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Food Sensitivities in a Diverse Nationwide Cohort of Veterans with Interstitial Cystitis/Bladder Pain Syndrome
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1 2023
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Source: J Urol. 209(1):216-224
[PDF-148.10 KB]
Details:
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Alternative Title:J Urol
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Personal Author:
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Description:Purpose:
Prior studies suggest that certain foods exacerbate interstitial cystitis/bladder pain syndrome symptoms. However, these studies were limited in size and demographics. We assessed the presence of diet sensitivities among patients with interstitial cystitis/bladder pain syndrome and compared them with patients with other pelvic pain conditions and healthy controls.
Materials and Methods:
We identified Veterans Affairs patients nationwide by querying ICD-9/10 codes for IC/BPS. Patients were assigned to IC/BCP, other pelvic pain (OPP), or healthy control (HC) cohorts after chart review. We mailed all patients the Shorter-Moldwin Food Sensitivity Questionnaire (SMQ) to evaluate the self-perceived effects of specific foods/beverages on urinary symptoms and/or bladder pain.
Results:
In the IC/BPS cohort, 70% had ≥1 food sensitivity vs. 37% of the OPP cohort and 32% of HC (p<0.001). The average number of sensitivities were similar between OPP and HC cohorts, which were significantly less than in IC/BPS patients. IC/BPS patients were more sensitive to acidic, spicy foods, and certain beverages vs. other cohorts (all p<0.001). Within the IC/BPS cohort, Black patients had significantly higher alcoholic and non-caffeinated beverages sensitivity than whites. Black patients did report significantly worsened urinary urgency than whites (p<0.05).
Conclusions:
In a diverse population of veterans, IC/BPS patients had significantly more food sensitivities than those without IC/BPS. This suggests that food sensitives could be suggestive of IC/BPS, which could make the SMQ a helpful diagnostic tool and aid in distinguishing IC/BPS from conditions often confused with IC/BPS.
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Source:
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Pubmed ID:36001744
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Pubmed Central ID:PMC10542818
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Document Type:
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Funding:
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Volume:209
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Issue:1
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