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J Crohns Colitis. 2017 Dec 4;11(12):1430-1439. doi: 10.1093/ecco-jcc/jjx102.

Prevalence of Malnutrition and Nutritional Characteristics of Patients With Inflammatory Bowel Disease.

Author information

1
Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP) and Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Spain.
2
Departments of Gastroenterology, Endocrinology and Nutrition.
3
Hospital Universitario de Cruces, Spain.
4
Hospital Universitario San Pedro Alcántara, Spain.
5
Hospital Universitario Reina Sofía, Spain.
6
Corporació Sanitària Universitària Parc Taulí, Sabadell, Universitat Autònoma de Barcelona, and CIBEREHD, Instituto de Salud Carlos III, Grupo de Investigación Consolidado (SGR01500), Spain.
7
Hospital San Jorge de Huesca, Spain.
8
Hospital Royo Villanova, Spain.
9
Hospital Universitario Sant Joan de Reus, Spain.
10
Hospital General Universitario de Valencia, Spain.
11
Pharmacy.
12
Hospital Universitario Puerta de Hierro,Spain.
13
Hospital General Universitario de Castellón, Spain.
14
Hospital Universitario Virgen del Rocío, Spain.
15
Hospital Universitario Central de Asturias, Spain.
16
Hospital Virgen de la Altagracia, Spain.
17
Hospital de Donostia, Instituto Biodonostia, Universidad del País Vasco (UPV/EHU), and CIBEREHD, Spain.
18
Hospital Universitario Nuestra Señora de La Candelaria, Spain.
19
Hospital Universitario Virgen de La Macarena, Spain.
20
Hospital Clínico Universitario de Santiago de Compostela, Spain.
21
Hospital Universitario de Torrejón, Spain.
22
Hospital Universitario de Álava, Spain.
23
Hospital Universitario Río Hortega, Spain.
24
Hospital Universitario de Fuenlabrada, Spain.
25
Parc Sanitari Sant Joan de Déu, Spain.
26
Hospital de Mérida, Spain.
27
Hospital Universitario Fundación Alcorcón, Spain.
28
Hospital Universitario Infanta Sofía, Spain.
29
Hospital Comarcal Bidasoa, Spain.
30
Hospital General de Catalunya, Spain.
31
Hospital Lucus Augusti, Spain.
32
Hospital Marina Baixa, Spain.

Abstract

Background and Aims:

This study sought to determine the prevalence of malnutrition in patients with inflammatory bowel disease, to analyse the dietary beliefs and behaviours of these patients, to study their body composition, to evaluate their muscular strength and to identify the factors associated with malnutrition in these patients.

Methods:

This was a prospective, multicentre study. Crohn's disease and ulcerative colitis patients from 30 Spanish centres, from the outpatient clinics, were included. A questionnaire of 11 items was applied to obtain data from patients' dietary behaviour and beliefs. Patients who accepted were evaluated to assess their nutritional status using Subjective Global Assessment and body mass index. Body composition was evaluated through bioelectrical impedance.

Results:

A total of 1271 patients were included [51% women, median age 45 years, 60% Crohn's disease]. Of these, 333 patients underwent the nutritional evaluation. A total of 77% of patients declared that they avoided some foods to prevent disease relapse. Eighty-six per cent of patients avoided some foods when they had disease activity because of fear of worsening the flare. Sixty-seven per cent of patients modified their dietary habits after disease diagnosis. The prevalence of malnutrition was 16% [95% confidence interval = 12-20%]. In the multivariate analysis, history of abdominal surgery, active disease and avoidance of some foods during flares were associated with higher risk of malnutrition.

Conclusions:

The prevalence of malnutrition in inflammatory bowel disease patients was high. We identified some predictive factors of malnutrition. Most of the patients had self-imposed food restrictions, based on their beliefs.

KEYWORDS:

Inflammatory bowel disease; body composition; malnutrition

PMID:
28981652
DOI:
10.1093/ecco-jcc/jjx102
[Indexed for MEDLINE]

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