Prevalence of Functional Gastrointestinal Disorders according to Rome III Criteria in Italian Morbidly Obese Patients

The relationship between GI symptoms and obesity has yet to be completely clarified. Aim. To determine in a morbidly obese southern Italy adult population the prevalence of Functional Gastrointestinal Disorders (FGID) and its association with the presence of a...

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Main Authors: Antonella Santonicola, Luigi Angrisani, Carolina Ciacci, Paola Iovino
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/532503
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author Antonella Santonicola
Luigi Angrisani
Carolina Ciacci
Paola Iovino
author_facet Antonella Santonicola
Luigi Angrisani
Carolina Ciacci
Paola Iovino
author_sort Antonella Santonicola
collection DOAJ
description The relationship between GI symptoms and obesity has yet to be completely clarified. Aim. To determine in a morbidly obese southern Italy adult population the prevalence of Functional Gastrointestinal Disorders (FGID) and its association with the presence of a Binge Eating (BE) behavior pattern. Methods. Consecutive obese patients eligible for bariatric surgery and 100 Healthy Controls (HC) were recruited. All participants were questioned and scored for the presence of FGID according to Rome III criteria and for the presence or the frequency-intensity of a number of upper and lower GI symptoms. BE behavior pattern was assessed. Results. One-hundred obese patients met the inclusion criteria. The prevalence of FGID was similar between obese patients and HC. There was a significant association between obese patients with BE behavior and postprandial distress syndrome (P=0.04). Moreover, a significantly higher frequency-intensity score for epigastric fullness (1.23±0.45 versus 0.35±0.13, P=0.01) was found in obese patients with BE behavior compared to obese patients without. Conclusions. Obese patients with a BE behavior pattern showed a significantly higher prevalence of postprandial distress syndrome. A greater knowledge of the GI symptoms associated with obesity along with the pathophysiological mechanisms underlying will be important in the clinical management of these patients.
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spelling doaj-art-52a89af98e94433997c83c51a2aa87232025-02-03T06:06:05ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/532503532503Prevalence of Functional Gastrointestinal Disorders according to Rome III Criteria in Italian Morbidly Obese PatientsAntonella Santonicola0Luigi Angrisani1Carolina Ciacci2Paola Iovino3Department of Clinical Medicine and Surgery, University Federico II of Naples, 80131 Naples, ItalyGeneral and Endoscopic Surgery Unit, S. Giovanni Bosco Hospital, 80144 Naples, ItalyGastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, Baronissi, 84081 Salerno, ItalyGastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, Baronissi, 84081 Salerno, ItalyThe relationship between GI symptoms and obesity has yet to be completely clarified. Aim. To determine in a morbidly obese southern Italy adult population the prevalence of Functional Gastrointestinal Disorders (FGID) and its association with the presence of a Binge Eating (BE) behavior pattern. Methods. Consecutive obese patients eligible for bariatric surgery and 100 Healthy Controls (HC) were recruited. All participants were questioned and scored for the presence of FGID according to Rome III criteria and for the presence or the frequency-intensity of a number of upper and lower GI symptoms. BE behavior pattern was assessed. Results. One-hundred obese patients met the inclusion criteria. The prevalence of FGID was similar between obese patients and HC. There was a significant association between obese patients with BE behavior and postprandial distress syndrome (P=0.04). Moreover, a significantly higher frequency-intensity score for epigastric fullness (1.23±0.45 versus 0.35±0.13, P=0.01) was found in obese patients with BE behavior compared to obese patients without. Conclusions. Obese patients with a BE behavior pattern showed a significantly higher prevalence of postprandial distress syndrome. A greater knowledge of the GI symptoms associated with obesity along with the pathophysiological mechanisms underlying will be important in the clinical management of these patients.http://dx.doi.org/10.1155/2013/532503
spellingShingle Antonella Santonicola
Luigi Angrisani
Carolina Ciacci
Paola Iovino
Prevalence of Functional Gastrointestinal Disorders according to Rome III Criteria in Italian Morbidly Obese Patients
The Scientific World Journal
title Prevalence of Functional Gastrointestinal Disorders according to Rome III Criteria in Italian Morbidly Obese Patients
title_full Prevalence of Functional Gastrointestinal Disorders according to Rome III Criteria in Italian Morbidly Obese Patients
title_fullStr Prevalence of Functional Gastrointestinal Disorders according to Rome III Criteria in Italian Morbidly Obese Patients
title_full_unstemmed Prevalence of Functional Gastrointestinal Disorders according to Rome III Criteria in Italian Morbidly Obese Patients
title_short Prevalence of Functional Gastrointestinal Disorders according to Rome III Criteria in Italian Morbidly Obese Patients
title_sort prevalence of functional gastrointestinal disorders according to rome iii criteria in italian morbidly obese patients
url http://dx.doi.org/10.1155/2013/532503
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