- Almost 1 in 4 patients with chronic constipation (CC) screened positive for eating disorders (EDs) in this study.
Why this matters
- Among patients with disorders of gut-brain interaction, 1 in 4 has an ED.
- CC treatment often involves dietary modification, which could be detrimental with an undiagnosed ED.
- The authors say that this study is the first to assess ED prevalence among patients with CC seen in a gastroenterology practice.
- Patients with CC, especially with bloating and abdominal pain, may benefit from screening for EDs.
- 19.0% had evidence of ED on Eating Attitudes Test (EAT-26).
- Those with ED vs without had (ORs; 95% CIs):
- Higher general anxiety: 1.20 (1.05-1.38; P=.009).
- Higher gastroenterology-specific anxiety: 1.06 (1.03-1.09; P<.001>
- More severe constipation symptoms per Patient Assessment of Constipation-Symptoms (PAC-SYM) scores: 25.6 vs 21.0 (P=.001).
- Abdominal symptoms (as opposed to rectal or stool symptoms) accounted for difference in constipation symptoms.
- Cross-sectional study of patients with CC referred to gastroenterology (n=279).
- Outcomes: measures of EDs, CC, anxiety, anal pressure, colonic transit.
- Funding: American Gastroenterological Association grant support to 1 author.
- EAT-26 has not been validated in gastroenterology populations.