P518 Functional disorders of the colon in adolescents with obesity: psychological characteristics

Adolescent obesity is a very serious problem of the 21 century. Approximately 86.5% of obese adolescents have functional disorders of the colon (FDC), among which the most prevalent disorder is irritable bowel syndrome (IBS) – 76.1%. One of the causes of FDC is a psychological state. Psychological problems, may develop into more serious conditions, such as severe depression, low self-esteem, anorexia nervosa, and bulimia nervosa. Aim To determine psycho-emotional disorders in adolescents with obesity and FDC. Materials and methods We examined 111 children with obesity (11–17 years), among them 64 girls and 47 boys, age 14.5±2.0, over a period 2016–2018. Depending on the presence of FDC in adolescents with obesity, the sample was divided in 3 groups: 1 group included 73 (65.8%) adolescents with obesity and IBS (diagnosed according to The Rome IV criteria), 2 group – 23 (20.7%) adolescents with obesity and other FDC, 3 group – 15 (13.5%) adolescents with obesity without FDC. We conducted a questionnaire survey on the psychoemotional state of adolescents (State-Trait Anxiety Inventory, Rosenberg’s Faith in People scale, Beck Depression Inventory, EAT-26). Results were processed using software Statistica 10.0 for Windows. The difference was considered significant at p Results EAT-26 did not show differences between groups on the following indicators: pursuance of leanness, bulimia, inefficiency, interoceptive incapacity. There were significant differences in the group with IBS (p=0.000) on discomfort with one’s body, distrust in interpersonal relationships. Rosenberg’s Faith in People scale did not show differences between groups (p=1.2). State-Trait Anxiety Inventory showed that state anxiety and trait anxiety are more pronounced in groups with IBS and other FDC. There is a significant difference between groups with IBS and other FDC and the group without FDC (p=0.000). Depression is significantly higher in the group with IBS (p Conclusions We found maladaptive eating behavior (pursuance for leanness, bulimia, inefficiency, interoceptive incapability) in adolescents with obesity, regardless of FDC. We observed increased discomfort with the body, distrust in interpersonal relationships in adolescents with obesity and FDC. Self-respect prevails in all adolescents. They can assess their strengths and weaknesses, they can agree they may be wrong, which does not let them accept that something is impossible to change, and quickly react and correct what is possible. State and trait anxiety is more pronounced in adolescents with obesity and FDC, and depressive symptoms are diagnosed in adolescents with IBS.