The relationship between meal regularity with Irritable Bowel Syndrome (IBS) in adults

Bavani, Narges Ghorbani; Hajhashemy, Zahra; Saneei, Parvane; Keshteli, Ammar Hassanzadeh; Esmaillzadeh, Ahmad; Adibi, Peyman

doi:10.1038/s41430-022-01108-3

Cited by 4 publications

(2 citation statements)

References 52 publications

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“…The related problems in the questionnaire are strictly formulated according to the criteria to improve the accuracy of IBS diagnosis. Furthermore, many researchers use self-reported questionnaires to evaluate IBS, demonstrating the high reliability of the diagnostic results of this method [ 56 , 57 , 58 ]. Sixth, we cannot identify people with more than one eating style now, but we will work to overcome this challenge in the next step of our research.…”

Section: Discussionmentioning

confidence: 99%

Associations between Abnormal Eating Styles and Irritable Bowel Syndrome: A Cross-Sectional Study among Medical School Students

et al. 2022

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(1) Background: Few studies have investigated the association between eating styles and IBS. This study aimed to explore the association between abnormal eating styles and irritable bowel syndrome (IBS). (2) Methods: This cross-sectional study investigated students in China Medical University and Shenyang Medical College. Eating styles were evaluated by the Dutch Eating Behavior Questionnaire (DEBQ), and IBS was diagnosed according to Rome III criteria. Logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). (3) Results: A total of 335 students were diagnosed with IBS. Students with the total scores in tertile 2 and 3 had 1.29 times and 2.75 times higher risk of IBS than students with the total scores in tertile 1, respectively. Simultaneously, the risk of IBS in the tertile 3 of external eating, emotional eating, and restraint eating trends was 3.87 times, 2.71 times, and 3.82 times higher than that of tertile 1, respectively. (4) Conclusions: this study showed that a high score in both total eating styles and each eating style was associated with the odds of having IBS and suggested that the psychological factors behind eating styles may play a critical role in controlling the IBS.

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Section: Discussionmentioning

confidence: 99%

Associations between Abnormal Eating Styles and Irritable Bowel Syndrome: A Cross-Sectional Study among Medical School Students

et al. 2022

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“…Dietary advice is considered the first-line management in DGBI (7,8), and guidelines emphasize regular meal times (9) because maladaptive eating habits are associated with increased likelihood and severity of Irritable Bowel Syndrome (IBS) (10,11) and functional dyspepsia (FD) (12). Guidelines also promote elimination diets with the low fermentable oligo-, di-, and monosaccharide and polyol (low-FODMAP) diet accruing the most evidence and popularity (13).…”

Section: Introductionmentioning

confidence: 99%

Comprehensive Assessment of Nutrition and Dietary Influences in Hypermobile Ehlers-Danlos Syndrome—A Cross-sectional Study

Topan,

Pandya,

Williams

et al. 2024

Am J Gastroenterol

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Introduction: Disorders of Gut-Brain Interaction (DGBI) are common in patients with hypermobile Ehlers Danlos Syndrome/Hypermobility Spectrum Disorder (hEDS/HSD). Food is a known trigger for DGBI symptoms which often leads to dietary alterations and increasingly, nutrition support. We aimed to explore dietary behaviours and influencing factors in hEDS/HSD patients. Methods: In a cross-sectional study, patients with hEDS/HSD were recruited from Ehlers-Danlos Support UK (non-tertiary) and tertiary neurogastroenterology clinics to complete questionnaires characterising: dietary behaviours, nutrition support, DGBI (Rome IV), GI symptoms, anxiety, depression, Avoidant Restrictive Food Intake Disorder (ARFID), Mast Cell Activation Syndrome (MCAS), Postural tachycardia Syndrome (PoTS) and quality of life. We used stepwise logistic regression to ascertain which factors were associated with dietary behaviours and nutrition support. Results: Of 680 participants (95% female, median 39 years), 62.1% altered their diet in the last year and 62.3% regularly skipped meals. Altered diet was associated with: reflux symptoms (p<0.001), functional dyspepsia (p=0.008), reported MCAS (p<0.001) and a positive screen for ARFID, specifically fear of eating and low interest (p<0.001). 31.7% of those who altered their diet required nutrition support. The strongest predictor of requiring nutrition support was a positive screen for ARFID, specifically fear of eating (OR: 4.97, 95% CI: 2.09-11.8, p<0.001). Conclusion: Altered diet is very common in the hEDS/HSD patients we studied and influenced by functional dyspepsia, reflux symptoms and ARFID. Those with ARFID have a four-fold increased risk of requiring nutrition support and therefore, it is paramount that psychological support is offered in parallel with dietary support in the management of DGBI in hEDS/HSD.

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Sleep: An Overlooked Lifestyle Factor in Disorders of Gut-Brain Interaction

Topan,

Scott

2023

Curr Treat Options Gastro

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Purpose of review This review outlines the relationship between sleep and the GI tract in health, before appraising the association between sleep and the GI tract in disease, namely disorders of gut-brain interaction (DGBI). We aim to explore whether sleep disturbance exacerbates DGBI symptoms or vice versa, and summarise the evidence for pharmacological and psychological treatment options. Recent findings Sleep disorders are more common in patients with irritable bowel syndrome (IBS) compared to healthy subjects, with a pooled prevalence of 37.6%. Sufficient evidence exists to support the use of melatonin to ameliorate overall IBS symptom severity and improve quality of life. Summary DGBIs are stress-sensitive disorders and simple lifestyle advice is recognised as first-line management. Sleep, a cornerstone of lifestyle management, appears to be the forgotten factor. Sleep disturbance (both duration and quality) has been associated with DGBI, namely IBS; however, further studies are required to determine whether treatment options targeted at sleep can lead to GI symptom improvement.

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The relationship between meal regularity with Irritable Bowel Syndrome (IBS) in adults

Cited by 4 publications

References 52 publications

Associations between Abnormal Eating Styles and Irritable Bowel Syndrome: A Cross-Sectional Study among Medical School Students

Associations between Abnormal Eating Styles and Irritable Bowel Syndrome: A Cross-Sectional Study among Medical School Students

Comprehensive Assessment of Nutrition and Dietary Influences in Hypermobile Ehlers-Danlos Syndrome—A Cross-sectional Study

Sleep: An Overlooked Lifestyle Factor in Disorders of Gut-Brain Interaction

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