Perceived healthiness of foods, food avoidance and diet-related anxiety in individuals with self-reported irritable bowel syndrome: a cross-sectional study.

IF 1.9 Q3 NUTRITION & DIETETICS BMC Nutrition Pub Date : 2024-10-10 DOI:10.1186/s40795-024-00945-8
Sanna Nybacka, Anton Kinnander, Hanna Augustin, Linnea Bärebring
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Abstract

Background: Irritable bowel syndrome (IBS) is a common gastrointestinal disorder in which the intake of food is known to exacerbate symptoms. Experiencing food related symptoms can lead to avoidance of food, and cause anxiety related to food intake. We aimed to explore perceptions of the healthiness of food, food avoidance, and food-related worry and anxiety among individuals with and without IBS.

Methods: This study was based on a survey conducted in January-February 2017. In total, 2000 participants aged 20-65 were invited by postal letter randomly obtained through the Swedish state personal address register. The questionnaire included aspects of socioeconomic position, different disorders including IBS and food intolerances, food avoidance, and food-related worry or anxiety.

Results: In total, 538 participants were included in this study, of whom 8.4% (n = 45) reported having IBS. There were few differences regarding the perceived healthiness of foods between individuals with and without IBS. Participants with IBS avoided gluten (OR 3.45, p = 0.002), lactose (OR 5.0, p < 0.001) and alcohol (OR 2.0, p = 0.042) more frequently than individuals without IBS, and avoidance was driven by abdominal pain. Participants with IBS also reported feeling more worried and having anxiety about diet than those without IBS (p = 0.032 and p = 0.002, respectively).

Conclusion: This study indicates that individuals with IBS perceive most foods as equally healthy as individuals without IBS. Having IBS increases the odds of avoiding gluten, lactose, and alcohol. Worry and anxiety related to diet were more common among individuals with IBS, and these aspects need to be considered both in clinical practice and in future research.

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一项横断面研究:自述肠易激综合征患者对食物健康度的感知、食物回避以及与饮食相关的焦虑。
背景:肠易激综合征(IBS肠易激综合征(IBS)是一种常见的胃肠道疾病,摄入食物会加重症状。出现与食物有关的症状会导致患者回避食物,并引起与食物摄入有关的焦虑。我们旨在探讨肠易激综合征患者和非患者对食物健康的看法、食物回避以及与食物有关的担忧和焦虑:本研究基于 2017 年 1 月至 2 月进行的一项调查。通过瑞典国家个人地址登记处随机获取的邮寄信件,共邀请了2000名年龄在20-65岁之间的参与者。问卷内容包括社会经济地位、包括肠易激综合征和食物不耐受在内的各种疾病、食物回避以及与食物有关的担忧或焦虑等方面:共有 538 人参与了这项研究,其中 8.4%(n=45)的人表示患有肠易激综合征。患有肠易激综合征的人与未患有肠易激综合征的人对食物健康的感知几乎没有差异。患有肠易激综合征的人忌食麸质(OR 3.45,p = 0.002)、乳糖(OR 5.0,p 结论:肠易激综合征患者忌食麸质(OR 3.45,p = 0.002)和乳糖:这项研究表明,患有肠易激综合征的人与没有肠易激综合征的人一样,认为大多数食物都是健康的。患有肠易激综合征的人会增加避免食用麸质食品、乳糖和酒精的几率。与饮食有关的担忧和焦虑在肠易激综合征患者中更为常见,这些方面在临床实践和未来研究中都需要加以考虑。
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来源期刊
BMC Nutrition
BMC Nutrition Medicine-Public Health, Environmental and Occupational Health
CiteScore
2.80
自引率
0.00%
发文量
131
审稿时长
15 weeks
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