Fatigue Severity and Factors Associated with High Fatigue Levels in Korean Patients with Inflammatory Bowel Disease
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Background/Aims: Many patients with inflammatory boweldisease (IBD) often complain of fatigue. To date, only a fewstudies in Western countries have focused on fatigue relatedto IBD, and fatigue has never been specifically studied inAsian IBD patients. The aim of the present study was to investigatethe fatigue level and fatigue-related factors amongKorean IBD patients. Methods: Patients in remission or withmild to moderate IBD were included. Fatigue was assessedusing the Functional Assessment of Chronic Illness Therapy-Fatigue and the Brief Fatigue Inventory. Correspondinghealthy controls (HCs) also completed both fatigue questionnaires. Results: Sixty patients with Crohn disease and 68patients with ulcerative colitis (UC) were eligible for analysis. The comparison group consisted of 92 HCs. Comparedwith the HCs, both IBD groups were associated with greaterlevels of fatigue (p<0.001). Factors influencing the fatiguescore in UC patients included anemia and a high erythrocytesedimentation rate (ESR). Conclusions: Greater levelsof fatigue were detected in Korean IBD patients comparedwith HCs. Anemia and ESR were determinants of fatigue inUC patients. Physicians need to be aware of fatigue as oneof the important symptoms of IBD to better understand theimpact of fatigue on health-related quality of life.
Abstract
Background/Aims: Many patients with inflammatory boweldisease (IBD) often complain of fatigue. To date, only a fewstudies in Western countries have focused on fatigue relatedto IBD, and fatigue has never been specifically studied inAsian IBD patients. The aim of the present study was to investigatethe fatigue level and fatigue-related factors amongKorean IBD patients. Methods: Patients in remission or withmild to moderate IBD were included. Fatigue was assessedusing the Functional Assessment of Chronic Illness Therapy-Fatigue and the Brief Fatigue Inventory. Correspondinghealthy controls (HCs) also completed both fatigue questionnaires. Results: Sixty patients with Crohn disease and 68patients with ulcerative colitis (UC) were eligible for analysis. The comparison group consisted of 92 HCs. Comparedwith the HCs, both IBD groups were associated with greaterlevels of fatigue (p<0.001). Factors influencing the fatiguescore in UC patients included anemia and a high erythrocytesedimentation rate (ESR). Conclusions: Greater levelsof fatigue were detected in Korean IBD patients comparedwith HCs. Anemia and ESR were determinants of fatigue inUC patients. Physicians need to be aware of fatigue as oneof the important symptoms of IBD to better understand theimpact of fatigue on health-related quality of life.
참고문헌 (25)
- Dittner AJ, "The assessment of fatigue: a practical guide for clinicians and researchers", J Psychosom Res, 56, pp.157~170 (2004)
- Craig A, "A controlled investigation into the psychological determinants of fatigue", Biol Psychol, 72, pp.78~87 (2006)
- van der Linden G, "Wessely S. Fatigue and psychiatric disorder: different or the same?", Psychol Med, 29, pp.863~868 (1999)
- Bjornsson E, "Fatigue in patients with primary sclerosing cholangitis", Scand J Gastroenterol, 39, pp.961~968 (2004)
- Cella D, "Validation of the functional assessment of chronic illness therapy fatigue scale relative to other instrumentation in patients with rheumatoid arthritis", J Rheumatol, 32, pp.811~819 (2005)
- Omdal R, "Fatigue in patients with systemic lupus erythematosus: the psychosocial aspects", J Rheumatol, 30, pp.283~287 (2003)
- Stanca CM, "Evaluation of fatigue in U.S. patients with primary biliary cirrhosis", Am J Gastroenterol, 100, pp.1104~1109 (2005)
- Vatn MH, "Natural history and complications of IBD", Curr Gastroenterol Rep, 11, pp.481~487 (2009)
- van Langenberg DR, "Systematic review: fatigue in inflammatory bowel disease", Aliment Pharmacol Ther, 32, pp.131~143 (2010)
- Mitchell A, "Quality of life in patients with inflammatory bowel disease", J Clin Gastroenterol, 10, pp.306~310 (1988)
- Jelsness-Jorgensen LP, "Chronic fatigue is more prevalent in patients with inflammatory bowel disease than in healthy controls", Inflamm Bowel Dis, 17, pp.1564~1572 (2011)
- Jelsness-Jørgensen LP, "Chronic fatigue is associated with impaired health-related quality of life in inflammatory bowel disease", Aliment Pharmacol Ther, 33, pp.106~114 (2011)
- Fisk JD, "Measuring the functional impact of fatigue: initial validation of the fatigue impact scale", Clin Infect Dis, 18(Suppl 1), pp.S79~S83 (1994)
- Smets EM, "The multidimensional fatigue inventory (MFI) psychometric qualities of an instrument to assess fatigue", J Psychosom Res, 39, pp.315~325 (1995)
- Tinsley A, "Validation of the functional assessment of chronic illness therapy-fatigue (FACIT-F)in patients with inflammatory bowel disease", Aliment Pharmacol Ther, 34, pp.1328~1336 (2011)
- Yun YH, "Fatigue in the general Korean population: application and normative data of the brief fatigue inventory", J Pain Symptom Manage, 36, pp.259~267 (2008)
- Yun YH, "Validation study of the korean version of the brief fatigue inventory", J Pain Symptom Manage, 29, pp.165~172 (2005)
- Schroeder KW, "Coated oral 5-aminosalicylic acid therapy for mildly to moderately active ulcerative colitis. A randomized study", N Engl J Med, 317, pp.1625~1629 (1987)
- Stange EF, "European evidence based consensus on the diagnosis and management of Crohn’s disease:definitions and diagnosis", Gut, 55(Suppl 1), pp.i1~i15 (2006)
- Minderhoud IM, "High prevalence of fatigue in quiescent inflammatory bowel disease is not related to adrenocortical insufficiency", Am J Gastroenterol, 98, pp.1088~1093 (2003)
- Graff LA, "A population-based study of fatigue and sleep difficulties in inflammatory bowel disease", Inflamm Bowel Dis, 17, pp.1882~1889 (2011)
- Gasche C, "Iron, anaemia, and inflammatory bowel diseases", Gut, 53, pp.1190~1197 (2004)
- Gasche C, "Anemia in IBD: the overlooked villain", Inflamm Bowel Dis, 6, pp.142~150 (2000)
- Gomollón F, "Anemia and inflammatory bowel diseases", World J Gastroenterol, 15, pp.4659~4665 (2009)
- Swain MG., "Fatigue in chronic disease", Clin Sci (Lond), 99, pp.1~8 (2000)
