Table 4

Most common factors found to be significantly associated with impaired body image in IBD as reported in each study, including associations between reduced body image and reduced QoL

FactorStudy
Abdovic 201322 Bel 201523 Beld 201024 Chouliaras 201730 Dunker 199834 Eshuis 200835 Eshuis
2010
Kjaer 2014Maunder 199954 McDermott 201514 Muller 201058 Ogden 201160 Perrin 200861 Polle 200763 Saha 201565 Scarpa 200967 Trin
dade 201771
Female genderr=−0.18*Diffe
rence in means p=0.08
Diffe
rence in means p>0.10
Diffe
rence in scores p=0.18
No signif
icant asso
ciation
Fem
ales signif
icantly worse scores*
p<0.001*Diffe
rence in propo
rtions p=0.0007
Signif
icantly worse scores in open surgery group p=0.004*
p<0.0001*
Higher
disease/
symptom activity
r=0.38*No significant associationr=0.5*p<0.001*p=0.50p=0.003*In UC p=0.006*
In CD p=0.003*
Multiple regression β=0.426 p=0.006*Active disease r=0.18
Symptoms r=0.40*
Fatiguer=0.55*
Disease subtypeNo significant associationp=0.63Difference in proportions p=0.094p=0.05No association found
Ager=−0.18*No sign
ificant asso
ciation
Younger age p<0.001*r=−0.06
SteroidsNo signif
icant asso
ciation
No signif
icant associ
ation
p=0.03*p=0.05*p=0.02*r=0.22*
Smokingp=0.001*
Open/
conventional
surgery
Difference in scores p=0.2Difference in means p=0.51Difference in median p=0.03*Difference in median p=0.17No significant differencesMultiple regression (for laparoscopic approach) β=0.331 p=0.036*
Increased BMIWomen only p<0.001*No significant associationr=0.25*
Impaired QoLr=0.52*r=0.67*r<0.41r=0.5*p<0.001*r=0.51*One-unit increase ASWAP score associated with a 0.62 decrease in BDQ (p<0.0001)*Psychological QoL r=0.56*
Physical QoL r=0.50*
  • With some tools, higher scores indicate better body image/QoL and in others higher scores indicate worse body image/QoL. This may result in both positive and negative correlation coefficients. Where applicable, signs have been flipped for ease of interpretation to clearly show the positive correlation between body image and quality of life.

  • *Significant association found.

  • ASWAP, Adapted Satisfaction with Appearance Scale; BIDQ, Body Image Disturbance Questionnaire; BMI, body mass index; IBD, inflammatory bowel disease; QoL, quality of life.