The association of gastrointestinal symptoms with weight, diet, and exercise in weight-loss program participants

Rona L. Levy, Jennifer A. Linde, Kayla A. Feld, Michael D. Crowell, Robert W. Jeffery

Research output: Contribution to journalArticle

48 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)992-996
Number of pages5
JournalClinical Gastroenterology and Hepatology
Volume3
Issue number10
DOIs
StatePublished - Oct 2005

Fingerprint

Weight Reduction Programs
Exercise
Diet
Weights and Measures
Body Mass Index
Obesity
Irritable Bowel Syndrome
Fruit
Fats
Bulimia
Self Report
Abdominal Pain
Diarrhea
Research

ASJC Scopus subject areas

  • Gastroenterology

Cite this

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.

In: Clinical Gastroenterology and Hepatology, Vol. 3, No. 10, 10.2005, p. 992-996.

Research output: Contribution to journalArticle

Levy, Rona L. ; Linde, Jennifer A. ; Feld, Kayla A. ; Crowell, Michael D. ; Jeffery, Robert W. / The association of gastrointestinal symptoms with weight, diet, and exercise in weight-loss program participants. In: Clinical Gastroenterology and Hepatology. 2005 ; Vol. 3, No. 10. pp. 992-996.
@article{ae8d7968de6f412184d0deea09b9df5d,
title = "The association of gastrointestinal symptoms with weight, diet, and exercise in weight-loss program participants",
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.",
author = "Levy, {Rona L.} and Linde, {Jennifer A.} and Feld, {Kayla A.} and Crowell, {Michael D.} and Jeffery, {Robert W.}",
year = "2005",
month = "10",
doi = "10.1016/S1542-3565(05)00696-8",
language = "English (US)",
volume = "3",
pages = "992--996",
journal = "Clinical Gastroenterology and Hepatology",
issn = "1542-3565",
publisher = "W.B. Saunders Ltd",
number = "10",

}

TY - JOUR

T1 - The association of gastrointestinal symptoms with weight, diet, and exercise in weight-loss program participants

AU - Levy, Rona L.

AU - Linde, Jennifer A.

AU - Feld, Kayla A.

AU - Crowell, Michael D.

AU - Jeffery, Robert W.

PY - 2005/10

Y1 - 2005/10

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=26244460692&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=26244460692&partnerID=8YFLogxK

U2 - 10.1016/S1542-3565(05)00696-8

DO - 10.1016/S1542-3565(05)00696-8

M3 - Article

VL - 3

SP - 992

EP - 996

JO - Clinical Gastroenterology and Hepatology

JF - Clinical Gastroenterology and Hepatology

SN - 1542-3565

IS - 10

ER -