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Cited by 82Gastrointestinal motility and disordersObesity, Physical Activity, DietEating Disorders and Behaviors

The Association of Gastrointestinal Symptoms With Weight, Diet, and Exercise in Weight-Loss Program Participants

Levy, Rona L., Linde, Jennifer A., Feld, Kayla A., Crowell, Michael D., Jeffery, Robert W.·2005·Clinical Gastroenterology and Hepatology
DOI 10.1016/s1542-3565(05)00696-8
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Abstract

Background & aims Studies on the relationship between gastrointestinal (GI) symptoms and obesity are limited. Research on the relationship between GI symptoms (including irritable bowel syndrome [IBS]), weight, and weight-related behaviors are rare. This study assessed rates of GI symptoms in a sample of obese patients in a weight-loss program and explored relationships among GI symptoms and obesity, binge eating, dieting (fat and fruit/fiber consumption), and physical activity. Methods A total of 983 participants (70% women) had a mean body mass index (BMI) of 33.2+/-5.7 kg/m2 (range, 25.1-60.8 kg/m2) and a mean age of 52.7+/-12.4 years (range, 20.4-89.8 y). Participants completed a questionnaire about diet and physical activity and a standardized self-report Rome II questionnaire assessing IBS status and GI symptoms. Results In bivariate analyses BMI was associated positively with abdominal pain and diarrhea whereas healthier diet (lower fat and higher fruit/fiber intake) and higher physical activity were associated with fewer GI symptoms. In multivariate models BMI was not associated with GI symptoms; physical activity remained a protective factor. Conclusions Although physiologic mechanisms still need to be explored, associations between GI symptoms and diet and exercise behaviors may have implications for the treatment of both obesity and GI symptoms.

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Authors
Levy, R. L., Linde, J. A., Feld, K. A., Crowell, M. D., & Jeffery, R. W.
Affiliations
  • University of Washington (US)
  • University of Minnesota (US)
  • Harvard University (US)
  • Mayo Clinic in Arizona (US)
ORCID
Venue
Clinical Gastroenterology and Hepatology
Publisher
Elsevier BV
Published
2005-10
Volume
3
Issue
10
Pages
992-996
ISSN
1542-3565 (ISSN-L)
DOI
10.1016/s1542-3565(05)00696-8
OpenAlex
W2135462777
Cited by
82
References
19
Citations by year
2026: 3 · 2025: 7 · 2024: 3 · 2023: 1 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 6 · 2013: 1 · 2012: 4
FWCI
2.31
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Clinical Gastroenterology and Hepatology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK053826, R01 DK53826)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01 HD36069, R01HD036069)
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords
gastrointestinal symptoms, obesity, slimming program, irritable bowel syndrome, abdominal pain, diarrhea, binge eating, dieting, dietary fat, physical activity, body mass index
MeSH terms
Adult, Aged, Aged, 80 and over, Body Weight, Bulimia, Diet, Diet, Reducing, Female, Humans, Male, Middle Aged, Obesity, Surveys and Questionnaires, Exercise, Body Mass Index, Gastrointestinal Tract, Irritable Bowel Syndrome

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