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Food-related quality of life and its predictors in inflammatory bowel disease

dc.contributor.authorOliveira, Raquel
dc.contributor.authorMartins, Viviana
dc.contributor.authorSousa, Helena Tavares
dc.contributor.authorRoseira, Joana
dc.date.accessioned2024-03-22T13:48:56Z
dc.date.available2024-03-22T13:48:56Z
dc.date.issued2024-03
dc.description.abstractBackground Inflammatory bowel disease (IBD) is associated with dietary restrictions and food- and drink-driven daily life limitations. Food-related quality of life (FR-QoL) is still an under-addressed issue in IBD. Aim We aimed to study determinants of FR-QoL in an IBD cohort, namely objective measures of disease activity. Methods A cross-sectional case-control study was conducted in a Tertiary Hospital, including adult patients with IBD (cases) and blood donors or subjects referred for colorectal polypectomies (controls). Participants answered an anonymous multimodal questionnaire including sociodemographic and clinical data, the validated FR-QoL-29, and the SIBDQ tools. Patients' disease activity was previously assessed by a physician using symptom-based scores and biomarkers (Harvey-Bradshaw index, partial Mayo score, fecal calprotectin). Results A total of 239 patients with IBD and 126 controls were included. Patients with active disease had poorer FR-QoL than patients in remission (80.0 [56.0-99.0] vs. 103.5 [81.0-129.9], p < 0.001). Still, patients with IBD had significantly lower FR-QoL compared with controls (99.0 [76.0-126.0] vs. 126.0 [102.8-143.0], p < 0.001), irrespective of disease activity. FR-QoL correlated with health-related quality of life, measured by SIBDQ (r = 0.490, p < 0.001), and was significantly impaired by patients' depressive humor (84.0 [61.0-112.0] vs. 108.0 [88.0-130.5], p < 0.001). Globally, FR-QoL compromise was mostly related to persistent worries about food, concerns about food-related symptoms, and life disruption due to eating and drinking. Conclusions Patients with IBD showed significant FR-QoL impairment, irrespective of disease type and activity. Related psychosocial factors, such as the patient's affective status and fear around eating, warrant a need for a multidisciplinary approach to IBD, including tailored nutritional counseling.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1007/s10620-024-08333-9pt_PT
dc.identifier.eissn1573-2568
dc.identifier.urihttp://hdl.handle.net/10400.1/20538
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.subjectInflammatory bowel diseasept_PT
dc.subjectQuality of lifept_PT
dc.subjectDietpt_PT
dc.subjectNutritionpt_PT
dc.subjectFood-related issuespt_PT
dc.titleFood-related quality of life and its predictors in inflammatory bowel diseasept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleDigestive Diseases and Sciencespt_PT
person.familyNameMartins
person.familyNameSousa
person.familyNameRoseira
person.givenNameViviana Maria Varajão
person.givenNameHelena Tavares
person.givenNameJoana
person.identifier.ciencia-id2C1A-9EB3-E825
person.identifier.ciencia-idCF1F-1163-1C4A
person.identifier.orcid0000-0001-9218-6524
person.identifier.orcid0000-0002-6626-205X
person.identifier.orcid0000-0002-5098-8729
person.identifier.scopus-author-id55485732800
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication9e5e1866-631f-4bb9-a182-36e1a74e9552
relation.isAuthorOfPublication6b1d11dd-486f-4fb3-b41f-02e1cf6a5c2e
relation.isAuthorOfPublication077331f1-402e-455f-8e16-e475d62bc73a
relation.isAuthorOfPublication.latestForDiscovery6b1d11dd-486f-4fb3-b41f-02e1cf6a5c2e

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