Food-related quality of life driven by hypervigilance and anxiety around eating in organic gastrointestinal conditions

IF 2.9 3区医学 Q3 NUTRITION & DIETETICS

Journal of Human Nutrition and Dietetics Pub Date : 2024-09-17 DOI:10.1111/jhn.13358

Madison Simons, Josie McGarva, Bethany Doerfler, Kathryn Tomasino, Anjali Pandit, Anthony Lembo, Tiffany Taft

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Abstract

Background

Food-related quality of life (FRQoL) measures the impact of diet, eating behaviours and food-related anxiety on quality of life. Patients often view food and eating as central to symptom management. This is the first study to examine FRQoL in patients with inflammatory bowel disease, celiac sprue, achalasia and eosinophilic oesophagitis.

Methods

A total of 289 adults aged ≥18 years completed self-report measures evaluating the use of dietary treatment, FRQoL and other psychosocial outcomes. Principal component factor analysis evaluated potential subscales within the Food-Related Quality of Life Scale (FRQoL-29), to date validated only with a total score. Univariate analyses investigated differences in FRQoL based on diagnosis, whereas correlations and hierarchical regression identified relationships between FRQoL and psychosocial outcomes.

Results

Factor analysis revealed four subscales within the FRQoL-29, with hypervigilance around eating being the primary driver in total score. Patients reported substantial impacts of FRQoL, with those not using diet therapy scoring significantly higher for FRQoL than those on a diet with and without the support of a registered dietitian (RD). Both social (r = 0.41, p < 0.001) and physical (r = 0.31, p < 0.001) domains of health-related quality of life were higher in patients with greater FRQoL.

Conclusion

FRQoL is significantly degraded in patients with organic gastrointestinal illness diseases, and hypervigilance around food appears to contribute most to this. Use of dietary treatment and meeting with an RD were associated with lower FRQoL, though it is unclear if patients sought RD assistance before FRQoL declined. Future studies on the relationship between dietary treatment, RD support and FRQoL are warranted.

Abstract Image

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有机胃肠病患者在进食时过度警惕和焦虑导致的与食物相关的生活质量问题

背景食物相关生活质量（FRQoL）衡量饮食、饮食行为和食物相关焦虑对生活质量的影响。患者通常认为食物和饮食是控制症状的核心。本研究首次对炎症性肠病、乳糜泻、贲门失弛缓症和嗜酸性粒细胞性食管炎患者的 FRQoL 进行了研究。方法共有 289 名年龄≥18 岁的成年人完成了自我报告测量，评估了饮食治疗的使用情况、FRQoL 及其他社会心理结果。主成分因子分析评估了食物相关生活质量量表（FRQoL-29）的潜在子量表，迄今为止，该量表只验证了总分。单变量分析调查了基于诊断的 FRQoL 差异，而相关性和分层回归则确定了 FRQoL 与心理社会结果之间的关系。患者报告了 FRQoL 的重大影响，未使用饮食疗法的患者 FRQoL 得分明显高于使用或未使用注册营养师（RD）支持的饮食疗法的患者。FRQoL较高的患者在健康相关生活质量的社会（r = 0.41，p < 0.001）和身体（r = 0.31，p < 0.001）领域的得分都较高。使用饮食治疗和与营养师会面与 FRQoL 下降有关，但尚不清楚患者是否在 FRQoL 下降前寻求营养师的帮助。今后有必要对饮食治疗、RD 支持和 FRQoL 之间的关系进行研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Human Nutrition and Dietetics 医学-营养学

CiteScore

5.30

自引率

15.20%

发文量

133

审稿时长

6-12 weeks

期刊介绍： Journal of Human Nutrition and Dietetics is an international peer-reviewed journal publishing papers in applied nutrition and dietetics. Papers are therefore welcomed on: - Clinical nutrition and the practice of therapeutic dietetics - Clinical and professional guidelines - Public health nutrition and nutritional epidemiology - Dietary surveys and dietary assessment methodology - Health promotion and intervention studies and their effectiveness - Obesity, weight control and body composition - Research on psychological determinants of healthy and unhealthy eating behaviour. Focus can for example be on attitudes, brain correlates of food reward processing, social influences, impulsivity, cognitive control, cognitive processes, dieting, psychological treatments. - Appetite, Food intake and nutritional status - Nutrigenomics and molecular nutrition - The journal does not publish animal research The journal is published in an online-only format. No printed issue of this title will be produced but authors will still be able to order offprints of their own articles.