Self-perceived food intolerances are common and associated with clinical severity in childhood irritable bowel syndrome
Open accessAbstract
Background Adults with irritable bowel syndrome (IBS) frequently identify foods as exacerbating their gastrointestinal symptoms. In children with IBS, the prevalence of perceived food intolerances and their impact are unknown.Objective Our aim was to determine the prevalence of self-perceived food intolerances and the relationship of these intolerances to abdominal pain, psychosocial distress, and quality of life in children with IBS.Design We conducted a cross-sectional study. Questionnaire and prospective diary data were collected from 2008 to 2014 by trained research coordinators.Participants/setting Participants were children 7 to 18 years old (pediatric Rome III IBS, n=154; age-sex matched healthy children, n=32) in Houston, TX.Measures Perceived food intolerances and avoided foods were captured using the Childhood Food and Symptom Association Questionnaire. IBS severity was assessed by a ≥7-day pain diary and validated psychosocial questionnaires assessing quality of life, somatization, functional disability, depression, and anxiety.Statistical analyses performed We used descriptive Spearman bivariate correlation, χ(2), and Poisson log-linear generalized model with Wald χ(2) statistics.Results A greater proportion of children with IBS (143 of 154 [92.9%]) vs healthy children (20 of 32 [62.5%]) identified at least one self-perceived food intolerance (χ(2)=22.5; P<0.001). Children with IBS identified a greater number (median=4 [25% to 75% quartile=2 to 6]) of perceived symptom-inducing foods than healthy children (median=2 [25% to 75% quartile=0 to 4]; χ(2)=28.6; P<0.001). Children with IBS avoided more foods (median=2 [25% to 75% quartile=1 to 4]) than healthy children (median=0 [25% to 75% quartile=0 to 2.75]; χ(2)=20.8; P<0.001). The number of self-perceived food intolerances was weakly associated (r value range= -0.17 to 0.21) with pain frequency, pain severity, somatization, anxiety, functional disability, and decreased quality of life.Conclusions Children with IBS have a high prevalence of self-perceived food intolerances. The number of these intolerances is weakly associated with measures of IBS severity.
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Dietary intolerances are commonly reported in FGIDs and patients may alter or restrict diets based on perceived associations between symptoms and food.
“The role of diet27 in microbial alterations is of significant interest in FGIDs as dietary intolerances are commonly reported in FGIDs and patients may alter or restrict their diets based on perceived associations between symptoms and food28, 29.”
From The gut Microbiome in adult and pediatric functional gastrointestinal disorders (2019) · cites this paper as [29]
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- Authors
- Chumpitazi, B. P., Weidler, E. M., Lu, D. Y., Tsai, C. M., & Shulman, R. J.
- Affiliations
- Baylor College of Medicine (US)
- Corresponding author
- Chumpitazi, Bruno P.
- Venue
- Journal of the Academy of Nutrition and Dietetics
- Publisher
- Elsevier BV
- Published
- 2016-09
- Volume
- 116
- Issue
- 9
- Pages
- 1458-1464
- ISSN
- 2212-2672 (ISSN-L)
- PMC
- PMC5003668
- OpenAlex
- W2428028902
- Cited by
- 68
- References
- 38
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 5 · 2023: 7 · 2022: 8 · 2021: 13 · 2020: 8 · 2019: 8 · 2018: 5 · 2017: 1 · 2016: 1
- FWCI
- 5.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the Academy of Nutrition and Dietetics (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Mead Johnson Nutrition
- National Institutes of Health
- National Institute of Nursing Research (R01NR013497)
- National Institute of Diabetes and Digestive and Kidney Diseases (K23DK101688, P30DK056338)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- irritable bowel syndrome, pediatric IBS, food intolerance, food avoidance, abdominal pain, IBS symptom severity, quality of life, psychosocial distress, somatization, anxiety, depression, functional disability, prevalence, pain diary, Rome III criteria, children and adolescents, Houston
- MeSH terms
- Adolescent, Child, Cross-Sectional Studies, Female, Food Hypersensitivity, Humans, Male, Prospective Studies, Quality of Life, Surveys and Questionnaires, Self Concept, Severity of Illness Index, Texas, Abdominal Pain, Prevalence, Statistics, Nonparametric, Irritable Bowel Syndrome, Diagnostic Self Evaluation
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