Association between dietary factors, symptoms, and psychological factors in adults with dyspepsia: A cross‐sectional study
Background Evidence‐based dietary management approaches for symptoms of dyspepsia are lacking. This study aimed to compare dietary factors, symptoms, quality of life (QOL) and salivary cortisol in dyspepsia participants and healthy controls. Methods A cross‐sectional survey was completed by adults w...
Gespeichert in:
| Veröffentlicht in: | Neurogastroenterology and motility 2023-12, Vol.35 (12), p.e14684-n/a |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | n/a |
|---|---|
| container_issue | 12 |
| container_start_page | e14684 |
| container_title | Neurogastroenterology and motility |
| container_volume | 35 |
| creator | Cooke, Zoe M. Resciniti, Stephanie M. Wright, Bradley J. Hale, Matthew W. Yao, Chu K. Tuck, Caroline J. Biesiekierski, Jessica R. |
| description | Background
Evidence‐based dietary management approaches for symptoms of dyspepsia are lacking. This study aimed to compare dietary factors, symptoms, quality of life (QOL) and salivary cortisol in dyspepsia participants and healthy controls.
Methods
A cross‐sectional survey was completed by adults with dyspepsia (n = 121) meeting Rome IV criteria and healthy controls (n = 52). Outcome measures included self‐reported questionnaires about dietary habits, triggers, restrictions, dietary management approaches, nutritional intake, psychological variables, QOL, gastrointestinal symptoms, and optional cortisol awakening response (CAR) via saliva samples. Data were analyzed using Chi‐square or Mann–Whitney U. Cortisol awakening response data was analyzed using moderated regression controlling for age, gender and distress.
Key Results
Fermentable carbohydrates (FODMAPs) (55%) were the most reported trigger in adults with dyspepsia. The dyspepsia group (88%) followed special diets more than controls (47%; p |
| doi_str_mv | 10.1111/nmo.14684 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2870992848</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2870992848</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3654-aec0758a9b90803ab961ef9868d1776d381f74272dc9b8d8e87529caa4b168ef3</originalsourceid><addsrcrecordid>eNp10btOwzAUBuAIgUQpDLyBJRaQSGu7udhsVcVNArrAHDm2Q10lcchxVEVi4BF4Rp4Ep4UFCS8-w3dsH_9BcErwhPg1rSs7IVHCor1gRGZJHFLO6P5QxzgknMaHwRHAGmOc0CgZBe9zACuNcMbWKNduo3WNlNFOtD0qhHS2hUsEfdU4W_lK1Ao10MuVLe2rkaL8RcjUSKiudIA2xq2Q6qHRDRhxheZIthbg6-MTtBwu8l3gOtUfBweFKEGf_Ozj4OXm-nlxFz4sb-8X84dQ-gmiUGiJ05gJnnPM8EzkPCG64CxhiqRpomaMFGlEU6okz5limqUx5VKIKCcJ08VsHJzvzm1a-9ZpcFllQOqyFLW2HWSUpZhzyiLm6dkfurZd6188KB5xlnIWe3WxU9vBWl1kTWsq_2UZwdmQQ-ZzyLY5eDvd2Y0pdf8_zJ4el7uOb8rhjKQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2894987985</pqid></control><display><type>article</type><title>Association between dietary factors, symptoms, and psychological factors in adults with dyspepsia: A cross‐sectional study</title><source>Wiley-Blackwell Journals</source><creator>Cooke, Zoe M. ; Resciniti, Stephanie M. ; Wright, Bradley J. ; Hale, Matthew W. ; Yao, Chu K. ; Tuck, Caroline J. ; Biesiekierski, Jessica R.</creator><creatorcontrib>Cooke, Zoe M. ; Resciniti, Stephanie M. ; Wright, Bradley J. ; Hale, Matthew W. ; Yao, Chu K. ; Tuck, Caroline J. ; Biesiekierski, Jessica R.</creatorcontrib><description>Background
Evidence‐based dietary management approaches for symptoms of dyspepsia are lacking. This study aimed to compare dietary factors, symptoms, quality of life (QOL) and salivary cortisol in dyspepsia participants and healthy controls.
Methods
A cross‐sectional survey was completed by adults with dyspepsia (n = 121) meeting Rome IV criteria and healthy controls (n = 52). Outcome measures included self‐reported questionnaires about dietary habits, triggers, restrictions, dietary management approaches, nutritional intake, psychological variables, QOL, gastrointestinal symptoms, and optional cortisol awakening response (CAR) via saliva samples. Data were analyzed using Chi‐square or Mann–Whitney U. Cortisol awakening response data was analyzed using moderated regression controlling for age, gender and distress.
Key Results
Fermentable carbohydrates (FODMAPs) (55%) were the most reported trigger in adults with dyspepsia. The dyspepsia group (88%) followed special diets more than controls (47%; p < 0.001), with a low FODMAP diet being most common (69%). The dyspepsia group consumed less fiber (p = 0.014), calcium (p = 0.015), and total FODMAPs (p < 0.001) than controls. There was a greater prevalence of comorbid anxiety (41%) and depression (31%) in dyspepsia compared to controls (15% and 12%, respectively, p < 0.001 and p = 0.006). The dyspepsia group had poorer QOL and greater gastrointestinal symptom severity than controls (p < 0.001). There was a negative association between anxiety and CAR (p = 0.001) in dyspepsia but not in controls.
Conclusions & Inferences
Adults with dyspepsia follow special diets more than controls and perceive FODMAPs as a key dietary trigger. These findings highlight the importance of monitoring nutritional adequacy and QOL, and emphasize mechanisms of depleted stress response in dyspepsia, warranting further exploration.
Many dyspepsia participants follow restrictive diets and identify perceived trigger foods, with many reporting FODMAPs as a key trigger, highlighting the need for monitoring nutritional adequacy and evidence‐based dietary management. Correlation between cortisol awakening response and anxiety suggests a depleted stress response, emphasizing importance of a biopsychosocial approach.</description><identifier>ISSN: 1350-1925</identifier><identifier>EISSN: 1365-2982</identifier><identifier>DOI: 10.1111/nmo.14684</identifier><language>eng</language><publisher>Oxford: Wiley Subscription Services, Inc</publisher><subject>Anxiety ; Carbohydrates ; Cortisol ; dietary habits ; Dietary intake ; dietary triggers ; Dyspepsia ; Hormones ; Nutrient deficiency ; Quality of life ; Saliva ; salivary cortisol</subject><ispartof>Neurogastroenterology and motility, 2023-12, Vol.35 (12), p.e14684-n/a</ispartof><rights>2023 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2023. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3654-aec0758a9b90803ab961ef9868d1776d381f74272dc9b8d8e87529caa4b168ef3</citedby><cites>FETCH-LOGICAL-c3654-aec0758a9b90803ab961ef9868d1776d381f74272dc9b8d8e87529caa4b168ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fnmo.14684$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fnmo.14684$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,1418,27926,27927,45576,45577</link.rule.ids></links><search><creatorcontrib>Cooke, Zoe M.</creatorcontrib><creatorcontrib>Resciniti, Stephanie M.</creatorcontrib><creatorcontrib>Wright, Bradley J.</creatorcontrib><creatorcontrib>Hale, Matthew W.</creatorcontrib><creatorcontrib>Yao, Chu K.</creatorcontrib><creatorcontrib>Tuck, Caroline J.</creatorcontrib><creatorcontrib>Biesiekierski, Jessica R.</creatorcontrib><title>Association between dietary factors, symptoms, and psychological factors in adults with dyspepsia: A cross‐sectional study</title><title>Neurogastroenterology and motility</title><description>Background
Evidence‐based dietary management approaches for symptoms of dyspepsia are lacking. This study aimed to compare dietary factors, symptoms, quality of life (QOL) and salivary cortisol in dyspepsia participants and healthy controls.
Methods
A cross‐sectional survey was completed by adults with dyspepsia (n = 121) meeting Rome IV criteria and healthy controls (n = 52). Outcome measures included self‐reported questionnaires about dietary habits, triggers, restrictions, dietary management approaches, nutritional intake, psychological variables, QOL, gastrointestinal symptoms, and optional cortisol awakening response (CAR) via saliva samples. Data were analyzed using Chi‐square or Mann–Whitney U. Cortisol awakening response data was analyzed using moderated regression controlling for age, gender and distress.
Key Results
Fermentable carbohydrates (FODMAPs) (55%) were the most reported trigger in adults with dyspepsia. The dyspepsia group (88%) followed special diets more than controls (47%; p < 0.001), with a low FODMAP diet being most common (69%). The dyspepsia group consumed less fiber (p = 0.014), calcium (p = 0.015), and total FODMAPs (p < 0.001) than controls. There was a greater prevalence of comorbid anxiety (41%) and depression (31%) in dyspepsia compared to controls (15% and 12%, respectively, p < 0.001 and p = 0.006). The dyspepsia group had poorer QOL and greater gastrointestinal symptom severity than controls (p < 0.001). There was a negative association between anxiety and CAR (p = 0.001) in dyspepsia but not in controls.
Conclusions & Inferences
Adults with dyspepsia follow special diets more than controls and perceive FODMAPs as a key dietary trigger. These findings highlight the importance of monitoring nutritional adequacy and QOL, and emphasize mechanisms of depleted stress response in dyspepsia, warranting further exploration.
Many dyspepsia participants follow restrictive diets and identify perceived trigger foods, with many reporting FODMAPs as a key trigger, highlighting the need for monitoring nutritional adequacy and evidence‐based dietary management. Correlation between cortisol awakening response and anxiety suggests a depleted stress response, emphasizing importance of a biopsychosocial approach.</description><subject>Anxiety</subject><subject>Carbohydrates</subject><subject>Cortisol</subject><subject>dietary habits</subject><subject>Dietary intake</subject><subject>dietary triggers</subject><subject>Dyspepsia</subject><subject>Hormones</subject><subject>Nutrient deficiency</subject><subject>Quality of life</subject><subject>Saliva</subject><subject>salivary cortisol</subject><issn>1350-1925</issn><issn>1365-2982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNp10btOwzAUBuAIgUQpDLyBJRaQSGu7udhsVcVNArrAHDm2Q10lcchxVEVi4BF4Rp4Ep4UFCS8-w3dsH_9BcErwhPg1rSs7IVHCor1gRGZJHFLO6P5QxzgknMaHwRHAGmOc0CgZBe9zACuNcMbWKNduo3WNlNFOtD0qhHS2hUsEfdU4W_lK1Ao10MuVLe2rkaL8RcjUSKiudIA2xq2Q6qHRDRhxheZIthbg6-MTtBwu8l3gOtUfBweFKEGf_Ozj4OXm-nlxFz4sb-8X84dQ-gmiUGiJ05gJnnPM8EzkPCG64CxhiqRpomaMFGlEU6okz5limqUx5VKIKCcJ08VsHJzvzm1a-9ZpcFllQOqyFLW2HWSUpZhzyiLm6dkfurZd6188KB5xlnIWe3WxU9vBWl1kTWsq_2UZwdmQQ-ZzyLY5eDvd2Y0pdf8_zJ4el7uOb8rhjKQ</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Cooke, Zoe M.</creator><creator>Resciniti, Stephanie M.</creator><creator>Wright, Bradley J.</creator><creator>Hale, Matthew W.</creator><creator>Yao, Chu K.</creator><creator>Tuck, Caroline J.</creator><creator>Biesiekierski, Jessica R.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202312</creationdate><title>Association between dietary factors, symptoms, and psychological factors in adults with dyspepsia: A cross‐sectional study</title><author>Cooke, Zoe M. ; Resciniti, Stephanie M. ; Wright, Bradley J. ; Hale, Matthew W. ; Yao, Chu K. ; Tuck, Caroline J. ; Biesiekierski, Jessica R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3654-aec0758a9b90803ab961ef9868d1776d381f74272dc9b8d8e87529caa4b168ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anxiety</topic><topic>Carbohydrates</topic><topic>Cortisol</topic><topic>dietary habits</topic><topic>Dietary intake</topic><topic>dietary triggers</topic><topic>Dyspepsia</topic><topic>Hormones</topic><topic>Nutrient deficiency</topic><topic>Quality of life</topic><topic>Saliva</topic><topic>salivary cortisol</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cooke, Zoe M.</creatorcontrib><creatorcontrib>Resciniti, Stephanie M.</creatorcontrib><creatorcontrib>Wright, Bradley J.</creatorcontrib><creatorcontrib>Hale, Matthew W.</creatorcontrib><creatorcontrib>Yao, Chu K.</creatorcontrib><creatorcontrib>Tuck, Caroline J.</creatorcontrib><creatorcontrib>Biesiekierski, Jessica R.</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Neurogastroenterology and motility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cooke, Zoe M.</au><au>Resciniti, Stephanie M.</au><au>Wright, Bradley J.</au><au>Hale, Matthew W.</au><au>Yao, Chu K.</au><au>Tuck, Caroline J.</au><au>Biesiekierski, Jessica R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between dietary factors, symptoms, and psychological factors in adults with dyspepsia: A cross‐sectional study</atitle><jtitle>Neurogastroenterology and motility</jtitle><date>2023-12</date><risdate>2023</risdate><volume>35</volume><issue>12</issue><spage>e14684</spage><epage>n/a</epage><pages>e14684-n/a</pages><issn>1350-1925</issn><eissn>1365-2982</eissn><abstract>Background
Evidence‐based dietary management approaches for symptoms of dyspepsia are lacking. This study aimed to compare dietary factors, symptoms, quality of life (QOL) and salivary cortisol in dyspepsia participants and healthy controls.
Methods
A cross‐sectional survey was completed by adults with dyspepsia (n = 121) meeting Rome IV criteria and healthy controls (n = 52). Outcome measures included self‐reported questionnaires about dietary habits, triggers, restrictions, dietary management approaches, nutritional intake, psychological variables, QOL, gastrointestinal symptoms, and optional cortisol awakening response (CAR) via saliva samples. Data were analyzed using Chi‐square or Mann–Whitney U. Cortisol awakening response data was analyzed using moderated regression controlling for age, gender and distress.
Key Results
Fermentable carbohydrates (FODMAPs) (55%) were the most reported trigger in adults with dyspepsia. The dyspepsia group (88%) followed special diets more than controls (47%; p < 0.001), with a low FODMAP diet being most common (69%). The dyspepsia group consumed less fiber (p = 0.014), calcium (p = 0.015), and total FODMAPs (p < 0.001) than controls. There was a greater prevalence of comorbid anxiety (41%) and depression (31%) in dyspepsia compared to controls (15% and 12%, respectively, p < 0.001 and p = 0.006). The dyspepsia group had poorer QOL and greater gastrointestinal symptom severity than controls (p < 0.001). There was a negative association between anxiety and CAR (p = 0.001) in dyspepsia but not in controls.
Conclusions & Inferences
Adults with dyspepsia follow special diets more than controls and perceive FODMAPs as a key dietary trigger. These findings highlight the importance of monitoring nutritional adequacy and QOL, and emphasize mechanisms of depleted stress response in dyspepsia, warranting further exploration.
Many dyspepsia participants follow restrictive diets and identify perceived trigger foods, with many reporting FODMAPs as a key trigger, highlighting the need for monitoring nutritional adequacy and evidence‐based dietary management. Correlation between cortisol awakening response and anxiety suggests a depleted stress response, emphasizing importance of a biopsychosocial approach.</abstract><cop>Oxford</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/nmo.14684</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1350-1925 |
| ispartof | Neurogastroenterology and motility, 2023-12, Vol.35 (12), p.e14684-n/a |
| issn | 1350-1925 1365-2982 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2870992848 |
| source | Wiley-Blackwell Journals |
| subjects | Anxiety Carbohydrates Cortisol dietary habits Dietary intake dietary triggers Dyspepsia Hormones Nutrient deficiency Quality of life Saliva salivary cortisol |
| title | Association between dietary factors, symptoms, and psychological factors in adults with dyspepsia: A cross‐sectional study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-17T19%3A50%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Association%20between%20dietary%20factors,%20symptoms,%20and%20psychological%20factors%20in%20adults%20with%20dyspepsia:%20A%20cross%E2%80%90sectional%20study&rft.jtitle=Neurogastroenterology%20and%20motility&rft.au=Cooke,%20Zoe%20M.&rft.date=2023-12&rft.volume=35&rft.issue=12&rft.spage=e14684&rft.epage=n/a&rft.pages=e14684-n/a&rft.issn=1350-1925&rft.eissn=1365-2982&rft_id=info:doi/10.1111/nmo.14684&rft_dat=%3Cproquest_cross%3E2870992848%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2894987985&rft_id=info:pmid/&rfr_iscdi=true |