Fatigue and health-related quality of life in inflammatory bowel disease: Results from a population-based study in the Netherlands: The IBD-South Limburg cohort
Abstract
BACKGROUND: The importance of fatigue in chronic disease has been increasingly recognized; however, little is known about fatigue in inflammatory bowel disease (IBD). The aim of the present study was to investigate the prevalence and severity of fatigue and the impact on health-related quality of life (HRQoL) in patients included in a population-based IBD cohort in the Netherlands. METHODS: IBD patients, diagnosed between January 1st, 1991, and January 1st, 2003, were followed up for a median of 7.1 years. They completed a questionnaire, which included a disease activity score, the Multidimensional Fatigue Inventory (MFI-20), the Inflammatory Bowel Disease Questionnaire (IBDQ), and the Short Form health survey (SF-36). Hemoglobin levels were recorded. RESULTS: Data were available in 304 Crohn's disease (CD), 368 ulcerative colitis (UC), and 35 indeterminate colitis (IC) patients. During quiescent disease, the prevalence of fatigue was nearly 40%. MFI-20 and HRQoL scores were significantly worse in IBD patients having active disease. In a multivariate analysis, disease activity was positively related with the level of fatigue in both CD and UC. In UC, anemia influenced the general fatigue score independently of disease activity. Disease activity as well as fatigue were independently associated with an impaired IBDQ. CONCLUSIONS: In IBD, even in remission, fatigue is an important feature. Both in CD and in UC, fatigue determined HRQoL independently of disease activity or anemia. This implies that in IBD patients physicians need to be aware of fatigue in order to better understand its impact and to improve the HRQoL.
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Perceived stress instruments may be influenced by IBD symptoms such as fatigue.
“Perceived stress instruments may be influenced by IBD symptoms which can be pervasive even when clinical remission has been achieved, such as fatigue. 67”
From Systematic review: the role of psychological stress in inflammatory bowel disease (2022) · cites this paper as [67]
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Review article: description and management of fatigue in inflammatory bowel disease
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Cohort Profile: The Inflammatory Bowel Disease South Limburg Cohort (IBDSL)
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Targets for Health Interventions for Inflammatory Bowel Disease-fatigue
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Self-citationIs Iron Deficiency in the Absence of Anemia Associated With Fatigue in Inflammatory Bowel Disease?
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Sexual Dysfunction in Inflammatory Bowel Disease: What the Specialist Should Know and Ask
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Self-citationFatigue interference with daily living among patients with inflammatory bowel disease
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Longitudinal Trajectory of Fatigue in Patients With Inflammatory Bowel Disease: A Prospective Study
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UEG Week 2018 Poster Presentations
Pittet, V., Aslan, N., Fournier, N., Decollogny, A., Schoepfer, A., Seibold, F., & Rodondi, P. Y. (2018) · United European Gastroenterology Journal · doi:10.1177/2050640618792819 · Cited by 32 · see citing works
Varbobitis, I. C., Kokkotis, G., Gizis, M., Perlepe, N., Laoudi, E., Bletsa, M., Bekiari, D., Koutsounas, I. S., Kounadis, G., Xourafas, V., et al. (2020) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izaa201 · Cited by 31 · see citing works
Danese, S., Banerjee, R., Cummings, F. J. R., Dotan, I., Kotze, P. G., Leong, R. W. L., Paridaens, K., Peyrin‐Biroulet, L., Scott, G., Assche, G. V., et al. (2018) · Intestinal Research · doi:10.5217/ir.2018.00073 · Cited by 30 · see citing works
Ehrenberg, R., Griffith, J. M., Theigs, C., & McDonald, B. (2020) · Journal of Managed Care & Specialty Pharmacy · doi:10.18553/jmcp.2020.19388 · Cited by 30 · see citing works
Youssef, M., Hossein-Javaheri, N., Hoxha, T., Mallouk, C., & Tandon, P. (2024) · Journal of Crohn's & Colitis · doi:10.1093/ecco-jcc/jjae057 · Cited by 27 · see citing works
Lee, G. J., Kappelman, M. D., Boyle, B., Colletti, R. B., King, E. C., Pratt, J. M., & Crandall, W. (2012) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0b013e318266241b · Cited by 28 · see citing works
Fatigue in patients with inflammatory bowel disease in Eastern China
Gong, S.-S., Fan, Y., Lv, B., Mie-qing, Z., Xu, Y., & Zhao, J. (2021) · World Journal of Gastroenterology · doi:10.3748/wjg.v27.i11.1076 · Cited by 28 · see citing works
van Gennep, S., Gielen, M. E., Rietdijk, S. T., de Boer, N. K. H., Duijvestein, M., Gecse, K. B., Ponsioen, C. Y., D’Haens, G., de Boer, A. G. E. M., & Löwenberg, M. (2021) · European Journal of Gastroenterology & Hepatology · doi:10.1097/meg.0000000000002178 · Cited by 28 · see citing works
Cognitive Function of Patients with Crohnʼs Disease is Associated with Intestinal Disease Activity
Golan, D., Gross, B., Miller, A., Klil‐Drori, S., Lavi, I., Shiller, M., Honigman, S., Almog, R., & Segol, O. (2015) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000594 · Cited by 28 · see citing works
How Fatigue Is Experienced and Handled by Female Outpatients with Inflammatory Bowel Disease
Beck, A., Bager, P., Jensen, P. E., & Dahlerup, J. F. (2013) · Gastroenterology Research and Practice · doi:10.1155/2013/153818 · Cited by 28 · see citing works
Calvet, X., Argüelles‐Arias, F., López–Sanromán, A., Cea‐Calvo, L., Juliá, B., de Santos, C. R., & Carpio, D. (2018) · Patient Preference and Adherence · doi:10.2147/ppa.s175026 · Cited by 28 · see citing works
Trajectories of Fatigue in Inflammatory Bowel Disease
Klusmann, B., Fleer, J., Tovote, K. A., Weersma, R. K., van Dullemen, H. M., Dijkstra, G. D. H., & Schroevers, M. J. (2021) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izab007 · Cited by 25 · see citing works
Truyens, M., Ruyck, E. D., Gonzales, G. B., Bos, S., Laukens, D., & Vos, M. D. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10184107 · Cited by 25 · see citing works
Psychological distress in inflammatory bowel disease
Balestrieri, P., Cicala, M., & Ribolsi, M. (2023) · Expert Review of Gastroenterology & Hepatology · doi:10.1080/17474124.2023.2209723 · Cited by 25 · see citing works
Abutaleb, A., Buchwald, A. G., Chudy‐Onwugaje, K., LANGENBERG, P. W., Regueiro, M. D., Schwartz, D. A., Tracy, J. K., Ghazi, L. J., Patil, S. A., Quezada, S. M., et al. (2018) · Inflammatory Bowel Diseases · doi:10.1093/ibd/izy149 · Cited by 25 · see citing works
- Authors
- Romberg-Camps, M. J. L., Bol, Y., Dagnelie, P. C., Hesselink-van de Kruijs, M. A. M., Kester, A. D. M., Engels, L. G. J. B., van Deursen, C., Hameeteman, W. H. A., Pierik, M., Wolters, F., Russel, M. G. V. M., & Stockbrügger, R. W.
- Affiliations
- Maastricht University Medical Centre (NL)
- Maastricht University (NL)
- Zuyderland Medisch Centrum (NL)
- VieCuri Medisch Centrum (NL)
- Venue
- Inflammatory Bowel Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-12
- Volume
- 16
- Issue
- 12
- Pages
- 2137-2147
- ISSN
- 1078-0998 (ISSN-L)
- OpenAlex
- W2146584127
- Cited by
- 240
- References
- 89
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 15 · 2023: 25 · 2022: 20 · 2021: 19 · 2020: 20 · 2019: 14 · 2018: 19 · 2017: 18 · 2016: 12 · 2015: 15 · 2014: 14 · 2013: 14 · 2012: 6
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Inflammatory Bowel Diseases (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Keywords
- fatigue, inflammatory bowel disease
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Cross-Sectional Studies, Fatigue, Female, Follow-Up Studies, Humans, Male, Middle Aged, Netherlands, Prognosis, Prospective Studies, Quality of Life, Surveys and Questionnaires, Inflammatory Bowel Diseases, Quality-Adjusted Life Years, Young Adult
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