增加。本研究的目的是通过比较IBD患者与年龄和性别匹配的健康个体以及1型糖尿病（T1DM）患者的身体意象不满情况，来确定IBD中较高的身体意象不满率是IBD所特有的，还是一般慢性病的特征。：在这家位于新西兰的二级护理医院进行的病例对照研究中，16岁及以上的连续IBD患者根据年龄和性别与健康个体及T1DM患者进行1:1匹配。然而，由于对照的可获得性，各比较组之间的配对数量略有不同。记录了人口统计学数据，参与者完成了身体意象障碍问卷（BIDQ）、兰德36项健康调查简表生活质量测量以及医院焦虑抑郁量表（HADS）。：45对匹配组将IBD患者与健康对照进行比较，38对将IBD患者与T1DM患者进行比较。IBD患者的BIDQ得分高于健康对照（2.05对1.58，P = 0.004），但与T1DM患者无显著差异（2.03对1.72，P = 0.09）。各组在体重指数、吸烟或恋爱状况方面未见差异。IBD患者的抑郁得分高于对照（平均6.51对3.87，P = 0.002），但焦虑得分相似（5.51对4.89，P = 0.258）。在调整临床和人口统计学因素后，IBD患者BIDQ得分增加1分与抑郁增加4.6倍相关（P = 0.025）。：身体意象不满在IBD患者中普遍存在，可能是慢性疾病的一个共同特征。身体意象不满与抑郁密切相关，凸显了在IBD管理中解决这一问题的重要性。
