Evidence map›Paper›PMID 40050745›Full record

ArticleBMC gastroenterology2025

Association between avoidant/restrictive food intake disorder risk, dietary attitudes and behaviors among Chinese patients with inflammatory bowel disease: a cross-sectional study.

Wenjing Tu, Yiting Li, Tingting Yin, Sumin Zhang, Ping Zhang, Guihua Xu

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Avoidant-Restrictive Food Intake Disorder in Patients With Gastrointestinal Disorders: A Systematic Review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Pooled it
  2. Pooled it
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  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Wenjing TuNursing School, Nanjing University of Chinese medicine, 138 Xianlin Ave, Nanjing, 210023, China.
Yiting LiNursing School, Nanjing University of Chinese medicine, 138 Xianlin Ave, Nanjing, 210023, China.
Tingting YinNursing School, Nanjing University of Chinese medicine, 138 Xianlin Ave, Nanjing, 210023, China.
Sumin ZhangAnorectal Department, Nanjing City Hospital of Traditional Chinese Medicine, Nanjing, 210006, China.
Ping ZhangGastroenterology Department, Jiangsu Province Hospital of Chinese Medicine, Nanjing, 210004, China.
Guihua XuNursing School, Nanjing University of Chinese medicine, 138 Xianlin Ave, Nanjing, 210023, China. 7115@njucm.edu.cn.

Funding

Ministry of Education Humanities and Social Sciences Youth Project of China 19YJCZH147Nanjing University of Chinese medicine supporting National Natural Science Foundation Youth Program of China XPT72204124National Natural Science Foundation Youth Program of China 72204124
6 · The paper itself

Abstract

backgroundRestrictive eating behaviors are common among patients with inflammatory bowel disease (IBD), which may may develop nutritional and/or quality of life impairments into avoidant/restrictive food intake disorder (ARFID). The objective of this study is to estimate the prevalence and characteristics of ARFID in Chinese patients with IBD, and to investigate the current perceptions and dietary behaviors of patients with and without ARFID.

methodsA cross-sectional study was conducted in gastroenterology clinics of four tertiary hospitals in China. Patients with IBD were asked to complete a structured questionnaire including demographic characteristics, dietary attitudes and behaviors. The diagnosis of ARFID was established using Chinese version of the Nine-Item Avoidant/Restrictive Food Intake Disorder Screen questionnaire.

resultsA total of 483 patients with IBD completed the questionnaires, and 20.3% met clinical criteria for ARFID. The average score of ARFID was 21.9 (interquartile range = 17.0-26.0). Multivariable binary logistic regression results showed that patients with Crohn's disease (OR = 0.483, 95%CI = 0.280-0.835; p = 0.009), being in an active disease state (OR = 0.220, 95%CI = 0.123-0.392; p < 0.001), holding dietary attitudes regarding symptom control (OR = 2.431, 95%CI = 1.299-4.548; p = 0.005), and reporting a specific dietary history (OR = 27.158, 95%CI = 3.679-200.456; p = 0.001) were significant more likely to suffer from ARFID.

conclusionsARFID is a common problem among patients with IBD. The incidence of ARFID is particularly high among patients with Crohn's disease, during relapse, and those who hold restrictive dietary attitudes or have a history of specific diets. Therefore, it is imperative to prioritize routine screening and early identification of ARFID, especially among high-risk populations, in future research and clinical practice.

trial registrationChiCTR2100051539, on 26 September 2021.

Indexed as

Avoidant Restrictive Food Intake DisorderFeeding BehaviorInflammatory Bowel DiseasesAdultChinaCrohn DiseaseCross-Sectional StudiesDietFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsSurveys and QuestionnairesYoung AdultAvoidant/restrictive food intake disorderDietary attitudeEating behaviorInflammatory bowel disease

Identifiers

PMID40050745
PMCPMC11884124

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.