Affiliation:
1. School of Public Health Yangzhou University Yangzhou Jiangsu Province China
2. School of Nursing Yangzhou University Yangzhou Jiangsu Province China
3. Institute of Translational Medicine Medical College of Yangzhou University Yangzhou Jiangsu Province China
4. Department of Gastroenterology, Affiliated Hospital of Yangzhou University Yangzhou University Yangzhou Jiangsu Province China
Abstract
AbstractBackgroundPeople diagnosed with Inflammatory bowel disease (IBD) often have severe dietary restrictions and avoidance due to the uncertainty of intestinal symptoms. Inadequate dietary intake may increase the risk of malnutrition and result in impaired food‐related quality of life (FRQoL). Few studies investigated factors influencing FRQoL in patients with IBD. This study aimed to synthesize the existing evidence regarding FRQoL among patients with IBD, including the current situation, measurement instruments, and related influencing factors.MethodThe comprehensive literature search was conducted in databases including PubMed, Embase, CINAHL, PsycInfo, Cochrane Library, as well as the most commonly used Chinese databases (CNKI, Wanfang and CBM). Studies published between January 2015 and December 2023 on FRQoL in patients with IBD were included. The Joanna Briggs Institute (JBI) critical appraisal checklist was utilized to evaluate the methodological quality of the selected studies.ResultsFinally, only five studies met the inclusion criteria were reviewed, including three cross‐sectional studies and two case‐control studies. The Food‐related quality of life‐29 Scale (FR‐QoL‐29) with a total core of 145 was the most used instrument measuring FRQoL in patients with IBD. The mean scores of FRQoL ranged from 69.9 to 102.3 in adult patients with IBD and 94.3 in children. A diverse range of factors were associated with FRQoL, including socio‐demographic, clinical, psychological, diet‐related, and nutrient intake factors.ConclusionsThe main influencing factors of FRQoL among patients with IBD included disease activity status, severe symptoms, history of IBD surgery, negative emotion reaction, and restrictive eating behaviour. Clinicians should work in concert with dietitians, keeping an eye on the disease status, nutrition intake, and restrictive eating habits, assessing FRQoL and providing personalized dietary recommendation for the patients with IBD.