Journal article
Prevalence and Characteristics of Avoidant/Restrictive Food Intake Disorder in Adult Neurogastroenterology Patients
Clinical gastroenterology and hepatology, v 18(9), pp 1995-2002
01 Aug 2020
PMID: 31669056
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Avoidant/restrictive food intake disorder (ARFID) is a feeding and eating disorder that is characterized by avoidant or restrictive eating not primarily motivated by body shape or weight concerns. We aimed to determine the frequency of ARFID symptoms and study its characteristics and associated gastrointestinal symptoms.
We conducted a retrospective review of charts from 410 consecutive referrals (ages, 18–90 y; 73.0% female) to a tertiary care center for neurogastroenterology examination, from January through December 2016. Blinded coders (n = 4) applied Diagnostic and Statistical Manual of Mental Disorders, 5th edition, criteria for ARFID, with substantial diagnostic agreement (κ = 0.66).
Twenty-six cases (6.3%) met the full criteria for ARFID and 71 cases (17.3%) had clinically significant avoidant or restrictive eating behaviors with insufficient information for a definitive diagnosis of ARFID. Of patients with ARFID symptoms (n = 97), 90 patients (92.8%) cited fear of gastrointestinal symptoms as motivation for their avoidant or restrictive eating. A series of binary logistic regressions showed that the likelihood of having ARFID symptoms increased significantly in patients with eating- or weight-related complaints (odds ratio [OR], 5.09; 95% CI, 2.54–10.21); with dyspepsia, nausea, or vomiting (OR, 3.59; 95% CI, 2.04–6.32); with abdominal pain (OR, 4.72; 95% CI, 1.87–11.81); or with lower GI diagnoses (OR, 2.40; 95% CI, 1.34-4.32).
In a retrospective study of patients undergoing neurogastroenterology examinations, we found ARFID symptoms to be related most frequently to fear of gastrointestinal symptoms. Patients undergoing neurogastroenterology or motility examinations should be evaluated for symptoms of ARFID, particularly when providers consider dietary interventions.
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Details
- Title
- Prevalence and Characteristics of Avoidant/Restrictive Food Intake Disorder in Adult Neurogastroenterology Patients
- Creators
- Helen Burton Murray - Department of Psychology, Drexel University, Philadelphia, PennsylvaniaAbbey P. Bailey - Massachusetts General HospitalAni C. Keshishian - Eating Disorders Clinical and Research Program, Massachusetts General Hospital, Boston, MassachusettsCasey J. Silvernale - Thomas Jefferson UniversityKyle Staller - Harvard UniversityKamryn T. Eddy - Harvard UniversityJennifer J. Thomas - Harvard UniversityBraden Kuo - Massachusetts General Hospital
- Publication Details
- Clinical gastroenterology and hepatology, v 18(9), pp 1995-2002
- Publisher
- Elsevier Inc
- Number of pages
- 8
- Grant note
- American Gastroenterological Association (https://doi.org/10.13039/100009560) Massachusetts General Hospital (https://doi.org/10.13039/100005294)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology)
- Web of Science ID
- WOS:000550173100023
- Scopus ID
- 2-s2.0-85087905793
- Other Identifier
- 991021860675704721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Gastroenterology & Hepatology