Sa1876 – Body Image Dissatisfaction is Increased in Inflammatory Bowel Disease Compared to Healthy Matched Controls But Not Diseased Controls

Su, Heidi Y.; Chen, Amanda; Brown, Selina; Alcantara, J.E. Lara; Sim, Dalice; Myint, Helen; Lilic, P; Inns, Stephen

doi:10.1016/s0016-5085(19)37942-9

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“…22 A small prospective study at a single center found increased body image dissatisfaction among both IBD compared with age-matched controls, although not compared with age-matched patients with diabetes. 23 In contrast, a meta-analysis identified that youth with IBD had worse HRQoL and social functioning compared with other youth with chronic illnesses. 24 In a 10-year study of American teenagers aged 15-17 years, body image dissatisfaction rates ranged from 12% to 46%, which corroborates that as our cohort continues to follow our patients with IBD over time, the older teenager population may represent a valuable subgroup for further study.…”

Section: Discussionmentioning

confidence: 98%

Body Image Dissatisfaction among Pediatric Patients with Inflammatory Bowel Disease

Claytor

Kochar

Kappelman

et al. 2020

The Journal of Pediatrics

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Objectives To determine risk factors for body image dissatisfaction among pediatric patients with inflammatory bowel disease (IBD). Study design We performed a cross-sectional study of children aged 9-18 years in the IBD Partners Kids & Teens cohort. Participants completed surveys including demographics, disease characteristics and activity indices, and psychosocial outcomes measured by IMPACT-III questionnaires. We defined body image dissatisfaction if participants answered "I look awful" or "I look bad." Bivariate analyses assessed associations between body image dissatisfaction and demographic, disease-related and psychosocial factors; logistic regression models evaluated associations between risk factors and body image dissatisfaction. Results IMPACT-III was completed by 664 patients, with 74 (11.1%) reporting body image dissatisfaction. Patients with body image dissatisfaction were more likely to be female (P < .01), older (median age 15 vs 13 years, P < .01), and diagnosed with IBD at an older age (12 vs 10 years, P < .01). Those with body image dissatisfaction had greater body mass index percentile (P = .02), more active disease (P < .01), more current steroid use (P < .01), and more depression and anxiety (P < .01). Female sex (OR 2.31; 95% CI 1.22-4.39), depression (OR 4.73; 95% CI 2.41-9.26), and anxiety (OR 5.42; 95% CI 2.48-11.80) were independently associated with body image dissatisfaction. Conclusions In this cohort, risk factors for body image dissatisfaction include female sex, older age at diagnosis, active disease, current steroid use, greater body mass index, and comorbid mood disorder. Interventions targeting modifiable risk factors for body image dissatisfaction may improve quality of life in pediatric patients with body image dissatisfaction.

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Section: Discussionmentioning

confidence: 98%