Meal Eating Characteristics of Patients with Gastroparesis

Hagopian, Garo; Johnson, Kathleen P; Shahsavari, Dariush; Parkman, Henry P.

doi:10.1007/s10620-021-07190-0

Cited by 9 publications

(9 citation statements)

References 29 publications

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“…Hagopian et al's study of 192 Gp patients demonstrated that on average, patients with Gp symptoms and delayed gastric emptying eat 43% of their meals and stop eating meals primarily due to early satiety, nausea, and abdominal pain. The majority of these patients also made at least one dietary modification consistent with common physician recommendations for Gp symptom management (i.e., small meals, frequent meals, low‐fat diet, low‐fiber diet) 12,14 . Regarding the generally accepted “small and frequent meals” recommendation: 80% of these patients maintained small meal diets and only 31% reported maintaining frequent meal diets 8 .…”

Section: Background and Aimsmentioning

confidence: 92%

“…18 A previously developed nutrition and diet questionnaire was used to assess patients' meal-eating characteristics at the time of evaluation. 14 Patients endorsed whether they adhere to a specific diet to manage their Gp and answered questions regarding specific dietary habits such as meal size, meal frequency, snack frequency, meal consistency, fat restriction, fiber restriction, FODMAP restriction, and oral nutrition supplementation. Patients were asked to identify their specific reasons for stopping a meal and then quantified both the time needed to become full and the time spent feeling full after a meal.…”

Section: Questionnairesmentioning

confidence: 99%

“…The majority of these patients also made at least one dietary modification consistent with common physician recommendations for Gp symptom management (i.e., small meals, frequent meals, low-fat diet, lowfiber diet). 12,14 Regarding the generally accepted "small and frequent meals" recommendation: 80% of these patients maintained small meal diets and only 31% reported maintaining frequent meal diets. 8 While this may explain the prevalence of energy-deficient diets among patients with Gp, it also suggests that physician recommendation alone is not responsible for these observed eating behaviors.…”

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confidence: 99%

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Meal‐eating characteristics among patients with symptoms of gastroparesis: Relationships to delays in gastric emptying

Barrett,

Johnson,

Halabi

et al. 2023

Neurogastroenterology Motil

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BackgroundPatients with symptoms of gastroparesis (Gp) often modify their diets and consume small meals. However, the relationship between patients' eating behavior and their gastric emptying is not well understood. This study describes meal‐eating characteristics of patients with Gp symptoms and relates them to severity of emptying delay.MethodsAdult patients with Gp symptoms underwent 4‐h gastric emptying scintigraphy and completed questionnaires including the Patient Assessment of GI Symptoms, a nutrition and diet questionnaire, and the Meal Patterns Questionnaire.Key ResultsOf 119 patients with Gp symptoms, 35 had normal gastric emptying (≤10% gastric retention at 4 h), 26 mildly delayed (>10%–20%), 28 moderately delayed (>20%–35%), and 30 severely delayed (>35%). Most patients (85%) reported eating small meals with an average of 2.4 meals per day. The most common reasons for stopping eating a meal were feeling full (83%), nausea (46%), and abdominal pain (31%). As gastric emptying worsened, patients increasingly made diet modifications such as low‐fat, low‐fiber, Gp diet, oral supplements, and blenderized meals (r = 0.309, p = 0.0007). Postprandial fullness lasted for 351 ± 451 min for patients with severely delayed emptying versus 207 ± 173 min for patients with normal emptying (p = 0.19).Conclusions & InferencesMeal‐eating characteristics were found to vary with severity of gastric retention. Patients with severely delayed gastric emptying reported the longest duration of postprandial fullness. Dietary modification increased significantly with gastric retention. These meal‐eating characteristics are important to understand as they impact on dietary education given to Gp patients for symptom management.

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Section: Background and Aimsmentioning

confidence: 92%

Section: Questionnairesmentioning

confidence: 99%

mentioning

confidence: 99%

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Meal‐eating characteristics among patients with symptoms of gastroparesis: Relationships to delays in gastric emptying

Barrett,

Johnson,

Halabi

et al. 2023

Neurogastroenterology Motil

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“…For this study, we included patients with a clinical history consistent with gastroparesis and evidence of delayed gastric emptying on gastric emptying scintigraphy, defined as retention of >60% at 2 hours and/or > 10% at 4 h of a radiolabeled meal (liquid egg white (Eggbeaters®) radiolabeled with 99 m‐technetium) ( N = 101). Gastric emptying scintigraphy was performed using a methodology previously described using the EggBeaters meal with 4‐hour imaging 17–19 . Patients were excluded if they completed <75% of the items in the VSI ( n = 1).…”

Section: Methodsmentioning

confidence: 99%

“…Gastric emptying scintigraphy was performed using a methodology previously described using the EggBeaters meal with 4-hour imaging. [17][18][19] Patients were excluded if they completed <75% of the items in the VSI (n = 1).…”

Section: Subjectsmentioning

confidence: 99%

Gastrointestinal‐Specific symptom anxiety in patients with gastroparesis: Relationships to symptom severity and quality of life

Tanner

Murray

Brown

et al. 2023

Neurogastroenterology Motil

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Background: Gastrointestinal (GI)-specific anxiety has been identified as a treatment target in irritable bowel syndrome. However, GI-specific anxiety has been understudied in other GI functional/motility disorders. Among adults with gastroparesis, we aimed to: (1) initially validate a measure of GI-specific anxiety, the Visceral Sensitivity Index (VSI); and (2) evaluate the relationship between GI-specific anxiety and gastroparesis symptom severity and quality of life, compared to measures of anxiety, depression, and somatization.Methods: Consecutive adult patients (N = 100) with gastroparesis presenting for initial consultation completed a series of self-report measures including the VSI. We conducted a confirmatory factor analysis of the VSI one-factor structure and tested internal consistency and convergent validity. We then performed hierarchical linear regression analyses to explore associations between VSI and gastroparesis symptom severity and overall quality of life.Key Results: Confirmatory factor analysis revealed that the original VSI one-factor structure overall fit well [χ 2 (90) = 220.1, p < 0.0001; SRMR = 0.08; RMSEA = 0.12; CFI = 0.96]. The VSI also had excellent internal consistency (α = 0.99) and convergent validity (r = 0.29-0.56; all p < 0.01). Higher GI-specific anxiety was significantly associated with greater gastroparesis symptom severity, including nausea/vomiting, fullness/satiety, and upper abdominal pain scores beyond depression, anxiety, or somatization (all p = <0.01-0.01). Additionally, higher GI-specific anxiety was significantly associated with lower mental health-related quality of life, beyond gastroparesis symptom severity, depression, anxiety, or somatization (p = 0.01). Conclusions & Inferences:The VSI is an adequate measure of GI-specific anxiety in patients with gastroparesis. Higher GI-specific anxiety was associated with increased patient-reported gastroparesis symptom severity and decreased quality of life, beyond depression/anxiety.

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