Unhealthy dietary behavior in refractory functional dyspepsia: A multicenter prospective investigation in <scp>C</scp>hina

Jiang, Shu Man; Lei, Xiao Gai; Jia, Lin; Xu, Ming; Wang, Sheng Bing; Liu, Jing; Song, Min Kyoung

doi:10.1111/1751-2980.12199

Cited by 23 publications

(20 citation statements)

References 22 publications

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“…Assisted population survey FD/IBS versus control subjects have fewer daily servings of fruit and vegetables, 0.82 versus 0.91 (P < 0.01), 2.51 versus 2.70 (P < 0.001), respectively Jiang (2014) 22 China FD versus control (n = 1414) Outpatient survey Differences between FD versus control 1. FD subjects have more erratic dietary habits (skipping meals [14.8% vs. 4.0], late meals [23.4% vs. 6.0%], and more snacking in between meals[14.1% vs. 3.0%]) than controls (P < 0.05) 2.…”

Section: Internet Population Surveymentioning

confidence: 99%

The low‐FODMAP diet in the management of functional dyspepsia in East and Southeast Asia

Tan

2017

J of Gastro and Hepatol

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Functional dyspepsia (FD) is a common disorder in East and Southeast Asia where subjects experience post prandial fullness/bloating, early satiety, belching, epigastric pain, and/or burning. A subset of patients with FD experience triggers exclusively related to meals, defined as the post prandial distress syndrome in the Rome IV guidelines. There is significant overlap of symptoms and implicated pathogenic factors with another common functional gastrointestinal disorder, irritable bowel syndrome (IBS) and in fact, a significant proportion of subjects have FD/IBS overlap. The introduction of the low-FODMAP diet has changed the paradigm of treatment for IBS. Like IBS, dietary management appears to be important to patients with FD and clinicians treating the condition. This review aims to examine the current role of diet in the management of FD in East and Southeast Asia, with an exploration of the likely efficacy and mechanisms of action of the low-FODMAP diet in this region.

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Section: Internet Population Surveymentioning

confidence: 99%

The low‐FODMAP diet in the management of functional dyspepsia in East and Southeast Asia

Tan

2017

J of Gastro and Hepatol

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“…Compared with nonspecific FD, significant differences in the frequency of meal skipping and fast intake have been reported by patients with dismotility-like FD and ulcer-like FD[ 2 ]. A large-sample multicenter study in China found that refractory FD patients often have unhealthy eating habits such as skipping meals, eating extra meals, or a preference for sweet food and gas-producing food[ 9 ].…”

Section: Behavioral Factors and Digestive Diseasesmentioning

confidence: 99%

Behavioral gastroenterology: An emerging system and new frontier of action

Jia

Jiang

Liu

2017

WJG

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Behavioral gastroenterology is a new interdisciplinary science that explores the influence of unhealthy lifestyles and psychological factors on the digestive system and addresses the prevention, diagnosis, treatment, and rehabilitation of digestive diseases. Moreover, the concept of whole-course intervention with a focus on disease prevention and a new model of integrated therapy based on alterations of lifestyle and psychology are being gradually established. This paradigm may substantively impact the prevention and treatment of digestive diseases.

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“…According to the statistics, the prevalence of FD is as high as 20–30% [ 1 , 2 ]. The underlying pathogenesis includes diverse mechanisms, such as infectious causes represented by Helicobacter pylori ( H. pylori ) [ 1 – 6 ], diet factor [ 1 , 7 , 8 ], gastric acid [ 1 , 9 , 10 ], delayed gastric emptying, impaired proximal gastric accommodation [ 1 , 11 – 13 ], visceral hypersensitivity [ 1 , 14 – 16 ], duodenal inflammation [ 1 , 17 , 18 ], genetic factors [ 19 , 20 ], and psychosocial factors (such as anxiety, depression, and stress) [ 19 – 25 ]. Moreover, these factors may interact with each other under the participation of brain-gut axis [ 1 , 3 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Developing the Patient Health Questionnaire-8 for a greater impact on the quality of life of patients with functional dyspepsia compared to Somatic Symptom Scale-8

et al. 2020

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Background To develop the Patient Health Questionnaire-8 (PHQ-8) as a more reliable approach than the Somatic Symptom Scale-8 (SSS-8), evaluating somatization which might be a critical factor influencing the quality of life (QoL) in patients with functional dyspepsia (FD). Also, the effects of somatization on QoL of FD patients were assessed by these two approaches. Methods Herein, 612 FD patients completed a questionnaire involving 25 items. 8/25 items were selected to develop the PHQ-8 by four methods of discrete degree, correlation coefficient, factor analysis, and Cronbach’s α coefficient. Reliability and validity of the PHQ-8 and the SSS-8 were compared by principal component and confirmatory factor analyses. The effects of somatization, depression, and anxiety on the Nepean Dyspepsia Index (NDI) for QoL were explored by Pearson’s correlation coefficient and linear regression analysis. Results The Cronbach’s α coefficient for the PHQ-8 and the SSS-8 was 0.601 and 0.553, respectively, and the cumulative contribution rate of three extracted factors for the developed PHQ-8 and SSS-8 was 55.103% and 51.666%, respectively. Somatization evaluated by the PHQ-8 (r = 0.309, P < 0.001) and the SSS-8 (r = 0.281, P < 0.001) was found to be correlated to NDI. The model used for the PHQ-8 showed that the values of goodness-of-fit index (GFI) and adjusted GFI (AGFI) were 0.984 and 0.967, respectively, which indicated that the model fitted well. Linear regression analysis unveiled that somatization (β = 0.270, P < 0.001), anxiety (β = 0.163, P < 0.001), and depression (β = 0.136, P = 0.003) assessed by the PHQ-8 were correlated to NDI. In addition, somatization (β = 0.250, P < 0.001), anxiety (β = 0.156, P < 0.001), and depression (β = 0.155, P = 0.001) evaluated by the SSS-8 were correlated to NDI. Conclusions PHQ-8 showed a superior reliability and validity, and somatization assessed by the developed PHQ-8 showed a greater influence on the QoL of FD patients as compared to the SSS-8. Our findings suggested that the developed PHQ-8 may show improvement in a reliable assessment of the effects of somatization on FD patients in lieu of the SSS-8.

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Unhealthy dietary behavior in refractory functional dyspepsia: A multicenter prospective investigation in China

Abstract: Unhealthy dietary behaviors, especially skipping meals, eating extra meals and a preference to sweet food and gas-producing food, were correlated with RFD and its subtypes.

Cited by 23 publications

References 22 publications

The low‐FODMAP diet in the management of functional dyspepsia in East and Southeast Asia

The low‐FODMAP diet in the management of functional dyspepsia in East and Southeast Asia

Behavioral gastroenterology: An emerging system and new frontier of action

Developing the Patient Health Questionnaire-8 for a greater impact on the quality of life of patients with functional dyspepsia compared to Somatic Symptom Scale-8

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