Avoidant/Restrictive Food Intake Disorder Characteristics and Prevalence in Adult Celiac Disease Patients
Background and Aims: The objective of this study was to identify the prevalence of avoidant/restrictive food intake disorder (ARFID) in patients with celiac disease (CD) and assess metabolic complications, disease control, diet adherence, and correlation with symptom and quality-of-life metrics. Met...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Gastro Hep Advances |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772572322000036 |
| _version_ | 1811257824228933632 |
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| author | Audrey Bennett Alexandra Bery Patricia Esposito Hana Zickgraf Dawn W. Adams |
| author_facet | Audrey Bennett Alexandra Bery Patricia Esposito Hana Zickgraf Dawn W. Adams |
| author_sort | Audrey Bennett |
| collection | DOAJ |
| description | Background and Aims: The objective of this study was to identify the prevalence of avoidant/restrictive food intake disorder (ARFID) in patients with celiac disease (CD) and assess metabolic complications, disease control, diet adherence, and correlation with symptom and quality-of-life metrics. Methods: This was a retrospective study of 137 adult patients with CD who completed an ARFID survey in the CD clinic between 2018 and 2020. Demographics, clinical results, standardized diet assessment, and results of Celiac Disease Symptom Diary and Impact of a Gluten-free Diet Questionnaire were reviewed. The primary outcome measured was the rate of suspected ARFID based on patient-reported survey responses. Results: Seventy-eight patients (57%) met suspected ARFID criteria. There were no differences in age, gender, body mass index, micronutrient deficiencies, or bone disease in those with or without ARFID. Patients with ARFID did not have a difference in biopsy activity or better adherence to a gluten-free diet compared with non-ARFID patients. Food and social burden on Impact of a Gluten-free Diet Questionnaire was most predictive of ARFID. Conclusion: ARFID is common and has a high impact in patients with CD. Although some eating behavior is certainly due to their CD, there was no distinct difference in disease control between those with or without suspected ARFID, suggesting these maladaptive behaviors are not necessary for disease control. We did not find increased metabolic complications, but this was a 2-year snapshot. We need to further understand the social and food impacts on patients who score high on this survey to prevent further deficiencies and impaired, long-term detrimental eating behaviors. |
| first_indexed | 2024-04-12T18:04:35Z |
| format | Article |
| id | doaj.art-b00f17be447d4dc7b2ffa446caea0f5d |
| institution | Directory Open Access Journal |
| issn | 2772-5723 |
| language | English |
| last_indexed | 2024-04-12T18:04:35Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Gastro Hep Advances |
| spelling | doaj.art-b00f17be447d4dc7b2ffa446caea0f5d2022-12-22T03:22:03ZengElsevierGastro Hep Advances2772-57232022-01-0113321327Avoidant/Restrictive Food Intake Disorder Characteristics and Prevalence in Adult Celiac Disease PatientsAudrey Bennett0Alexandra Bery1Patricia Esposito2Hana Zickgraf3Dawn W. Adams4Department of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee; Correspondence Address correspondence to: Audrey Bennett, MD, Vanderbilt Gastroenterology, 1301 Medical Center Drive, 1600 The Vanderbilt Clinic, Nashville, Tennessee 37232.Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, TennesseeDepartment of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, TennesseeDepartment of Psychology, University of South Alabama, Mobile, AlabamaDepartment of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, TennesseeBackground and Aims: The objective of this study was to identify the prevalence of avoidant/restrictive food intake disorder (ARFID) in patients with celiac disease (CD) and assess metabolic complications, disease control, diet adherence, and correlation with symptom and quality-of-life metrics. Methods: This was a retrospective study of 137 adult patients with CD who completed an ARFID survey in the CD clinic between 2018 and 2020. Demographics, clinical results, standardized diet assessment, and results of Celiac Disease Symptom Diary and Impact of a Gluten-free Diet Questionnaire were reviewed. The primary outcome measured was the rate of suspected ARFID based on patient-reported survey responses. Results: Seventy-eight patients (57%) met suspected ARFID criteria. There were no differences in age, gender, body mass index, micronutrient deficiencies, or bone disease in those with or without ARFID. Patients with ARFID did not have a difference in biopsy activity or better adherence to a gluten-free diet compared with non-ARFID patients. Food and social burden on Impact of a Gluten-free Diet Questionnaire was most predictive of ARFID. Conclusion: ARFID is common and has a high impact in patients with CD. Although some eating behavior is certainly due to their CD, there was no distinct difference in disease control between those with or without suspected ARFID, suggesting these maladaptive behaviors are not necessary for disease control. We did not find increased metabolic complications, but this was a 2-year snapshot. We need to further understand the social and food impacts on patients who score high on this survey to prevent further deficiencies and impaired, long-term detrimental eating behaviors.http://www.sciencedirect.com/science/article/pii/S2772572322000036Celiac DiseaseARFIDEating Disorder |
| spellingShingle | Audrey Bennett Alexandra Bery Patricia Esposito Hana Zickgraf Dawn W. Adams Avoidant/Restrictive Food Intake Disorder Characteristics and Prevalence in Adult Celiac Disease Patients Gastro Hep Advances Celiac Disease ARFID Eating Disorder |
| title | Avoidant/Restrictive Food Intake Disorder Characteristics and Prevalence in Adult Celiac Disease Patients |
| title_full | Avoidant/Restrictive Food Intake Disorder Characteristics and Prevalence in Adult Celiac Disease Patients |
| title_fullStr | Avoidant/Restrictive Food Intake Disorder Characteristics and Prevalence in Adult Celiac Disease Patients |
| title_full_unstemmed | Avoidant/Restrictive Food Intake Disorder Characteristics and Prevalence in Adult Celiac Disease Patients |
| title_short | Avoidant/Restrictive Food Intake Disorder Characteristics and Prevalence in Adult Celiac Disease Patients |
| title_sort | avoidant restrictive food intake disorder characteristics and prevalence in adult celiac disease patients |
| topic | Celiac Disease ARFID Eating Disorder |
| url | http://www.sciencedirect.com/science/article/pii/S2772572322000036 |
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