Dysmotility Symptoms Are Independently Associated With Weight Change: A Population-based Study of Australian Adults

Eslick, Guy D.; Howell, Stuart; Talley, Nicholas J.

doi:10.5056/jnm14124

Cited by 5 publications

(3 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the past year, predictors for frequent consultations included persistent symptoms. Weight loss was one of the alarm features for patients with IBS[ 22 ] with a reported prevalence of 21%, which might be associated with FD (especially postprandial distress syndrome[ 23 ] and psychological disorders[ 24 ]). The reported prevalence of gastrointestinal malignancies in the population with unintentional weight loss was 6%-38%[ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of healthcare-seeking behavior among Chinese patients with irritable bowel syndrome

Fan

Chang

et al. 2017

WJG

View full text Add to dashboard Cite

AIMTo analyze predictors of healthcare-seeking behavior among Chinese patients with irritable bowel syndrome (IBS) and their satisfaction with medical care.METHODSParticipating patients met IBS Rome III criteria (excluding those with organic diseases) and were enrolled in an IBS database in a tertiary university hospital. Participants completed IBS questionnaires in face-to-face interviews. The questionnaires covered intestinal and extra-intestinal symptoms, medical consultations, colonoscopy, medications, and self-reported response to medications during the whole disease course and in the past year. Univariate associations and multivariate logistic regression were used to identify predictors for frequent healthcare-seeking behavior (≥ 3 times/year), frequent colonoscopies (≥ 2 times/year), long-term medications, and poor satisfaction with medical care.RESULTSIn total, 516 patients (293 males, 223 females) were included. Participants’ average age was 43.2 ± 11.8 years. Before study enrollment, 55.2% had received medical consultations for IBS symptoms. Ordinary abdominal pain/discomfort (non-defecation) was an independent predictor for healthcare-seeking behavior (OR = 2.07, 95%CI: 1.31-3.27). Frequent colonoscopies were reported by 14.7% of patients (3.1 ± 1.4 times per year). Sensation of incomplete evacuation was an independent predictor for frequent colonoscopies (OR = 2.76, 95%CI: 1.35-5.67). During the whole disease course, 89% of patients took medications for IBS symptoms, and 14.7% reported they were satisfied with medical care. Patients with anxiety were more likely to report dissatisfaction with medical care (OR = 2.08, 95%CI: 1.20-3.59). In the past year, patients with severe (OR = 1.74, 95%CI: 1.06-2.82) and persistent (OR = 1.66, 95%CI: 1.01-2.72) IBS symptoms sought medical care more frequently.CONCLUSIONChinese patients with IBS present high rates of frequent healthcare-seeking behavior, colonoscopies, and medications, and low satisfaction with medical care. Intestinal symptoms are major predictors for healthcare-seeking behavior.

show abstract

Section: Discussionmentioning

confidence: 99%

Predictors of healthcare-seeking behavior among Chinese patients with irritable bowel syndrome

Fan

Chang

et al. 2017

WJG

View full text Add to dashboard Cite

show abstract

“…In a recent issue of the Journal of Neurogastroenterology and Motility, we were very interested in the article by Eslick et al 1 entitled "Dysmotility symptoms are independently associated with weight change: a population-based study of Australian adults," in which the investigators assessed the associations between gastrointestinal (GI) symptoms and weight change (loss or gain).…”

Section: To the Editormentioning

confidence: 99%

Dysmotility Symptoms and Weight Change: A Psychiatric Perspective

Çeli̇k

Özdemir

Öznur

2015

J Neurogastroenterol Motil

View full text Add to dashboard Cite

TO THE EDITOR:In a recent issue of the Journal of Neurogastroenterology and Motility, we were very interested in the article by Eslick et al 1 entitled "Dysmotility symptoms are independently associated with weight change: a population-based study of Australian adults," in which the investigators assessed the associations between gastrointestinal (GI) symptoms and weight change (loss or gain).They reported that specific dysmotility symptoms are independently predictive of both weight loss and weight gain, and that different pathogenic mechanisms may be involved. This study is well designed, but we would like to comment on several of the factors that can affect both GI symptoms and weight change, as these may shed new light on the author's interpretations.The authors state that 54% of participants were women, and mean age was not given in the study. In addition to the above diseases, physical exercise, stress exposure, and lifestyle-related health behaviors are also important factors that could alter body weight and GI symptoms.

show abstract

“…29 Interestingly, several studies showed that patients with abdominal bloating were more prone to recent weight gain than controls, irrespective of BMI. 30,31 The suggested hypothesis of these studies was that excessive accumulation of intra-abdominal fat content could alter visceral sensation. However, no studies have compared the intra-abdominal fat content between patients with functional bloating and control subjects.…”

Section: Abdominal Fat Contentsmentioning

confidence: 99%

Gastrointestinal Gas and Abdominal Fat Quantity Measured by Three-Dimensional Abdominal Computed Tomography in Patients with Functional Bloating

Lee

Kim

Sun

et al. 2018

Korean J Gastroenterol

View full text Add to dashboard Cite

Background/Aims: The aim of this study was to assess whether increased intestinal gas or fat content in the abdominal cavity is related to abdominal bloating, using three-dimensional abdominal computed tomography scan. Methods: Twenty-nine healthy individuals without abdominal bloating and organic disease (15 women; mean age, 49 years; range of age, 23-73 years) and 30 patients with chronic recurrent abdominal bloating-diagnosed with functional bloating (10 women; mean age, 53 years; range of age, 35-75 years) -participated in this study. The mean values of measured parameters were compared using independent sample t-test. Results: The mean volume of total colon gas in bloated patients was similar to that in control subjects. The distribution of intra-abdominal gas was also similar between the two groups. However, the amount of gas in the transverse colon tended to be significantly higher in patients with bloating than in controls (p=0.06). Body mass index was similar between the two groups (23.4±3.2 kg/m 2 and 22.3±3.1 kg/m 2 , respectively). Moreover, no significant differences with respect to circumferential area, subcutaneous fat, visceral fat area, and total fat area were found between the two groups. Conclusions: Bloating might not just be the result of gastrointestinal gas or intra-abdominal fat. Other contributing factors, such as localized abnormality in gas distribution and visceral hypersensitivity, may be involved. (Korean J Gastroenterol 2018;71:324-331)

show abstract

Dysmotility Symptoms Are Independently Associated With Weight Change: A Population-based Study of Australian Adults

Cited by 5 publications

References 39 publications

Predictors of healthcare-seeking behavior among Chinese patients with irritable bowel syndrome

Predictors of healthcare-seeking behavior among Chinese patients with irritable bowel syndrome

Dysmotility Symptoms and Weight Change: A Psychiatric Perspective

Gastrointestinal Gas and Abdominal Fat Quantity Measured by Three-Dimensional Abdominal Computed Tomography in Patients with Functional Bloating

Contact Info

Product

Resources

About