Impact of Eating Attitude and Impairment of Physical Quality of Life Between Tertiary Clinic and Primary Clinic Functional Dyspepsia Outpatients in Japan.
- Author:
Mayumi SHIMPUKU
1
;
Seiji FUTAGAMI
;
Natsuki TAJIMA
;
Hiroshi YAMAWAKI
;
Yuuta MARUKI
;
Yasuhiro KODAKA
;
Hiroyuki NAGOYA
;
Katya GUDIS
;
Tetsuro KAWAGOE
;
Choitsu SAKAMOTO
Author Information
- Publication Type:Original Article
- Keywords: Anxiety; Eating attitude; Functional dyspepsia; Healthcare-seeking behavior; Sleep disorders; Quality of life
- MeSH: Anxiety; Asian Continental Ancestry Group; Dyspepsia*; Eating*; General Practitioners; Healthy Volunteers; Humans; Japan*; Life Style; Meals; Outpatients*; Quality of Life*; Sleep Wake Disorders
- From:Journal of Neurogastroenterology and Motility 2014;20(4):506-515
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND/AIMS: There is no available data on factors associated with healthcare-seeking behavior for functional dyspepsia (FD) symptoms at either tertiary or primary clinics in Japan. Therefore, we aimed to compare clinical symptoms and life styles such as sleep disorders and eating attitude in FD patients visiting general practitioners at primary clinics with those consulting gastroenterologists at tertiary clinics to clarify healthcare-seeking patterns in Japanese patients. METHODS: Fifty-one FD outpatients in a tertiary clinic (college hospital), 50 FD outpatients visiting primary clinics and 50 healthy volunteers were enrolled. Clinical symptoms, quality of life, sleep disorders, eating attitude and anxiety were estimated using the Gastrointestinal Symptom Rating Scale (GSRS), Social Functioning-8 (SF-8) test, Pittsburg Sleep Quality Index (PSQI) test and State-Trait Anxiety Inventory (STAI) for FD outpatients and healthy volunteers. RESULTS: FD outpatients exhibited higher mean scores of GSRS than healthy volunteers. The SF-8 physical component summary scores in the tertiary clinic group were significantly lower than those in the primary clinic group. GSRS scores were significantly (P < 0.001, P = 0.002) associated with global PSQI scores in FD outpatients as well as with STAI-trait scores (P = 0.006, P = 0.001) compared to healthy volunteers. The frequency of eating between meals in the primary clinic group was significantly (P < 0.05) higher than that in the tertiary clinic group. CONCLUSIONS: It may be important for clarification of healthcare-seeking behavior to determine the difference in both impairment of physical quality of life and eating attitudes between tertiary clinic and primary clinic FD outpatients in Japan.
