Frontiers in Medicine (Aug 2023)

Mediating effect of gastrointestinal symptoms on dietary behavior and quality of life in Chinese adults with chronic gastritis—a cross-sectional study

  • Litong Zhao,
  • Litong Zhao,
  • Feng Zhang,
  • Feng Zhang,
  • Feng Zhang,
  • Feng Zhang,
  • Dan Kuang,
  • Dan Li,
  • Dan Li,
  • Jiai Yan,
  • Jiai Yan,
  • Ju Yang,
  • Ju Yang,
  • Qinyue Wang,
  • Qinyue Wang,
  • Yingyu Wang,
  • Yingyu Wang,
  • Jing Sun,
  • Jing Sun,
  • Yiran Liu,
  • Yiran Liu,
  • Ping Liu,
  • Yanping Xia,
  • Yanping Xia,
  • Hong Cao,
  • Hong Cao,
  • Hong Cao,
  • Hong Cao

DOI
https://doi.org/10.3389/fmed.2023.1178897
Journal volume & issue
Vol. 10

Abstract

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BackgroundChronic gastritis is accompanied by varying degrees of gastrointestinal symptoms, which affect people’s quality of life. The association between dietary behaviors and gastrointestinal symptoms of patients with chronic gastritis has been proved recently. However, no studies have been conducted to investigate the relationship between dietary behaviors, gastrointestinal symptoms, and quality of life.MethodsA cross-sectional survey of 176 patients diagnosed with chronic gastritis aged 18 to 65 years, comprising their information on demographic characteristics, dietary behaviors, gastrointestinal symptoms, and quality of life, was collected. A descriptive analysis and a correlation matrix were used to illuminate the characteristics of the subjects and bivariate correlation, respectively. The mediation model was analyzed using the PROCESS macros for SPSS.ResultsDemographic characteristics were found to influence the symptoms, dietary behaviors, and quality of life of chronic gastritis patients; in particular, students categorized by occupation had higher levels of gastrointestinal symptoms and lower levels of quality of life and dietary behavior. The study variables were all pound related. We found that gastrointestinal symptoms played a partial mediating role between dietary behavior and both the physical components summary and mental components summary, and the ratios of mediating effects to the total effect on the physical components summary and mental components summary were 23.5% and 21.5%, respectively.ConclusionOur survey discovered that dietary behavior, gastrointestinal symptoms, and quality of life were all pairwise related. The effect of dietary behavior on quality of life was partially mediated by gastrointestinal symptoms. These results may provide a novel perspective for medical staff in improving the quality of life of patients with chronic gastritis.

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