Article ; Online: Eating and Psychiatric Disorders Are Independent Risk Factors for Rumination Syndrome.
Journal of clinical gastroenterology
2021 Volume 56, Issue 3, Page(s) 228–233
Abstract: Goal: The goal of this study was to evaluate whether a history of eating disorders (EDs) or psychiatric disorders (PDs) are risk factors for rumination syndrome (RS).: Background: RS is a disorder of gut-brain interaction characterized by an ... ...
Abstract | Goal: The goal of this study was to evaluate whether a history of eating disorders (EDs) or psychiatric disorders (PDs) are risk factors for rumination syndrome (RS). Background: RS is a disorder of gut-brain interaction characterized by an effortless postprandial retrograde flow of ingested contents. Disorder of gut-brain interactions have been associated with psychiatric and behavioral comorbidities. No prior comparative study has assessed the relationship between RS and ED or PD. Methods: This was a case-control study of adults with RS at a tertiary center in January 2013 to January 2018. Two age-matched/gender-matched controls per RS case were identified. The Fisher exact test (categorical)/Student t test (continuous) and forward stepwise logistic regression were performed for univariate and multivariable analyses, respectively. Results: Seventy-two patients (24 cases/48 controls) were included. Baseline demographics and characteristics were similar between cases and controls. Among RS patients, 9 (37.5%) had a history of ED, including 3 (12.5%) anorexia nervosa and 4 (16.7%) bulimia nervosa; and 20 (83.3%) had a PD, including 9 (37.5%) anxiety and 7 (29.2%) depression. Prevalence of ED (37.5% vs. 4.2%, P=0.0002) and PD (83.3% vs. 50.0%, P=0.0062) were higher among RS patients than controls. Specifically, the risks of anorexia nervosa (16.7% vs. 0%, P=0.005) and bulimia nervosa (21.1% vs. 0%, P=0.001) were both increased in RS patients. On multivariable analysis, ED (adjusted odds ratio=16.4, P=0.0033) and PD (adjusted odds ratio=4.47, P=0.029) remained independent predictors for RS. Conclusions: A history of ED and PD were independent risk factors for RS. Abnormal eating behaviors and psychiatric comorbidities may contribute to the pathogenesis of RS. Evaluation of RS should include a detailed history for ED and PD. |
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MeSH term(s) | Adult ; Bulimia Nervosa/epidemiology ; Bulimia Nervosa/psychology ; Case-Control Studies ; Feeding and Eating Disorders/epidemiology ; Humans ; Risk Factors ; Rumination Syndrome |
Language | English |
Publishing date | 2021-05-14 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 448460-5 |
ISSN | 1539-2031 ; 0192-0790 |
ISSN (online) | 1539-2031 |
ISSN | 0192-0790 |
DOI | 10.1097/MCG.0000000000001510 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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