Eating Disorders, Body Dissatisfaction, and Health-promoting Lifestyle: Comparing Coeliac Patients with Healthy People Eating Disorders, Body Dissatisfaction, and Health-promoting Lifestyle in Coeliac Patients
Archives of Advances in Biosciences,
Vol. 12 No. 4 (2021),
12 October 2021
,
Page 18-26
https://doi.org/10.22037/aab.v12i4.35550
Abstract
Introduction: Celiac disease is associated with body, eating concerns, and life style problems. This study was performed with the purpose of comparing components of eating attitude, body dissatisfaction, and health promoting life style in celiac patients and with those in healthy people.
Materials and methods: The method of the research is descriptive-causal comparative. The statistical population includes all 18-80 year-old celiac patients and healthy people from West Azerbaijan Province in 2016. Forty celiac patients were selected from those referred to the gastrointestinal clinic; 40 healthy people who were matched with respect to demographic characteristics were selected through availability sampling. They answered the Eating Attitude Test (EAT-26), the Body Image Concern Inventory (BICI), and the Health Promoting Life Style Profile (HPLP) questionnaires.
Results: The results of multivariate analysis of variance showed that the means of eating attitude (F=27/64) and body image concern (F=10/48) in celiac patients are significantly higher than those in healthy people. Also, the mean of health promoting life style (F=18/89) in celiac patients is lower than that of healthy people.
Conclusion: Eating disorder symptoms and body image concern in celiac patient are significantly more than those in healthy people; moreover, health promoting life style in celiac patient is more insufficient than that of healthy people. Therefore, it is essential to pay more attention to the psychological status of these patients.
- Eating disorder, Body image concern, Health promoting life style, Celiac disease
How to Cite
References
Trier JS. Celiac sprue. N Engl J Med. 1991; 325(24):1709-19. [DOI:10.1056/NEJM199112123252406] [PMID]
Sollid LM. Coeliac disease: Dissecting a complex inflammatory disorder. Nat Rev Immunol. 2002; 2(9):647-55. [DOI:10.1038/nri885] [PMID]
Farrell RJ, Kelly CP. Celiac sprue. N Engl J Med. 2002; 346(3):180-8. [DOI:10.1056/NEJMra010852] [PMID]
Capristo E, Addolorato G, Mingrone G, De Gaetano A, Greco AV, Tataranni PA, et al. Changes in body composition, substrate oxidation, and resting metabolic rate in adult celiac disease patients after a 1-y gluten-free diet treatment. Am J Clin Nutr. 2000; 72(1):76-81. [DOI:10.1093/ajcn/72.1.76] [PMID]
Hernandez L, Green PH. Extraintestinal manifestations of celiac disease. Curr Gastroenterol Rep. 2006; 8(5):383-9. [DOI:10.1007/s11894-006-0023-7] [PMID]
Zingone F, Swift GL, Card TR, Sanders DS, Ludvigsson JF, Bai JC. Psychological morbidity of celiac disease: A review of the literature. United Eur Gastroenterol J. 2015; 3(2):136-45. [DOI:10.1177/2050640614560786] [PMID] [PMCID]
Addolorato G, Leggio L, D’Angelo C, Mirijello A, Ferrulli A, Cardone S, et al. Affective and psychiatric disorders in celiac disease. Dig Dis. 2008; 26(2):140-8. [DOI:10.1159/000116772] [PMID]
Sharma TR, Kline DB, Shreeve DF, Hartman DW. Psychiatric comorbidities in patients with celiac disease: Is there any concrete biological association? Asian J Psychiatr. 2011; 4(2):150-1. [DOI:10.1016/j.ajp.2011.03.001] [PMID]
Ricca V, Mannucci E, Calabrò A, Bernardo MD, Cabras PL, Rotella CM. Anorexia nervosa and celiac disease: two case reports. Int J Eat Disord. 2000; 27(1):119-22. [DOI:10.1002/(sici)1098-108x(200001)27:1<119::aid-eat16>3.0.co;2-r] [PMID]
Jost PJ, Stengel SM, Huber W, Sarbia M, Peschel Ch, Duyster J. Very severe iron-deficiency anemia in a patient with celiac disease and bulimia nervosa: A case report. Int J Hematol. 2005; 82(4):310-1. [DOI:10.1532/IJH97.E0505] [PMID]
Leffler DA, Dennis M, George JBE, Kelly CP. The interaction between eating disorders and celiac disease: An exploration of 10 cases. Eur J Gastroenterol Hepatol. 2007; 19(3):251-5. [DOI:10.1097/MEG.0b013e328012db37] [PMID]
Karwautz A, Wagner G, Berger G, Sinnreich U, Grylli V, Huber WD. Eating pathology in adolescents with celiac disease. Psychosomatics. 2008; 49(5):399-406. [DOI:10.1176/appi.psy.49.5.399] [PMID]
Arigo D, Anskis AM, Smyth JM. Psychiatric comorbidities in women with celiac disease. Chronic Illn. 2012; 8(1):45-55. [DOI:10.1177/1742395311417639] [PMID]
Passananti V, Siniscalchi M, Zingone F, Bucci C, Tortora R, Iovino P, et al. Prevalence of eating disorders in adults with celiac disease. Gastroenterol Res Pract. 2013; 2013:491657. [DOI:10.1155/2013/491657] [PMID] [PMCID]
Lowe MR, Berner LA, Swanson SA, Clark VL, Eddy KT, Franko DL, et al. Weight suppression predicts time to remission from bulimia nervosa. J Consult Clin Psychol. 2011; 79(6):772-6. [DOI:10.1037/a0025714] [PMID]
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association Publishing; 2013. [DOI:10.1176/appi.books.9780890425596]
Ghasemi V, Rabbani R, Rabbani Khorasgani A, Alizadeh Aghdam MB. [Structural and capital determinants of healthy lifestyle (Persian)]. J Soc Probl Iran. 2009; 1387(63):181-213. https://jspi.khu.ac.ir/article-1-229-fa.html
Nilsaz M, Tavasoli E, Mazaheri M, Sohrabi F, Khezeli M, Ghazanfari Z, et al. [Study of health-promotion behaviors and life style among students of Dezful universities (Persian)]. J Ilam Univ Med Sci. 2013; 20(5):168-75. http://sjimu.medilam.ac.ir/article-1-940-fa.html
Tol A, Tavassoli E, Shariferad GR, Shojaeezadeh D. Health-promoting lifestyle and quality of life among undergraduate students at school of health, Isfahan University of Medical Sciences. J Educ Health Promot. 2013; 2:11. [DOI:10.4103/2277-9531.108006] [PMID] [PMCID]
Hosseini M, Ashktorab T, Taghdisi MH. [Health promotion lifestyle in nursing students: A systematic review (Persian)]. J Health Promot Manag. 2013; 2(1):66-79. http://jhpm.ir/article-1-109-en.html
Norouzinia R, Aghabarari M, Kohan M, Karimi M. [Health promotion behaviors and its correlation with anxiety and some students’ demographic factors of Alborz University of Medical Sciences (Persian)]. J Health Promot Manag. 2013; 2(4):39-49. http://jhpm.ir/article-1-236-en.html
Stuifbergen AK, Roberts GJ. Health promotion practices of women with multiple sclerosis. Arch Phys Med Rehabil. 1997; 78(12 Suppl 5):S3-9. [DOI:10.1016/S0003-9993(97)90215-X]
Levin JS, Schiller PL. Is there a religious factor in health? J Relig Health. 1987; 26(1):9-36. [DOI:10.1007/BF01533291] [PMID]
Larson DB, Swyers JP, McCullough ME, editors. Scientific research on spirituality and health: A report based on the scientific progress in spirituality conferences. UK: National Institute for Healthcare Research; 1998. https://books.google.com/books_and.html?id=5TZ_AAAAMAAJ
Amre DK, D’souza S, Morgan K, Seidman G, Lambrette Ph, Grimard G, et al. Imbalances in dietary consumption of fatty acids, vegetables, and fruits are associated with risk for Crohn’s disease in children. Am J Gastroenterol. 2007; 102(9):2016-25. [DOI:10.1111/j.1572-0241.2007.01411.x] [PMID]
Behrens G, Jochem C, Keimling M, Ricci C, Schmid D, Leitzmann MF. The association between physical activity and gastroesophageal cancer: Systematic review and meta-analysis. Eur J Epidemiol. 2014; 29(3):151-70. [DOI:10.1007/s10654-014-9895-2] [PMID]
Aune D, Norat T, Leitzmann M, Tonstad S, Vatten LJ. Physical activity and the risk of type 2 diabetes: A systematic review and dose-response meta-analysis. Eur J Epidemiol. 2015; 30(7):529-42. [DOI:10.1007/s10654-015-0056-z] [PMID]
Soares-Miranda L, Siscovick DS, Psaty BM, Longstreth Jr WT, Mozaffarian D. Physical activity and risk of coronary heart disease and stroke in older adults: the cardiovascular health study. Circulation. 2016; 133(2):147-55. [DOI:10.1161/CIRCULATIONAHA.115.018323] [PMID] [PMCID]
Benatti FB, Pedersen BK. Exercise as an anti-inflammatory therapy for rheumatic diseases-myokine regulation. Nat Rev Rheumatol. 2015; 11(2):86-97. [DOI:10.1038/nrrheum.2014.193] [PMID]
Kiecolt-Glaser JK, McGuire L, Robles TF, Glaser R. Emotions, morbidity, and mortality: New perspectives from psychoneuroimmunology. Ann Rev Psychol. 2002; 53:83-107. [DOI:10.1146/annurev.psych.53.100901.135217] [PMID]
Kiecolt-Glaser JK, Newton TL. Marriage and health: His and hers. Psychol Bull. 2001; 127(4):472-503. [DOI:10.1037/0033-2909.127.4.472] [PMID]
Gouin JP, Glaser R, Loving TJ, Malarkey WB, Stowell J, Houts C, et al. Attachment avoidance predicts inflammatory responses to marital conflict. Brain Behav Immun. 2009; 23(7):898-904. [DOI:10.1016/j.bbi.2008.09.016] [PMID] [PMCID]
Kiecolt-Glaser JK, Loving TJ, Stowell JR, Malarkey WB, Lemeshow S, Dickinson SL, et al. Hostile marital interactions, proinflammatory cytokine production, and wound healing. Arch Gen Psychiatry. 2005; 62(12):1377-84. [DOI:10.1001/archpsyc.62.12.1377] [PMID]
Miller GE, Rohleder N, Cole SW. Chronic interpersonal stress predicts activation of pro-and anti-inflammatory signaling pathways 6 months later. Psychosom Med. 2009; 71(1):57-62. [DOI:10.1097/PSY.0b013e318190d7de] [PMID] [PMCID]
Brosschot JF, Gerin W, Thayer JF. The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health. J Psychosom Res. 2006; 60(2):113-24. [DOI:10.1016/j.jpsychores.2005.06.074] [PMID]
Fortune DG, Richards HL, Kirby B, McElhone K, Markham T, Rogers S, et al. Psychological distress impairs clearance of psoriasis in patients treated with photochemotherapy. Arch Dermatol. 2003; 139(6):752-6. [DOI:10.1001/archderm.139.6.752] [PMID]
Verhoeven EWM, Kraaimaat FW, de Jong EMGJ, Schalkwijk J, van de Kerkhof PCM, Evers AWM. Effect of daily stressors on psoriasis: A prospective study. J Invest Dermatol. 2009; 129(8):2075-7. [DOI:10.1038/jid.2008.460] [PMID]
de Brouwer SJM, Kraaimaat FW, Sweep FCGJ, Creemers MCW, Radstake TRDJ, van Laarhoven AIM, et al. Experimental stress in inflammatory rheumatic diseases: A review of psychophysiological stress responses. Arthritis Res Ther. 2010; 12(3):R89. [DOI:10.1186/ar3016] [PMID] [PMCID]
Cutolo M, Straub RH. Stress as a risk factor in the pathogenesis of rheumatoid arthritis. Neuroimmunomodulation. 2006; 13(5-6):277-82. [DOI:10.1159/000104855] [PMID]
Hirano D, Nagashima M, Ogawa R, Yoshino S. Serum levels of interleukin 6 and stress related substances indicate mental stress condition in patients with rheumatoid arthritis. J Rheumatol. 2001; 28(3):490-5. [PMID]
Walker SN, Kerr MJ, Pender NJ, Sechrist KR. A Spanish language version of the Health-Promoting Lifestyle Profile. Nurs Res. 1990; 39(5):268-73. [DOI:10.1097/00006199-199009000-00003] [PMID]
Mohammadi Zeidi I, Pakpour Hajiagha A, Mohammadi Zeidi B. [Reliability and validity of Persian version of the Health-Promoting Lifestyle Profile (Persian)]. J Mazandaran Univ Med Sci. 2012; 21(1):102-13. http://jmums.mazums.ac.ir/article-1-955-en.html
Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitudes test: Psychometric features and clinical correlates. Psychol Med. 1982; 12(4):871-8. [DOI:10.1017/S0033291700049163] [PMID]
Thelen MH, Cormier JF. Desire to be thinner and weight control among children and their parents. Behav Ther. 1995; 26(1):85-99. [DOI:10.1016/S0005-7894(05)80084-X]
Garfinkel PE, Garner DM. Anorexia nervosa: A multidimensional perspective. New York: Brunner/Mazel; 1982. https://books.google.com/books?id=v85rAAAAMAAJ&q
Pourghassem Gargari B, Kooshavar D, Seyed Sajadi N, Karami S, Hamed Behzad M, Shahrokhi H. Disordered eating attitudes and their correlates among Iranian high school girls. Health Promot Perspect. 2011; 1(1):41-9. [DOI:10.5681/hpp.2011.003] [PMID] [PMCID]
Littleton HL, Axsom D, Pury CLS. Development of the Body Image Concern Inventory. Behav Res Ther. 2005; 43(2):229-41. [DOI:10.1016/j.brat.2003.12.006] [PMID]
Mohammadi, N, Sajadinejad MS. [The evaluation of psychometric properties of Body Image Concern Inventory and examination of a model about the relationship between body mass index, body image dissatisfaction and self-esteem in adolescent girls (Persian)]. J Psychol Stud. 2007; 3(1):85-101. [DOI:10.22051/PSY.2007.1650]
Häuser W, Janke KH, Klump B, Gregor M, Hinz A. Anxiety and depression in adult patients with celiac disease on a gluten-free diet. World J Gastroenterol. 2010; 16(22):2780-7. [DOI:10.3748/wjg.v16.i22.2780] [PMID] [PMCID]
Sainsbury A, Sanders DS, Ford AC. Prevalence of irritable bowel syndrome-type symptoms in patients with celiac disease: A meta-analysis. Clin Gastroenterol Hepatol. 2013; 11(4):359-65.E1. [DOI:10.1016/j.cgh.2012.11.033] [PMID]
Battista N, Di Sabatino A, Di Tommaso M, Biancheri P, Rapino C, Giuffrida P, et al. Altered expression of type-1 and type-2 cannabinoid receptors in celiac disease. PLoS One. 2013; 8(4):e62078. [DOI:10.1371/journal.pone.0062078] [PMID] [PMCID]
Quick VM, McWilliams R, Byrd-Bredbenner C. Case-control study of disturbed eating behaviors and related psychographic characteristics in young adults with and without diet-related chronic health conditions. Eat Behav. 2012; 13(3):207-13. [DOI:10.1016/j.eatbeh.2012.02.003] [PMID]
Grilo CM. Eating and weight disorders. New York: Psychology Press; 2006. https://books.google.com/books?id=Wik2cAAACAAJ&dq
Marcos A. The immune system in eating disorders: An overview. Nutrition. 1997; 13(10):853-62. [DOI:10.1016/S0899-9007(97)00272-4]
Dickey W, Kearney N. Overweight in celiac disease: Prevalence, clinical characteristics, and effect of a gluten-free diet. Am J Gastroenterol. 2006; 101(10):2356-9. [DOI:10.1111/j.1572-0241.2006.00750.x] [PMID]
Cash TF, Morrow JA, Hrabosky JI, Perry AA. How has body image changed? A cross-sectional investigation of college women and men from 1983 to 2001. J Consult Clin Psychol. 2004; 72(6):1081-9. [DOI:10.1037/0022-006X.72.6.1081] [PMID]
Sarwer DB, Thompson JK, Cash TF. Body image and obesity in adulthood. Psychiatr Clin North Am. 2005; 28(1):69-87. [DOI:10.1016/j.psc.2004.09.002] [PMID]
Schwartz MB, Brownell KD. Obesity and body image. Body Image. 2004; 1(1):43-56. [DOI:10.1016/S1740-1445(03)00007-X]
Banfield SS, McCabe MP. An evaluation of the construct of body image. Adolescence. 2002; 37(146):373-93. [PMID]
Černelič-Bizjak M, Jenko-Pražnikar Z. Impact of negative cognitions about body image on inflammatory status in relation to health. Psychol Health. 2014; 29(3):264-78. [DOI:10.1080/08870446.2013.844807] [PMID]
Kheirjoo E, Jomehri F, Ahadi H, Farshbaf Manisefat F. [Comparison of health promoting lifestyle of female rheumatoid arthritis patients with healthy women and relationship with demographic (Persian)]. Knowl Res Appl Psychol. 2013; 13(50):61-70. http://jsr-p.khuisf.ac.ir/article_533846.html
Vahedi H, Khosravi A, Sadeghi Z, Aliyari R, Shabankhamseh AH, Mahdavian M, et al. Health-promoting lifestyle in patients with and without diabetes in Iran. Health Scope. 2016; 6(2):e39428. [DOI:10.5812/jhealthscope.39428]
Hill PC, Pargament KI. Advances in the conceptualization and measurement of religion and spirituality: Implications for physical and mental health research. Am Psychol. 2003; 58(1):64-74. [DOI:10.1037/0003-066X.58.1.64] [PMID]
Baldacchino D, Draper P. Spiritual coping strategies: A review of the nursing research literature. J Adv Nurs. 2001; 34(6):833-41. [DOI:10.1046/j.1365-2648.2001.01814.x] [PMID]
Pargament KI. The psychology of religion and coping: Theory, research, and practice. New York: Guilford Press; 1997. https://books.google.com/books?id=oVcfyQEACAAJ&dq
Delaney FG. Nursing and health promotion: Conceptual concerns. J Adv Nurs. 1994; 20(5):828-35. [DOI:10.1046/j.1365-2648.1994.20050828.x] [PMID]
Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, et al. Critical review: Vegetables and fruit in the prevention of chronic diseases. Eur J Nutr. 2012; 51(6):637-63. [DOI:10.1007/s00394-012-0380-y] [PMID] [PMCID]
Chamberlain B. Health promotion in nursing practice. 5th Edition. Williams & Wilkins; 2007. Volume 21, Issue 2, p. 130. https://journals.lww.com/cns-journal/Citation/2007/03000/Health_Promotion_in_Nursing_Practice__5th_Edition.85.aspx
Ussher M, Stanbury L, Cheeseman V, Faulkner G. Physical activity preferences and perceived barriers to activity among persons with severe mental illness in the United Kingdom. Psychiatr Serv. 2007; 58(3):405-8. [DOI:10.1176/ps.2007.58.3.405] [PMID]
Eng PM, Kawachi I, Fitzmaurice G, Rimm EB. Effects of marital transitions on changes in dietary and other health behaviours in US male health professionals. J Epidemiol Community Health. 2005; 59(1):56-62. [DOI:10.1136/jech.2004.020073] [PMID] [PMCID]
Blumenthal JA, Sherwood A, Babyak MA, Watkins LL, Waugh R, Georgiades A, et al. Effects of exercise and stress management training on markers of cardiovascular risk in patients with ischemic heart disease: A randomized controlled trial. JAMA. 2005; 293(13):1626-34. [DOI:10.1001/jama.293.13.1626] [PMID]
Ai AL, Peterson Ch, Bolling SF. Psychological recovery from coronary artery bypass graft surgery: The use of complementary therapies. J Altern Complement Med. 1997; 3(4):343-53. [DOI:10.1089/acm.1997.3.343] [PMID]
Lechner SC, Antoni MH, Lydston D, LaPerriere A, Ishii M, Devieux J, et al. Cognitive-behavioral interventions improve quality of life in women with AIDS. J Psychosom Res. 2003; 54(3):253-61. [DOI:10.1016/S0022-3999(02)00480-4]
- Abstract Viewed: 160 times
- PDF Downloaded: 19 times