Can eating disorders cause functional gastrointestinal disorders?

Janssen, Pieter

doi:10.1111/j.1365-2982.2010.01621.x

Cited by 21 publications

(22 citation statements)

References 28 publications

(50 reference statements)

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“…These GI problems can complicate the treatment of ED and the GI symptoms shift during the course of recovery. Some remain, others disappear, and others develop (11,(13)(14)(15). An important underlying mechanism for these observations is the microbiota-gut-brain-axis which allows bidirectional communication between the central nervous system and the gut (16,17).…”

Section: Introductionmentioning

confidence: 99%

“…An important underlying mechanism for these observations is the microbiota-gut-brain-axis which allows bidirectional communication between the central nervous system and the gut (16,17). Janssen (15) therefore postulated that GI physiology disturbed by an ED, in combination with other mental illnesses, could lead to the maintenance or intensification of symptoms (15).…”

Section: Introductionmentioning

confidence: 99%

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Which Symptoms, Complaints and Complications of the Gastrointestinal Tract Occur in Patients With Eating Disorders? A Systematic Review and Quantitative Analysis

Riedlinger¹,

Schmidt²,

Weiland³

et al. 2020

Front. Psychiatry

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Background: Eating disorders (ED) such as anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) are often accompanied by a variety of psychological and physical comorbidities. Gastrointestinal (GI) symptoms are a classical feature in most patients with ED. The heterogeneity of studies on this topic is high, making it difficult to have a clear overview. The aim of this systematic review is therefore to provide an overview of subjectively and objectively measured differences and changes in the GI tract in patients with EDs, along with the occurrence of GI complications. Methods: A systematic literature search was conducted in PubMed, Web of Science, and Google Scholar to find all relevant studies examining GI problems in AN, BN, and BED. Quantitative analyses were performed for objective GI physiology measures where applicable. Results: The review differentiated between ED types and also between studies that report GI outcomes of ED in (i) human studies with an ED diagnosis excluding case reports that provide an overview of GI problems in ED and (ii) case reports with an ED diagnosis describing rare GI complications in ED. GI symptoms and impaired gastric transit times were frequent features of EDs with specific differences found for the ED types. During the time course of treatment, GI symptoms changed and/or improved but not completely. GI complications extended the range of GI problems observed, including a variety of serious complications such as gastric dilatation. Conclusions: Problems of the GI tract are frequent in patients with ED and it is likely that they complicate therapy, especially in patients with AN.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Which Symptoms, Complaints and Complications of the Gastrointestinal Tract Occur in Patients With Eating Disorders? A Systematic Review and Quantitative Analysis

Riedlinger¹,

Schmidt²,

Weiland³

et al. 2020

Front. Psychiatry

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“…Psychological variables such as somatization, neuroticism, and anxiety are significant predictors of FGIDs, both type and the presence of multiple coexistent FGIDs among ED patients [18]. Janssen [19] has suggested that once FGIDs are established in ED patients, psychological and physiological factors will strengthen each other such that FGIDs and FGID symptoms could persist independent of the current status of the ED [4].…”

Section: Discussionmentioning

confidence: 98%

Pelvic floor dysfunction predicts abdominal bloating and distension in eating disorder patients

Abraham

Luscombe

Kellow

2012

Scandinavian Journal of Gastroenterology

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“…Eating salty food is not good for the health and may increase the risk of incidence of stomach cancer (Park et al, 2016). While having an unhealthy diet or overeating can induce heavy gastrointestinal burden and go against one's overall health (Janssen, 2010). Meanwhile, spending a prolonged amount of time online may cause backache, neck, finger, wrist, and arm pain, as well as emotional fluctuation, tension and anxiety, fatigue and other SHS symptoms (Karacic & Oreskovic, 2017).…”

Section: Discussionmentioning

confidence: 99%

Association analysis of Suboptimal health Status: a cross-sectional study in China

Xue

Huang

Liu

et al. 2020

PeerJ

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Background Suboptimal health status (SHS) among urban residents is commonplace in China. However, factors influencing SHS have not been thoroughly explored, especially with regard to the effects of internal factors (e.g., personality and health awareness) on SHS. Methods A cross-sectional study was conducted with a nationally representative sample of 5460 Chinese urban residents..SHS was measured using the Suboptimal Health Mesurement Scale Version 1.0. Demographic information, and information pertaining to lifestyle behaviors, environmental factors, and internal factors were abtained through a questionnaire. The associations between demographic information, lifestyle behaviors, environmental factors, internal factors and SHS were assessed using logistic regression. Results Of the 5460 participants (with a mean age of 41.56 ± 16.14 years), 2640 (48.4 %) were men. Out of 36 variables, 23 were significantly associated with SHS: age (odds ratio [OR]: 1.014), an education level of high school/junior college (OR: 1.443) , marital status (OR: 1.899), area of registered permanent residence (OR: 0.767), monthly household income (p < 0.001) , exposure to second-hand smoke (p = 0.001), alcohol drinking (OR: 1.284), bad eating habits (OR: 1.717), not sleeping before 11 p.m. every day (p = 0.002), spending time online more than five hours a day (OR: 1.526), having a good relationship with parents during one’s growth period (OR: 0.602), living with good quality air (OR:0.817), living in not crowded conditions (OR:0.636), having a harmonious neighborhood (OR:0.775), having adequate fitness facilities (OR:0.783), one’s health being affected by two-child policy (OR: 1.468) and medical policies (OR: 1.265) , high adverse quotient (OR: 0.488), many (≥3 kinds) interests and hobbies (OR: 0.617), mature and steady personality traits (OR: 0.469) , a high attention to one’s health (OR: 0.833), and effective health promotion induced by leading a leisurely lifestyle (OR: 0.466) were significantly associated with SHS. Conclusions All these variables were included demographic information, lifestyle behaviors, environmental factors and internal factors. Our study supports the benefits of controlling both internal and external factors in preventing suboptimal health.

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Can eating disorders cause functional gastrointestinal disorders?

Cited by 21 publications

References 28 publications

Which Symptoms, Complaints and Complications of the Gastrointestinal Tract Occur in Patients With Eating Disorders? A Systematic Review and Quantitative Analysis

Which Symptoms, Complaints and Complications of the Gastrointestinal Tract Occur in Patients With Eating Disorders? A Systematic Review and Quantitative Analysis

Pelvic floor dysfunction predicts abdominal bloating and distension in eating disorder patients

Association analysis of Suboptimal health Status: a cross-sectional study in China

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