Gastrointestinal sistem yakınmaları ile dahiliye polikliniğine başvuran bireylerin stres ve beslenme alışkanlıklarının değerlendirilmesi

Yıl 2026, Cilt: 25 Sayı: 1 , 79 - 91 , 21.04.2026

Buket Turhan , Hale Erdekli

https://doi.org/10.17941/agd.1899095

https://izlik.org/JA46GN22UH

Öz

Giriş ve Amaç: Bu çalışma, gastrointestinal sistem yakınmaları bulunan bireylerin algılanan stres ve beslenme alışkanlıkları arasındaki ilişkinin belirlenmesi amacıyla planlanmış ve yürütülmüştür. Gereç ve Yöntem: Çalışma, Antalya Eğitim ve Araştırma Hastanesi Dâhiliye Polikliniği’ne gastrointestinal yakınma ile başvuran, çalışmaya katılmaya gönüllü 222 yetişkin birey ile yürütülmüştür. Gastrointestinal semptom ve yakınmaları bulunan hastalardan gönüllülük esasına dayanarak, çalışmaya onam vererek katılmayı kabul edenler çalışmaya dâhil edilmiştir. Bireylere yüz yüze görüşme tekniği ile anket formu uygulanmıştır. Anket formu; katılımcıların bireysel ve sosyodemografik özellikleri, antropometrik ölçümleri ve bazı beslenme alışkanlıklarına yönelik sorulardan, Gastrointestinal Semptom Derecelendirme Ölçeği ve Algılanan Stres Ölçeği’nden oluşmaktadır. Bulgular: Gastrointestinal semptomların bulunduğu andaki yeme davranış değişiklikleri incelendiğinde; besin alımında belirgin oranda azalma görülen veya besin tüketim durumu normale göre çok daha fazla olan bireylerin karın ağrısı, kabızlık ve genel gastrointestinal sistem semptom düzeyleri daha yüksek bulunmuştur. Yüksek stres düzeyine sahip bireylerin gastrointestinal sistem semptom düzeylerinin, düşük ve orta stres düzeyine sahip bireylere kıyasla daha yüksek olduğu saptanmıştır. Sonuç: Gastrointestinal semptom düzeylerinin, beslenme alışkanlıkları ve stres seviyeleri ile bağlantılı olduğu saptanmıştır. Bu bağlamda, beslenme tedavisi ve psikososyal faktörlerin tedavi yaklaşımlarında değerlendirilmesi gerektiği düşünülmektedir.

Anahtar Kelimeler

Beslenme alışkanlıkları , gastrointestinal semptom , stres

Evaluation of stress and nutritional habits in individuals presenting to the internal medicine outpatient clinic with gastrointestinal complaints

https://izlik.org/JA46GN22UH

Öz

Background and Aims: This study was designed and conducted to determine the relationship between perceived stress and dietary habits in individuals with gastrointestinal system complaints. Materials and Method: The study was carried out with 222 adult individuals who presented with gastrointestinal complaints at the Internal Medicine Outpatient Clinic of Antalya Training and Research Hospital and who volunteered to participate in the study. All participants were informed about the study, and informed consent was obtained. Data were collected using a face-to-face interview technique through a questionnaire. The questionnaire included items regarding participants’ individual and sociodemographic characteristics, anthropometric measurements, and certain dietary habits, as well as the Gastrointestinal Symptom Rating Scale and the Perceived Stress Scale. Results: When changes in eating behavior during the presence of gastrointestinal symptoms were examined, it was found that individuals who showed a marked decrease in food intake or those whose food consumption was significantly higher than normal had higher levels of abdominal pain, constipation, and general gastrointestinal system symptoms. Individuals with high stress levels were found to have higher gastrointestinal system symptom levels compared to those with low or moderate stress levels. Conclusion: It was determined that the levels of gastrointestinal symptoms are associated with dietary habits and stress levels. In this context, it is considered that nutritional therapy and psychosocial factors should be taken into account in treatment approaches.

Anahtar Kelimeler

Dietary habits , gastrointestinal symptoms , stress

Kaynakça

• 1. Uymaz G, Aydın AK. The relationship between preoperative anxiety and gastrointestinal system symptoms. Cukurova Medical Journal 2021;46(1):360-70. doi.org/10.17826/cumj.782561.
• 2. Wang L, Luo X, Qing X, et. al. Symptom effects and central mechanism of acupuncture in patients with functional gastrointestinal disorders: a systematic review based on fMRI studies. BMC Gastroenterol 2024;24(1):47. doi: 10.1186/s12876-024-03124-y.
• 3. Black CJ, Drossman DA, Talley NJ, Ruddy J, Ford AC. Functional gastrointestinal disorders: advances in understanding and management. Lancet. 2020;396(10263):1664-74. doi: 10.1016/S0140-6736(20)32115-2.
• 4. El-Salhy M. Nutritional management of gastrointestinal diseases and disorders. Nutrients 2019;11(12):3013. doi: 10.3390/nu11123013.
• 5. O'Keefe SJ. Nutrition and gastrointestinal disease. Scand J Gastroenterol Suppl. 1996;220:52-9. doi: 10.3109/00365529609094750.
• 6. Chey WD. The role of food in the functional gastrointestinal disorders: introduction to a manuscript series. Am J Gastroenterol. 2013;108(5):694-7. doi: 10.1038/ajg.2013.62.
• 7. Labanski A, Langhorst J, Engler H, Elsenbruch S. Stress and the brain-gut axis in functional and chronic-inflammatory gastrointestinal diseases: A transdisciplinary challenge. Psychoneuroendocrinology 2020;111:104501. doi: 10.1016/j.psyneuen.2019.104501.
• 8. Bhatia V, Tandon RK. Stress and the gastrointestinal tract. J Gastroenterol Hepatol. 2005;20(3):332-9. doi: 10.1111/j.1440-1746.2004.03508.x.
• 9. Greenwood-Van Meerveld B, Johnson AC, Grundy D. Gastrointestinal Physiology and Function. Handb Exp Pharmacol. 2017;239:1-16. doi: 10.1007/164_2016_118.
• 10. Mayer EA. The neurobiology of stress and gastrointestinal disease. Gut 2000;47(6):861-9. doi: 10.1136/gut.47.6.861.
• 11. Uzuner A. Yaşam Tarzı ve Gastrointestinal Sistem Hastalıkları İlişkisi. Turkiye Klinikleri Family Medicine-Special Topics 2010; 1(3), 21-29.
• 12. Stake-Nilsson K, Hultcrantz R, Unge P, Wengström Y. Changes in symptoms and lifestyle factors in patients seeking healthcare for gastrointestinal symptoms: an 18-year follow-up study. Eur J Gastroenterol Hepatol. 2013;25(12):1470-7. doi: 10.1097/MEG.0b013e328365c359.
• 13. Turan N, Aşt TA, Kaya N. Reliability and Validity of the Turkish Version of the Gastrointestinal Symptom Rating Scale. Gastroenterol Nurs. 2017;40(1):47-55. doi: 10.1097/SGA.0000000000000177.
• 14. Kaya C, Tansey TN, Melekoglu M, Cakiroglu O, Chan F. Psychometric evaluation of Turkish version of the Perceived Stress Scale with Turkish college students. J Ment Health. 2019;28(2):161-167. doi: 10.1080/09638237.2017.1417566.
• 15. Mendelson S, Anbukkarasu P, Cassisi JE, Zaman W. Gastrointestinal functioning and menstrual cycle phase in emerging young adult women: a cross-sectional study. BMC Gastroenterol. 2023;23(1):406. doi: 10.1186/s12876-023-03036-3.
• 16. Adeyemo MA, Spiegel BM, Chang L. Meta-analysis: do irritable bowel syndrome symptoms vary between men and women? Aliment Pharmacol Ther. 2010;32(6):738-55. doi: 10.1111/j.1365-2036.2010.04409.x.
• 17. Chang HJ, Shin CM, Cho JW, et al. Sex differences in gastrointestinal dysfunction among patients with Parkinson's disease. Neurol Sci. 2023;44(7):2375-84. doi: 10.1007/s10072-023-06710-2.
• 18. Kamp K, Yang PL, Tsai CS, et al. Gender and Sex Differences in Abdominal Pain, Fatigue, And Psychological Symptoms Among Adults with Inflammatory Bowel Disease: A Network Analysis. Inflamm Bowel Dis. 2025;31(2):442-449. doi: 10.1093/ibd/izae279.
• 19. Fan W, Chen Y, Fang X, et al. Gender differences in gastrointestinal, biopsychosocial and healthcare-seeking behaviors in Chinese patients with irritable bowel syndrome predominant with diarrhea. BMC Gastroenterol. 2024;24(1):102. doi: 10.1186/s12876-024-03153-7.
• 20.Aydın S, Oner C, Cetin H, Simsek EE. Prevalence and Risk Factors of Functional Dyspepsia: A Population-Based Study. The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy 2024;25(3):203-9. doi:10.24871/25320249-15.
• 21. Cain KC, Jarrett ME, Burr RL, et al. Gender differences in gastrointestinal, psychological, and somatic symptoms in irritable bowel syndrome. Dig Dis Sci. 2009;54(7):1542-9. doi: 10.1007/s10620-008-0516-3.
• 22. Taylor A. M, Thompson S. V, Edwards C. G, et. al. Yetişkinlerde diyet, gastrointestinal mikrobiyota ve olumsuz duygusal durumlar arasındaki ilişkiler. Beslenme Nörobilimi 2019;23 (12), 983–992.
• 23. Araki M, Shinzaki S, Yamada T, et al. Psychologic stress and disease activity in patients with inflammatory bowel disease: A multicenter cross-sectional study. PLoS ONE 2020;15(5):e0233365. doi: 10.1371/journal.pone.0233365.
• 24. Dragasevic S, Stankovic B, Kotur N, et al. Psychological Distress Is Associated With Inflammatory Bowel Disease Manifestation and Mucosal Inflammation. Inflamm Bowel Dis. 2025;31(6):1567-73. doi: 10.1093/ibd/izae180.
• 25. Vork L, Keszthelyi D, van Kuijk SMJ, et al. Patient-Specific Stress-Abdominal Pain Interaction in Irritable Bowel Syndrome: An Exploratory Experience Sampling Method Study. Clin Transl Gastroenterol. 2020;11(7):e00209. doi: 10.14309/ctg.0000000000000209.
• 26. Wickramasinghe N, Thuraisingham A, Jayalath A, et al. The association between symptoms of gastroesophageal reflux disease and perceived stress: A countrywide study of Sri Lanka. PloS one 2023;18(11):e0294135. doi: 10.1371/journal.pone.0294135.
• 27. Puspitasari A, Sukmagautama C, Sari AAA, Hermawati BD. The Relationship Between Stress and Eating Habits and the Occurence of GERD in Medical Students. S Med Jour 2024;7(2):73-81. doi: 10.13057/smj.v7i2.85024.
• 28. Cooke ZM, Resciniti SM, Wright BJ, et al. Association between dietary factors, symptoms, and psychological factors in adults with dyspepsia: A cross-sectional study. Neurogastroenterol Motil. 2023;35(12):e14684. doi: 10.1111/nmo.14684.
• 29. Gholami R, Zomorody S, Abdi S. Effectiveness of stress management on cognitive emotion regulation and general health of patients with dyspepsia. Pejouhesh dar Pezeshki 2021;45(3):60-6.
• 30. Yamamoto Y, Furukawa S, Watanabe J, et al. Association Between Eating Behavior, Frequency of Meals, and Functional Dyspepsia in Young Japanese Population. J Neurogastroenterol Motil. 2022;28(3):418-423. doi: 10.5056/jnm21146.
• 31. Beh KH, Chuah KH, Rappek NAM, Mahadeva S. The association of body mass index with functional dyspepsia is independent of psychological morbidity: A cross-sectional study. PLoS One. 2021;16(1):e0245511. doi: 10.1371/journal.pone.0245511.
• 32. Clevers E, Törnblom H, Simrén M, Tack J, Van Oudenhove L. Relations between food intake, psychological distress, and gastrointestinal symptoms: A diary study. United European Gastroenterol J. 2019;7(7):965-973. doi: 10.1177/2050640619839859.
• 33. Moitra P, Balot A, Panchal K, Madan J. Exploring associations between eating habits, gastrointestinal health and perceived stress and anxiety symptoms in adults. Proceedings of the Nutrition Society 2024;83(OCE2):E218. doi: 10.1017/S0029665124004427
• 34. Babaoğlu ÜT, Özdenk S. Algılanan stres ile gastrointestinal semptom arasındaki ilişkinin incelenmesi: tanımlayıcı araştırma. Acıbadem Üniv Sağlık Bilim Derg. 2017;2017(3):138-45.
• 35. Çelik ZM, Aktaç Ş, Sabuncular G, Dirican T, Demir AH. Quality of life, perceived stress and nutrition of patients with irritable bowel syndrome: a descriptive study. North Afr J Food Nutr Res. 2022;6(14):107-14. doi:10.51745/najfnr.6.14.107-114.