{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:01:33Z","timestamp":1791558093371,"version":"4.3.4"},"reference-count":67,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,3,1]],"date-time":"2015-03-01T00:00:00Z","timestamp":1425168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100008765","name":"Soci\u00e9t\u00e9 Fran\u00e7aise de Gastro-Ent\u00e9rologie","doi-asserted-by":"crossref","award":["-"],"award-info":[{"award-number":["-"]}],"id":[{"id":"10.13039\/501100008765","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Functional gastrointestinal disorders\u2019 (<jats:styled-content style=\"fixed-case\">FGID<\/jats:styled-content>s) associations with body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>) have not been thoroughly investigated in the general population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the overlap between functional dyspepsia (<jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>y), irritable bowel syndrome (<jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content>), functional constipation (<jats:styled-content style=\"fixed-case\">FC<\/jats:styled-content>) and functional diarrhoea (<jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>h) and the relationship between <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and those diagnoses in a large French adult population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Subjects participating in the Nutrinet\u2010Sant\u00e9 cohort study completed a questionnaire based on Rome <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> criteria. Anthropometrics, socio\u2010demographical and lifestyle data were collected via self\u2010administered questionnaires. Associations between <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FGID<\/jats:styled-content>s were investigated with multivariate logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 35\u00a0447 subjects were included in the analysis. Among subjects with FGIDs, 10.4% presented more than one disorder. [<jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>y coexisted with <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> (23.6%) and <jats:styled-content style=\"fixed-case\">FC<\/jats:styled-content> (15.1%)].<\/jats:p><jats:p>Associations between <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>y differed according to sex. In females, higher odds were observed for underweight and obesity subgroups (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.26 (95% CI: 0.99\u20131.59), <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.35 (1.08\u20131.69), <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.20 (0.81\u20131.77), <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.47 (0.89\u20132.42) for underweight, class I, <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content> obesity respectively compared with normal <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>), forming a U\u2010shaped relationship confirmed with nonlinear model (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). In females, <jats:styled-content style=\"fixed-case\">FD<\/jats:styled-content>h was associated with <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.05 (1.03\u20131.07), <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001]. In males, a negative association between <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">IBS<\/jats:styled-content> was observed [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.97 (0.94\u20130.99), <jats:italic>P<\/jats:italic>=0.04]. Other associations were not significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study showed an important overlap in <jats:styled-content style=\"fixed-case\">FGID<\/jats:styled-content>s, supporting the contention of common pathophysiological mechanisms. Relationships between <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FGID<\/jats:styled-content>s appeared to be sex\u2010dependent. Interaction by sex in the association between <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">FGID<\/jats:styled-content>s should therefore be further explored.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apt.13143","type":"journal-article","created":{"date-parts":[[2015,3,2]],"date-time":"2015-03-02T00:21:17Z","timestamp":1425255677000},"page":"758-767","source":"Crossref","is-referenced-by-count":112,"title":["Functional gastrointestinal disorders in 35\u00a0447 adults and their association with body mass index"],"prefix":"10.1111","volume":"41","author":[{"given":"D.","family":"Le Pluart","sequence":"first","affiliation":[{"name":"Universit\u00e9 Paris 13 Sorbonne Paris Cit\u00e9 Equipe de Recherche en Epid\u00e9miologie Nutritionnelle (EREN) Centre de Recherche en Epid\u00e9miologie et Biostatistiques (CRESS) UMR 1153 Inserm U1125 Inra Cnam COMUE Sorbonne Paris Cit\u00e9 Bobigny 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