Prevalence of Eating Disorders in Adults with Celiac Disease

Background. Symptoms of celiac disease negatively impact social activities and emotional state. Aim was to investigate the prevalence of altered eating behaviour in celiac patients. Methods. Celiac patients and controls completed a dietary interview and the Binge Eating Staircases, Eating Disorder I...

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Main Authors: V. Passananti, M. Siniscalchi, F. Zingone, C. Bucci, R. Tortora, P. Iovino, C. Ciacci
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/491657
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author V. Passananti
M. Siniscalchi
F. Zingone
C. Bucci
R. Tortora
P. Iovino
C. Ciacci
author_facet V. Passananti
M. Siniscalchi
F. Zingone
C. Bucci
R. Tortora
P. Iovino
C. Ciacci
author_sort V. Passananti
collection DOAJ
description Background. Symptoms of celiac disease negatively impact social activities and emotional state. Aim was to investigate the prevalence of altered eating behaviour in celiac patients. Methods. Celiac patients and controls completed a dietary interview and the Binge Eating Staircases, Eating Disorder Inventory (EDI-2), Eating Attitudes Test, Zung Self-Rating Depression Scale, State Trait Anxiety Inventory Forma Y (STAI-Y1 and STAI-Y2), and Symptom Check List (SCL-90). Results. One hundred celiac adults and 100 controls were not statistically different for gender, age, and physical activity. STAI-Y1 and STAI-Y2, Somatization, Interpersonal, Sensitivity, and Anxiety scores of the SLC-90 were higher in CD patients than controls. EDI-2 was different in pulse thinness, social insecurity, perfectionism, inadequacy, ascetisms, and interpersonal diffidence between CD and HC women, whilst only in interceptive awareness between CD and HC men. A higher EAT-26 score was associated with the CD group dependently with gastrointestinal symptoms. The EAT26 demonstrated association between indices of diet-related disorders in both CD and the feminine gender after controlling for anxiety and depression. Conclusion. CD itself and not gastrointestinal related symptoms or psychological factors may contribute pathological eating behavior in celiac adults. Eating disorders appear to be more frequent in young celiac women than in CD men and in HC.
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spelling doaj-art-ad0909af351b4084ac9ed416b78368582025-02-03T05:44:55ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/491657491657Prevalence of Eating Disorders in Adults with Celiac DiseaseV. Passananti0M. Siniscalchi1F. Zingone2C. Bucci3R. Tortora4P. Iovino5C. Ciacci6Department of Clinical and Experimental Medicine, University Federico II of Naples, Via S. Pansini, 80131 Naples, ItalyDepartment of Medicine and Surgery, University of Salerno, Baronissi Campus, Via S. Allende, 84081 Baronissi, Salerno, ItalyDepartment of Medicine and Surgery, University of Salerno, Baronissi Campus, Via S. Allende, 84081 Baronissi, Salerno, ItalyDepartment of Medicine and Surgery, University of Salerno, Baronissi Campus, Via S. Allende, 84081 Baronissi, Salerno, ItalyDepartment of Clinical and Experimental Medicine, University Federico II of Naples, Via S. Pansini, 80131 Naples, ItalyDepartment of Medicine and Surgery, University of Salerno, Baronissi Campus, Via S. Allende, 84081 Baronissi, Salerno, ItalyDepartment of Medicine and Surgery, University of Salerno, Baronissi Campus, Via S. Allende, 84081 Baronissi, Salerno, ItalyBackground. Symptoms of celiac disease negatively impact social activities and emotional state. Aim was to investigate the prevalence of altered eating behaviour in celiac patients. Methods. Celiac patients and controls completed a dietary interview and the Binge Eating Staircases, Eating Disorder Inventory (EDI-2), Eating Attitudes Test, Zung Self-Rating Depression Scale, State Trait Anxiety Inventory Forma Y (STAI-Y1 and STAI-Y2), and Symptom Check List (SCL-90). Results. One hundred celiac adults and 100 controls were not statistically different for gender, age, and physical activity. STAI-Y1 and STAI-Y2, Somatization, Interpersonal, Sensitivity, and Anxiety scores of the SLC-90 were higher in CD patients than controls. EDI-2 was different in pulse thinness, social insecurity, perfectionism, inadequacy, ascetisms, and interpersonal diffidence between CD and HC women, whilst only in interceptive awareness between CD and HC men. A higher EAT-26 score was associated with the CD group dependently with gastrointestinal symptoms. The EAT26 demonstrated association between indices of diet-related disorders in both CD and the feminine gender after controlling for anxiety and depression. Conclusion. CD itself and not gastrointestinal related symptoms or psychological factors may contribute pathological eating behavior in celiac adults. Eating disorders appear to be more frequent in young celiac women than in CD men and in HC.http://dx.doi.org/10.1155/2013/491657
spellingShingle V. Passananti
M. Siniscalchi
F. Zingone
C. Bucci
R. Tortora
P. Iovino
C. Ciacci
Prevalence of Eating Disorders in Adults with Celiac Disease
Gastroenterology Research and Practice
title Prevalence of Eating Disorders in Adults with Celiac Disease
title_full Prevalence of Eating Disorders in Adults with Celiac Disease
title_fullStr Prevalence of Eating Disorders in Adults with Celiac Disease
title_full_unstemmed Prevalence of Eating Disorders in Adults with Celiac Disease
title_short Prevalence of Eating Disorders in Adults with Celiac Disease
title_sort prevalence of eating disorders in adults with celiac disease
url http://dx.doi.org/10.1155/2013/491657
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