PMID- 38380713
OWN - NLM
STAT- MEDLINE
DCOM- 20240424
LR  - 20240425
IS  - 1365-2982 (Electronic)
IS  - 1350-1925 (Linking)
VI  - 36
IP  - 5
DP  - 2024 May
TI  - When dietary modification turns problematic in patients with esophageal 
      conditions.
PG  - e14772
LID - 10.1111/nmo.14772 [doi]
AB  - BACKGROUND: Patients with chronic illness affecting the esophagus often modify 
      their eating habits to manage symptoms. Although this begins as a protective 
      strategy, anxiety around eating can become problematic, and lead to poor 
      outcomes. We administered a survey to examine the factors associated with 
      problematic eating behaviors in patients who have reflux and difficulty 
      swallowing (esophageal dysphagia). METHODS: In total, 277 adult patients aged 
      above 18 diagnosed with achalasia, eosinophilic esophagitis, and gastroesophageal 
      reflux completed an online survey: (1) demographic and disease information; (2) 
      reflux and dysphagia severity (3) eating behaviors, as measured by a 
      study-specific, modified version of the Eating Disorder Questionnaire (EDE-Q) for 
      patients with esophageal conditions; and (4) Food related quality of life 
      (FRQOL). Descriptive statistics, one-way ANOVA, and Pearson's correlations 
      evaluated the sample data and a hierarchical linear regression evaluated 
      predictors of problematic eating behaviors. KEY RESULTS: Problematic eating 
      behaviors were associated with reflux severity, dysphagia severity, symptom 
      anxiety, and hypervigilance, and negatively associated with FRQOL. While reflux 
      and dysphagia severity predicted greater problematic eating, symptom anxiety 
      explained more of these behaviors. Although hypervigilance and anxiety also 
      predicted poorer FRQOL, problematic eating was the largest predictor. CONCLUSION 
      & INFERENCES: Problematic eating behaviors are associated with increased symptom 
      severity and symptom anxiety, and diminished FRQoL. Symptom anxiety, rather than 
      symptom severity, appears to be a driving factor in problematic eating behaviors. 
      Interventions aimed at diminishing symptom anxiety may be useful in reducing 
      problematic eating behaviors in patients with gastrointestinal symptoms.
CI  - (c) 2024 The Authors. Neurogastroenterology & Motility published by John Wiley & 
      Sons Ltd.
FAU - Simons, Madison
AU  - Simons M
AD  - Division of Gastroenterology & Hepatology, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
FAU - Zavala, Sonia
AU  - Zavala S
AD  - Division of Gastroenterology & Hepatology, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
FAU - Taft, Tiffany
AU  - Taft T
AD  - Division of Gastroenterology & Hepatology, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
DEP - 20240221
PL  - England
TA  - Neurogastroenterol Motil
JT  - Neurogastroenterology and motility
JID - 9432572
SB  - IM
MH  - Humans
MH  - Male
MH  - Female
MH  - Middle Aged
MH  - Adult
MH  - *Gastroesophageal Reflux/psychology
MH  - *Quality of Life
MH  - *Deglutition Disorders/psychology
MH  - Feeding Behavior/psychology/physiology
MH  - Anxiety/psychology
MH  - Aged
MH  - Feeding and Eating Disorders/psychology
MH  - Eosinophilic Esophagitis/psychology
MH  - Surveys and Questionnaires
MH  - Young Adult
MH  - Esophageal Achalasia/psychology
OTO - NOTNLM
OT  - diet
OT  - eating behavior
OT  - gastrointestinal symptoms
OT  - psychogastroenterology
OT  - quality of life
EDAT- 2024/02/21 12:42
MHDA- 2024/04/24 19:05
CRDT- 2024/02/21 08:04
PHST- 2024/02/12 00:00 [revised]
PHST- 2023/11/10 00:00 [received]
PHST- 2024/02/14 00:00 [accepted]
PHST- 2024/04/24 19:05 [medline]
PHST- 2024/02/21 12:42 [pubmed]
PHST- 2024/02/21 08:04 [entrez]
AID - 10.1111/nmo.14772 [doi]
PST - ppublish
SO  - Neurogastroenterol Motil. 2024 May;36(5):e14772. doi: 10.1111/nmo.14772. Epub 
      2024 Feb 21.