Selected modifiable lifestyle areas influencing diseases of the digestive
DOI:
https://doi.org/10.15503/jecs2021.1.224.238Keywords:
behavioural gastroenterology, health behaviours, lifestyle, diet, alcohol, stress, physical activityAbstract
Thesis. The multifactor aetiology of the diseases of the digestive system is frequently connected with lifestyle, including diet, exposure to stress, and alcohol consumption. These factors are part of the modifiable factors influencing state of health, and the presentation of their influence on the pathogenesis of the diseases of the digestive system may lead to increased social awareness, improved health, and decreased healthcare expenditures.
Concept. The article is a review, presenting the results of latest research on the influence of selected behavioural factors (health behaviours) in the functioning of the digestive system.
Results and conclusion. In order to prevent diseases of the digestive system Mediterranean diet, reduction of alcohol consumption, and looking after emotional wellbeing and physical fitness are recommended. The understanding of health as looking after and enrichment of resources, rather than a lack of illness, is connected with patients’ responsibility for their own health. Frequently, it is only with the diagnosis of an illness that patients decide to change their behaviour. Meanwhile, healthy lifestyle ought also to be understood as one of the most significant elements of the prevention of diseases of the digestive system. Such understanding is part of the paradigm of behavioural gastroenterology(Jia, Jiang, & Liu, 2017), whose representatives emphasise that it is important for healthy lifestyle and psychological factors to be taken into account in treatment as well as diagnosis, rehabilitation, and prophylactics of the diseases of the digestive system.
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References
Anderson, J. W., Baird, P., Davis, R. H., Jr., Ferreri, S., Knudtson, M., Koraym, A., Waters,
V., & Williams, C. L. (2009). Health benefits of dietary fiber. Nutrition Reviews,
(4),188–205.
Asrani, S. K., Devarbhavi, H., Eaton, J., & Kamath, P. S. (2019). Burden of liver diseases in
the world. Journal of Hepatology, 70(1), 151–171. doi: 10.1016/j.jhep.2018.09.014.
Haflidadottir, S., Jonasson, J. G., Norland, H., Einarsdottir, S. O., Kleiner, D. E., Lund, S. H.,
& Björnsson, E. S. (2014). Long term follow-up and liver-related death rate in patients
with non-alcoholic and alcohol related fatty liver disease. BMC Gastroenterology,
(1), 166–175. doi: 10.1186/1471-230X-14-166.
Bamia, C., Lagiou, P., Buckland, G., Grioni, S., Agnoli, C., Taylor, A. J., Dahm, C. C.,
Overvad, K., Olsen, A., Tjønneland, A., Cottet, V., Boutron-Ruault, M. C., Morois, S.,
Grote, V., Teucher, B., Boeing, H., Buijsse, B., Trichopoulos, D., Adarakis, G., … Trichopoulou, A. (2013). Mediterranean diet and colorectal cancer risk: results from a European cohort. European Journal of Epidemiology, 28(4), 317–328. doi: 10.1007/s10654-013-9795-x.
Bernstein, C. N. (2017). The Brain-Gut Axis and Stress in Inflammatory Bowel Disease.
Gastroenterology Clinics of North America, 46(4), 839–846.
doi: 10.1016/j.gtc.2017.08.006.
Bongaerts, B. W. C., van den Brandt, P. A., Goldbohm, R. A., deGoeij, A. F. P. M., &
Weijenberg, M. P. (2008). Alcohol Consumption, type of alcoholic beverage and risk
of colorectal cancer at specific subsites. International Journal of Cancer, 123(10),
–2417. doi: 10.1002/ijc.23774.
Castelló, A., Amiano, P., Fernández de Larrea, N., Martín, V., Alonso, M. H., Castaño-
Vinyals,G., Pérez-Gómez, B., Olmedo-Requena, R., Guevara, M., Fernandez-Tardon,
G.,Dierssen-Sotos, T., Llorens-Ivorra, C., Huerta, J. M., Capelo, R., Fernández-Villa,
T.,Díez-Villanueva, A., Urtiaga, C., Castilla, J., Jiménez-Moleón, J. J., & Moreno, V.
(2019). Low Adherence to the western and high adherence to the Mediterranean
Dietary patterns could prevent colorectal cancer. European Journal of Nutrition, 58(4),
–1505. doi: 10.1007/s00394-018-1674-5.
Castro-Barquero, S., Lamuela-Raventós, R. M., Doménech, M., &Estruch, R. (2018).
Relationship between Mediterranean Dietary Polyphenol Intake and Obesity.
Nutrients, 10(10). doi: 10.3390/nu10101523.
Cho, E., Lee, J. E., Rimm, E. B., Fuchs, C. S., & Giovannucci, E. L. (2012). Alcohol
consumption and the risk of colon cancer by family history of colorectal cancer.
American Journal of Clinical Nutrition, 95(2), 413–419.
Yoon-Jung,C., Seung-Kwon, M., & Ji-Ho, L. (2018). Light Alcohol Drinking and Riskof Cancer: A Meta-Analysis of Cohort Studies. Cancer Research & Treatment,
(2),474–487. doi: 10.4143/crt.2017.094.
U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015 –
(2015). Dietary Guidelines for Americans. 8th Ed. Retrieved from
https://health.gov/our-work/food-and-nutrition/2015-2020-dietary-guidelines/.
Djärv, T., Wikman, A., Nordenstedt, H., Johar, A., Lagergren, J., &Lagergren, P. (2012).
Physical Activity, obesity and gastroesophageal reflux disease in the general
population. World Journal of Gastroenterology, 18(28), 3710–3714.
doi: 10.3748/wjg.v18.i28.3710.
Dulai, P. S., Singh, S., Patel, J., Soni, M., Prokop, L. J., Younossi, Z., Sebastiani, G., Ekstedt,
M., Hagstrom, H., Nasr, P., Stal, P., Wong, V. W.-S., Kechagias, S., Hultcrantz, R., &
Loomba, R. (2017). Increased risk of mortality by fibrosis stage in nonalcoholic fatty
liver disease: Systematic review and meta-analysis. Hepatology (Baltimore, Md.),
(5),1557–1565. doi:10.1002/hep.29085.
European Association for the Study of the Liver (EASL); European Association for the Study
of Diabetes (EASD); European Association for the Study of Obesity (EASO). (2016).
Clinical Practice Guidelines for the Management of Non-Alcoholic Fatty Liver
Disease, Journal of Hepatolgy, 64(6), 1388—402.
Fliss-Isakov, N., Kariv, R., Webb, M., Ivancovsky, D., Margalit, D., & Zelber-Sagi, S. (2018).
Mediterranean dietary components are inversely associated with advanced colorectal
polyps: A case-control study. World Journal of Gastroenterology, 24(24), 2617–2627.
doi: 10.3748/wjg.v24.i24.2617.
Gao, B., & Bataller, R. (2011). Alcoholic liver disease: pathogenesis and new therapeutic
targets. Gastroenterology, 141(5), 1572–1585.
doi:10.1053/j.gastro.2011.09.002.
Gerber, M., & Hoffman, R. (2015). The Mediterranean diet: health, science and society.
British Journal of Nutrition, 113(S2), S4–S10.
doi: 10.1017/S0007114514003912.
Global status report on alcohol and health 2018. (2018). Geneva: World Health Organization
Global Strategy on Diet, Physical Activity and Health. (2020). Retrieved October 6, 2020,
from https://www.who.int/dietphysicalactivity/factsheet_adults/en/
Gruszczyńska, M., Bąk-Sosnowska, M., Plinta, R., (2015). Zachowania zdrowotne jako
Istotny element aktywności życiowej człowieka. Stosunek Polaków do własnego
zdrowia. [Health-related behaviors as an essential part of human life activities. Attitude of Poles towards their own health].Hygeia Public Health 50(4), 558-565
International Alliance for Responsible Drinking (IARD). (2019). Drinking guidelines:
General population. Retrieved from https://www.iard.org.
Jia, L., Jiang, S.-M., & Liu, J. (2017). Behavioral gastroenterology: And emerging system and
new frontier of action. World Journal of Gastroenterology, 23(33), 6059–6064.
doi: 10.3748/wjg.v23.i33.6059.
Kessing B. F., Bredenoord A. J., Saleh C. M. G., &Smout A. J. P. M. (2015). Effects of
Anxietyand Depression in Patients With Gastroesophageal Reflux Disease. Clinical
Gastroenterology and Hepatology, 13(6), 1089–1095.
Keys, A., Menotti, A., Karvonen, M. J., Aravanis, C., Blackburn, H., Buzina, R., Djordjevic,
B. S., Dontas, A. S., Fidanza, F., Keys, M. H., Kromhout, D., Nedeljkovic, S., Punsar,
S., Seccareccia, F., & Toshima, H. (2017). The Diet and 15-Year Death Rate in the
Seven Countries Study. American Journal of Epidemiology, 185(11), 1130–1142.
doi: 10.1093/aje/kwx101.
Labanski, A., Langhorst, J., Engler, H., &Elsenbruch, S. (2020). Stress and the brain-gut axis
infunctional and chronic-inflammatory gastrointestinal diseases: A transdisciplinary
challenge. Psychoneuroendocrinology, 111. doi: 10.1016/j.psyneuen.2019.104501.
Lee, S. P., Sung, I.-K., Kim, J. H., Lee, S.-Y., Park, H. S., &Shim, C. S. (2015). The effect of
emotional stress and depression on the prevalence of digestive diseases. Journal of
Neurogastroenterology and Motility, 21(2), 273–282.
doi: 10.5056/jnm14116.
Ma, W., Nguyen, L. H., Song, M., Jovani, M., Liu, P.-H., Cao, Y., Tam, I., Wu, K.,
Giovannucci, E. L., Strate, L. L., & Chan, A. T. (2019). Intake of Dietary Fiber, Fruits,
and Vegetables and Risk of Diverticulitis. The American Journal of Gastroenterology,
(9), 1531–1538. doi: 10.14309/ajg.0000000000000363.
Martinez, K. B., Leone, V., &Chang, E. B. (2017). Westerndiets, gut dysbiosis, and metabolic
diseases: Are they linked? Gut Microbes, 8(2), 130–142.
doi: 10.1080/19490976.2016.1270811.
Mentella, M. C., Scaldaferri, F., Ricci, C., Gasbarrini, A., &Miggiano, G. A. D. (2019).
Cancer And Mediterranean Diet: A Review. Nutrients, 11(9).
doi: 10.3390/nu11092059.
Moayyedi, P., Lacy, B. E., Andrews, C. N., Enns, R. A., Howden, C. W., &Vakil, N. (2017).
ACG and CAG Clinical Guideline: Management of Dyspepsia. The American Journal
of Gastroenterology, 112(7), 988–1013. https://doi.org/10.1038/ajg.2017.154
Molina-Torres, G., Rodriguez-Arrastia, M., Roman, P., Sanchez-Labraca, N., &Cardona, D.
(2019). Stress and the gut microbiota-brain axis. Behavioural Pharmacology, 30(2–3,
Spec), 187–200.doi: 10.1097/FBP.0000000000000478.
Moloney, R. D., Johnson, A. C., O’Mahony, S. M., Dinan, T. G., Greenwood-Van Meerveld,
B., & Cryan, J. F. (2016). Stress and the Microbiota-Gut-Brain Axis in Visceral Pain:
Relevance to Irritable Bowel Syndrome. CNS Neuroscience & Therapeutics, 22(2),
–117. doi: 10.1111/cns.12490.
Monteiro, C. A., Moubarac, J.-C., Cannon, G., Ng, S. W., & Popkin, B. (2013). Ultra-
processed products are becoming dominant in the global food system. Obesity
Reviews : An Official Journal of the International Association for the Study of Obesity,
(2),21–28. doi: 10.1111/obr.12107.
Moodie, R., Stuckler, D., Monteiro, C., Sheron, N., Neal, B., Thamarangsi, T., Lincoln, P., &
Casswell, S. (2013). Profits and pandemics: prevention of harmful effects of tobacco,
alcohol, and ultra-processed food and drink industries. Lancet, 381(9867), 670–679.
doi: 10.1016/S0140-6736(12)62089-3.
Morgan, T. R., Mandayam, S., & Jamal, M. M. (2004). Alcohol and hepatocellular carcinoma.
Gastroenterology, 127(5,1),87–S96.
Morozov S, Isakov V, Konovalova M. (2018). Fiber-enriched diet helps to control symptoms and improve esophageal motility in patients with non-erosive gastroesophageal reflux
disease. World journal of gastroenterology. 24(21), 2291—2299.
doi: 10.3748/wjg.v24.i21.2291.
O’Keefe, S. J. D. (2016). Diet, microorganisms and their metabolites, and colon cancer.
Nature Reviews. Gastroenterology & Hepatology, 13(12), 691–706.
doi: 10.1038/nrgastro.2016.165.
Ocvirk, S., Wilson, A. S., Appolonia, C. N., Thomas, T. K., &O’Keefe, S. J. D. (2019). Fiber,
Fat, and Colorectal Cancer: New Insight into Modifiable Dietary Risk Factors.
Current Gastroenterology Reports, 21(11), 62. doi: 10.1007/s11894-019-0725-2.
Parkman, H. P. & Doma, S. (2006).Importance of gastrointestinal motility disorders. Practical Gastroenterology, 30(9), 23-40.
Parnell J. A., Raman M., Rioux K. P.& Reimer R. A. (2011). The potential role of prebiotic
fibre for treatment and management of non-alcoholic fatty liver disease and associated
obesity and insulin resistance. Liver International, 32(5), 701–711.
Patel, S., Behara, R., Swanson, G. R., Forsyth, C. B., Voigt, R. M., & Keshavarzian, A.
(2015). Alcohol and the Intestine. Biomolecules (2218-273X), 5(4), 2573–2588.
doi: 10.3390/biom5042573.
Peery, A. F., Crockett, S. D., Murphy, C. C., Lund, J. L., Dellon, E. S., Williams, J. L.,
Jensen,E. T., Shaheen, N. J., Barritt, A. S., Lieber, S. R., Kochar, B., Barnes, E. L.,
Fan, Y. C.,Pate, V., Galanko, J., Baron, T. H., &Sandler, R. S. (2019). Burden and
Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update
Gastroenterology, 156(1), 254. doi: 10.1053/j.gastro.2018.08.063.
Pellissier, S., & Bonaz, B. (2017). The place of stress and emotions in the irritable bowel
syndrome. In G. Litwack (Ed.), Anxiety103. pp. 327–354. ElsevierAcademic
Press. doi: 10.1016/bs.vh.2016.09.005.
Pham, A., & Forsmark, C. (2018). Chronic pancreatitis: review and update of etiology, risk
factors, and management. F1000Research, 7.
doi: 10.12688/f1000research.12852.1.
laz Torres, M. C., Aghemo, A., Lleo, A., Bodini, G., Furnari, M., Marabotto, E., Miele, L., &
Giannini, E. G. (2019). Mediterranean Diet and NAFLD: What We Know and
Questions That Still Need to Be Answered. Nutrients, 11(12).
doi: 10.3390/nu11122971.
Quigley, E. M. M., Abdel-Hamid, H., Barbara, G., Bhatia, S. J., Boeckxstaens, G., De
Giorgio,R., Delvaux, M., Drossman, D. A., Foxx-Orenstein, A. E., Guarner, F.,
Gwee, K.-A.,Harris, L. A., Hungin, A. P. S., Hunt, R. H., Kellow, J. E., Khalif, I. L.,
Kruis, W.,Lindberg, G., Olano, C., Tzeuton, C. (2012). A global perspective on
irritable bowel syndrome: a consensus statement of the World Gastroenterology
Organisation Summit Task Force on irritable bowel syndrome. Journal of Clinical
Gastroenterology, 46(5),356–366. doi: 10.1097/MCG.0b013e318247157c.
Rehm, J., Gmel, G. E., Gmel, G., Hasan, O. S. M., Imtiaz, S., Popova, S., Probst, C.,
Roerecke, M., Room, R., Samokhvalov, A. V., Shield, K. D., & Shuper, P. A. (2017).
The relationship between different dimensions of alcohol use and the burden of
disease-anupdate. Addiction, 112(6), 968–1001. doi: 10.1111/add.13757.
Romero-Gómez, M., Zelber-Sagi, S., & Trenell, M. (2017). Treatment of NAFLD with diet,
physical activity and exercise. Journal of Hepatology, 67(4), 829–846.
doi: 10.1016/j.jhep.2017.05.016.
Saha, L. (2014). Irritable bowel syndrome: pathogenesis, diagnosis, treatment, and evidence-
based medicine. World Journal of Gastroenterology, 20(22), 6759–6773.
doi: 10.3748/wjg.v20.i22.6759.
Selye H. (1956). The Stress of Life, New York: McGraw-Hill.
Slattery, M. L. (2004). Physical Activity and Colorectal Cancer. Sports Medicine, 34(4), 239–
doi: 10.2165/00007256-200434040-00004.
Song, E. M., Jung, H.K., & Jung, J. M. (2013). The association between reflux esophagitis
And psychosocial stress. Digestive Diseases and Sciences, 58(2), 471–477.
doi: 10.1007/s10620-012-2377-z.
Statovci, D., Aguilera, M., MacSharry, J., & Melgar, S. (2017). The Impact of Western Diet
and Nutrients on the Microbiota and Immune Response at Mucosal Interfaces.
Frontiers in Immunology, 8, 838. doi: 10.3389/fimmu.2017.00838.
Taché, Y., & Million, M. (2015). Role of Corticotropin-releasing Factor Signaling in Stress-
Related Alterations of Colonic Motility and Hyperalgesia. Journal of
Neurogastroenterology and Motility, 21(1), 8–24. doi: 10.5056/jnm14162.
Thursz M., et al. (2018). EASL ClinicalPracticeGuidelines: Management of alcohol-related
liver disease. (2018). Journal of Hepatology, 69(1), 154–181.
doi: 10.1016/j.jhep.2018.03.018.
Vanella, G., Archibugi, L., Stigliano, S., &Capurso, G. (2019). Alcohol and gastrointestinal
cancers. CurrentOpinion in Gastroenterology, 35(2), 107–113.
doi: 10.1097/MOG.0000000000000502.
Wallace, K., Baron, J. A., Karagas, M. R., Cole, B. F., Byers, T., Beach, M. A., Pearson,
L. H.,Burke, C. A., Silverman, W. B., &Sandler, R. S. (2005). The association of
Physical activity and body mass index with the risk of large bowel polyps.
Cancer Epidemiology ,Biomarkers &Prevention : A Publication of the American
Association for Cancer Research, Cosponsored by the American Society of Preventive
Oncology, 14(9), 2082–2086.
Weiss, F. U., Laemmerhirt, F., &Lerch, M. M. (2019). Etiology and RiskFactors of Acute
and Chronic Pancreatitis. Visceral Medicine, 35(2), 73–81.
doi: 10.1159/000499138.
Whitcomb, D. C., LaRusch, J., Krasinskas, A. M., Klei, L., Smith, J. P., Brand, R. E.,
Neoptolemos, J. P., Lerch, M. M., Tector, M., Sandhu, B. S., Guda, N. M., Orlichenko,
L., Albert, M. S., Albin, R. L., Apostolova, L. G., Arnold, S. E., Baldwin, C. T.,
Barber, R., Barnes, L. L., & Beach, T. G. (2012). Common genetic variants in the
CLDN2 andPRSS1-PRSS2 loci alter risk for alcohol-related and sporadic pancreatitis.
Nature Genetics, 44(12), 1349–1354. doi: 10.1038/ng.2466.
World Cancer Research Fund (2018). Global cancer statistics for the most common cancers.
Retrieved from: https://www.wcrf.org/dietandcancer/cancer-trends/worldwide-
cancer- data.
World Cancer Research Fund International (2018). Diet, Nutrition, Physical Activity and
Cancer: a Global Perspective - The Third Expert Report. Retrieved
from: https://www.wcrf.org/dietandcancer.
World Health Organization. (2004). ICD-10: international statistical classification of diseases
and related health problems: 10th revision, 2nd ed. World Health Organization
Younossi, Z. M., Koenig, A. B., Abdelatif, D., Fazel, Y., Henry, L., &Wymer, M. (2016).
Global epidemiology of nonalcoholic fatty liver disease-Meta-analytic assessment of
prevalence, incidence, and outcomes. Hepatology (Baltimore, Md.), 64(1), 73–84.
https://doi.org/10.1002/hep.28431
Zhao, J., Zhu, Y., Wang, P. P., West, R., Buehler, S., Sun, Z., Squires, J., Roebothan, B.,
McLaughlin, J. R., Campbell, P. T., &Parfrey, P. S. (2012). Interaction between
alcohol drinking and obesity in relation to colorectal cancer risk: a case-control study
in Newfoundland and Labrador, Canada. BMC Public Health, 12, 94.
doi: 10.1186/1471-2458-12-94.
Zinöcker, M. K., & Lindseth, I. A. (2018). The Western Diet–Microbiome-Host Interaction
and Its Role in Metabolic Disease. Nutrients, 10(3).
doi: 10.3390/nu10030365.
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