Prevalence of disordered eating in adults with gastrointestinal disorders: A systematic review

Peters, Jessica E.; Basnayake, Chamara; Hebbard, Geoffrey; Salzberg, Michael; Kamm, Michael A.

doi:10.1111/nmo.14278

Cited by 33 publications

(31 citation statements)

References 74 publications

(231 reference statements)

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“…Burton Murray et al reported 40% of DGBI patients had ARFID, with the most frequent presentation being fear of adverse consequences 19 . The systematic review by Peters et al reported disordered eating in 13%–55% of patients with gastrointestinal disorders, with highest prevalence in those with DGBI 20 . Given these findings, it is likely that orthorexia is common in this patient group, although this was not directly examined in these studies.…”

Section: Introductionmentioning

confidence: 87%

“…19 The systematic review by Peters et al reported disordered eating in 13%-55% of patients with gastrointestinal disorders, with highest prevalence in those with DGBI. 20 Given these findings, it is likely that orthorexia is common in this patient group, although this was not directly examined in these studies. These data, while focusing on other forms of ED, are hypothesis-generating that use of dietary therapies may also lead to increased orthorexic behaviors.…”

Section: Introductionmentioning

confidence: 92%

“…Based on the findings of this review and the findings from Burton Murray et al and Peters et al, 19,20 prior to prescription of any problematic eating patterns and shape/weight-motivated eating disorders. 19 Short screening questionnaires may be implemented to identify potentially at-risk patients 94 such as the five item Sick, Control, One stone, Fat, Food (SCOFF) questionnaire, 95 although this questionnaire has not been validated in gastroenterology.…”

Section: Application To Clinical Practice In Patients With Gastrointe...mentioning

confidence: 99%

“…18 The studies by Burton Murray et al and Peters et al published in this issue of Neurogastroenterology and Motility, both highlight the high prevalence of disordered eating behaviors in patients with gastrointestinal conditions, particularly DGBIs. 19,20 Burton Murray et al reported 40% of DGBI patients had ARFID, with the most frequent presentation being fear of adverse consequences. 19 The systematic review by Peters et al reported disordered eating in 13%-55% of patients with gastrointestinal disorders, with highest prevalence in those with DGBI.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Orthorexia nervosa is a concern in gastroenterology: A scoping review

Tuck

Sultan

Tonkovic

et al. 2022

Neurogastroenterology Motil

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There is concern that use of restrictive therapeutic diets, such as those used in disorders of the gut‐brain interaction (DGBI), may increase disordered eating. In this issue of Neurogastroenterology and Motility, Burton Murray et al. and Peters et al. both demonstrate a high prevalence of disordered eating in patients with gastrointestinal conditions, particularly those with DGBI. Given these findings, it is likely that orthorexia is common in this patient group, although this was not directly examined in these studies. Orthorexia nervosa is described as an obsessive and unsafe focus on eating foods perceived as healthy. This mini‐review therefore focuses on orthorexia by conducting a scoping review, as per the PRISMA extension for scoping reviews, aimed to assess the prevalence of orthorexia, and associations between orthorexia and restrictive eating practices. While a wide range of orthorexia prevalence has been reported (0%–97%) across the 57 studies included, no studies assessed prevalence specifically in gastrointestinal conditions. Four of eight studies describing diseases associated with specific dietary patterns suggested that participants who followed a diet for “digestive issues” or “food intolerances” were at higher orthorexia risk. These results suggest that dietary modifications may be a factor contributing to orthorexia. Additionally, we provide a commentary on the clinical implications of the findings for gastrointestinal conditions including a clinical flow chart. Clinicians should consider if a restrictive diet is appropriate for individuals with DGBI and include screening for disordered eating prior to implementation of dietary modifications. Future prospective studies should evaluate orthorexia within this patient group.

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Section: Introductionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 92%

Section: Application To Clinical Practice In Patients With Gastrointe...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Orthorexia nervosa is a concern in gastroenterology: A scoping review

Tuck

Sultan

Tonkovic

et al. 2022

Neurogastroenterology Motil

View full text Add to dashboard Cite

show abstract

“…In active IBD, gut symptoms are often associated with food intake, leading to restrictive eating behaviour. Disordered eating behaviour is more prevalent in patients with IBD than in the general population and persistent abnormal food intake, especially in the absence of active disease, should alert the clinician to a possible eating disorder 18 19…”

Section: Introductionmentioning

confidence: 99%

Understanding and managing psychological disorders in patients with inflammatory bowel disease: a practical guide

Kok

Byrne

Ibarra

et al. 2022

Frontline Gastroenterol

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Mood disturbances such as anxiety and depression are common in patients with inflammatory bowel disease (IBD), and impact negatively on their quality of life and disease course. An integrated multidisciplinary IBD team, which includes access to psychology and psychiatry opinion, makes possible the prompt recognition and management of psychological disturbance in patients with IBD. Based on our experience and existing literature, including systematic reviews of the effectiveness of available treatment modalities, a stepwise approach to the maintenance and restoration of psychological well-being is recommended, evolving upwards from lifestyle advice, through behavioural therapies to pharmacotherapy.

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Binge‐eatingdisorder with and without lifetime anorexia nervosa: A comparison of sociodemographic and clinical features

Pawar

Thornton

Flatt

et al. 2022

Intl J Eating Disorders

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Objective To compare individuals who have experienced binge‐eating disorder (BED) and anorexia nervosa (AN) (BED AN+) to those who have experienced BED and not AN (BED AN–). Method Participants (N = 898) met criteria for lifetime BED and reported current binge eating. Approximately 14% had a lifetime diagnosis of AN. Analyses compared BED AN+ and BED AN– on sociodemographic variables and clinical history. Results The presence of lifetime AN was associated with more severe eating disorder symptoms, including earlier onset, more frequent, more chronic, and more types of eating disorder behaviors over the lifetime, as well as a higher lifetime prevalence of bulimia nervosa (BN). Participants with lifetime AN reported being more likely to have received treatments for BED or BN, had significantly lower minimum, current, and maximum BMIs, had more severe general anxiety, and were significantly more likely to be younger and female. In the full sample, the lifetime prevalence of unhealthy weight control behaviors was high and treatment utilization was low, despite an average 15‐year history since symptom onset. Gastrointestinal disorders and comorbid anxiety, depression, and attention‐deficit/hyperactivity disorder symptoms were prevalent. Discussion Individuals fared poorly on a wide array of domains, yet those with lifetime AN fared considerably more poorly. All patients with BED should be screened for mental health and gastrointestinal comorbidities and offered referral and treatment options. Public Significance Individuals experiencing binge‐eating disorder have severe symptomology, but those who have experienced binge‐eating disorder and anorexia nervosa fare even more poorly. Our study emphasizes that patients with binge‐eating disorder would benefit from being screened for mental health and gastrointestinal comorbidities, and clinicians should consider history of unhealthy weight control behaviors to inform treatment and relapse prevention.

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Prevalence of disordered eating in adults with gastrointestinal disorders: A systematic review

Cited by 33 publications

References 74 publications

Orthorexia nervosa is a concern in gastroenterology: A scoping review

Orthorexia nervosa is a concern in gastroenterology: A scoping review

Understanding and managing psychological disorders in patients with inflammatory bowel disease: a practical guide

Binge‐eatingdisorder with and without lifetime anorexia nervosa: A comparison of sociodemographic and clinical features

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