暴饮暴食行为模式与胃肠道症状的频率及关联：一项横断面研究。
Frequency and Associations of Binge-Eating Behavior Patterns With Gastrointestinal Symptoms: A Cross-Sectional Study.
作者信息
Haleem Isma, Waqar Fatmee, Khan Ali Akram, Shiekh Muhammad Umer, Kazim Ghulam, Tariq Muhammad Rizwan
机构信息
Community Medicine, King Edward Medical University, Lahore, PAK.
Epidemiology and Public Health, King Edward Medical University, Lahore, PAK.
出版信息
Cureus. 2025 Feb 22;17(2):e79477. doi: 10.7759/cureus.79477. eCollection 2025 Feb.
Background and aim Binge-eating behavior (BED) poses a significant public health issue worldwide, as it has severe implications for both the physical and gastrointestinal symptoms. The present study evaluated the prevalence of BED with these symptoms. Furthermore, we assessed the correlation between binge eating and gastrointestinal symptoms. Methods Two hundred and nineteen patients were enrolled in the study from OPD of the Department of Gastroenterology, Mayo Hospital Lahore. After informed consent, the patient's demographics and complete medical history were obtained. Then, patients were asked about their physical symptoms of heartburn, diarrhea, weight gain, bloating, and pain in the abdomen using a questionnaire. Frequency percentages will be calculated for categorical variables, and chi-square will be used to assess associations. Results Out of 219, 114 (52.1%) were male, and 105 (47.9%) were female. The minimum age of the participants was 15, and the maximum age was 56, with a mean age of 31.10 ± 8.214. Eighty-three (27.9%) had one episode of physical gastrointestinal symptoms while having a binge-eating behavioral pattern, 93 (42.5%) had two to three episodes, and 43 (19.6%) had more than three episodes in the last six months. And in these hospital visits, 128 (58.4%) had the symptoms of heartburn. Eighty (36.9%) suffered from weight gain, 86 (39.3%) suffered from constipation/bloating, and 118 (53.9%) suffered from pain in the abdomen, while 86 (39.3%) suffered from diarrhea. There was a significant association between the heartburn and BED pattern, with a p-value of 0.009 (≤0.05), and with diarrhea that was with a p-value of 0.008 (≤0.05). Conclusion This study emphasizes the strong correlation between binge-eating habits and gastrointestinal problems, including diarrhea and heartburn. These results highlight the necessity of all-encompassing management approaches that take into account BED's psychological and physical components.
背景与目的 暴饮暴食行为（BED）在全球范围内构成了一个重大的公共卫生问题，因为它对身体和胃肠道症状都有严重影响。本研究评估了伴有这些症状的暴饮暴食行为的患病率。此外，我们还评估了暴饮暴食与胃肠道症状之间的相关性。方法 从拉合尔梅奥医院胃肠病科门诊招募了219名患者。在获得知情同意后，获取了患者的人口统计学资料和完整的病史。然后，使用问卷询问患者有关烧心、腹泻、体重增加、腹胀和腹痛的身体症状。将计算分类变量的频率百分比，并使用卡方检验来评估关联性。结果 在219名患者中，114名（52.1%）为男性，105名（47.9%）为女性。参与者的最小年龄为15岁，最大年龄为56岁，平均年龄为31.10±8.214。在过去六个月中，83名（27.9%）患者在出现暴饮暴食行为模式时伴有一次身体胃肠道症状，93名（42.5%）患者伴有两到三次症状，43名（19.6%）患者伴有三次以上症状。在这些就诊患者中，128名（58.4%）有烧心症状。80名（36.9%）体重增加，86名（39.3%）便秘/腹胀，118名（53.9%）腹痛，86名（39.3%）腹泻。烧心与暴饮暴食模式之间存在显著关联，p值为0.009（≤0.05），腹泻与暴饮暴食模式之间的p值为0.008（≤0.05）。结论 本研究强调了暴饮暴食习惯与胃肠道问题（包括腹泻和烧心）之间的紧密相关性。这些结果凸显了采取全面管理方法的必要性，该方法应考虑到暴饮暴食行为的心理和身体因素。
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