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

被引：139

作者：

Jose Casanova, Maria ^{[3
,4
]}

Chaparro, Maria ^{[3
,4
]}

Molina, Begona ^{[1
,3
,4
]}

Merino, Olga ^{[5
]}

Batanero, Ricardo ^{[1
,5
]}

Duenas-Sadornil, Carmen ^{[6
]}

Robledo, Pilar ^{[6
]}

Maria Garcia-Albert, Ana ^{[7
]}

Bienvenida Gomez-Sanchez, Maria ^{[1
,7
]}

Calvet, Xavier ^{[8
,9
,10
]}

del Roser Trallero, Maria ^{[1
,8
,9
,10
]}

Montoro, Miguel ^{[11
]}

Vazquez, Iria ^{[1
,11
]}

Charro, Mara ^{[12
]}

Barragan, Amaya ^{[1
,12
]}

Martinez-Cerezo, Francisco ^{[13
]}

Megias-Rangil, Isabel ^{[1
,13
]}

Maria Huguet, Jose ^{[14
]}

Marti-Bonmati, Ezequiel ^{[2
,14
]}

Calvo, Marta ^{[15
]}

Campdera, Mariana ^{[1
,15
]}

Munoz-Vicente, Margarita ^{[16
]}

Merchante, Angel ^{[1
,16
]}

David Avila, Ansel ^{[17
]}

Serrano-Aguayo, Pilar ^{[1
,17
]}

De Francisco, Ruth ^{[18
]}

Hervias, Daniel ^{[19
]}

Bujanda, Luis ^{[20
,21
]}

Esther Rodriguez, Gloria ^{[22
]}

Castro-Laria, Luisa ^{[23
]}

Barreiro-de Acosta, Manuel ^{[24
]}

Van Domselaar, Manuel ^{[25
]}

Ramirez de la Piscina, Patricia ^{[26
]}

Santos-Fernandez, Javier ^{[27
]}

Algaba, Alicia ^{[28
]}

Torra, Sandra ^{[29
]}

Pozzati, Liliana ^{[30
]}

Lopez-Serrano, Pilar ^{[31
]}

del Rosario Arribas, Maria ^{[32
]}

Luisa Rincon, Maria ^{[33
]}

Camilo Pelaez, Andres ^{[34
]}

Castro, Elena ^{[35
]}

Garcia-Herola, Antonio ^{[36
]}

Santander, Cecilio ^{[3
,4
]}

Hernandez-Alonso, Moises ^{[6
]}

Martin-Noguerol, Elisa ^{[6
]}

Gomez-Lozano, Maria ^{[7
]}

Monedero, Tamara ^{[7
]}

Villoria, Albert ^{[8
,9
,10
]}

Figuerola, Ariadna ^{[8
,9
,10
]}

机构：

[1] Hosp Univ La Princesa, Inst Invest Sanitaria Princesa IIS IP, Dept Gastroenterol Endocrinol & Nutr, Madrid, Spain

[2] Hosp Univ La Princesa, Inst Invest Sanitaria Princesa IIS IP, Dept Pharm, Madrid, Spain

[3] Hosp Univ La Princesa, Inst Invest Sanitaria Princesa IIS IP, Madrid, Spain

[4] Ctr Invest Biomed Red Enfermedades Hepat & Digest, Madrid, Spain

[5] Hosp Univ Cruces, Bilbao, Spain

[6] Hosp Univ San Pedro Alcantara, Caceres, Spain

[7] Hosp Univ Reina Sofia, Murcia, Spain

[8] Corp Sanitaria Univ Parc Tauli, Sabadell, Spain

[9] Univ Autonoma Barcelona, Barcelona, Spain

[10] CIBEREHD, Inst Salud Carlos III, Grp Invest Consolidado SGR01500, Barcelona, Spain

[11] Hosp San Jorge de Huesca, Huesca, Spain

[12] Hosp Royo Villanova, Zaragoza, Spain

[13] Hosp Univ St Joan de Reus, Tarragona, Spain

[14] Hosp Gen Univ Valencia, Valencia, Spain

[15] Hosp Univ Puerta de Hierro, Madrid, Spain

[16] Hosp Gen Univ Castellon, Castellon de La Plana, Spain

[17] Hosp Univ Virgen del Rocio, Seville, Spain

[18] Hosp Univ Cent Asturias, Oviedo, Spain

[19] Hosp Virgen de la Altagracia, Manzanares, Spain

[20] Univ Pais Vasco UPV EHU, Inst Biodonostia, Hosp Donostia, Donostia San Sebastian, Spain

[21] CIBEREHD, Donostia San Sebastian, Spain

[22] Hosp Univ Nuestra Senora La Candelaria, Tenerife, Spain

[23] Hosp Univ Virgen de La Macarena, Seville, Spain

[24] Univ Santiago de Compostela, Hosp Clin, Santiago, Spain

[25] Hosp Univ Torrejon, Madrid, Spain

[26] Hosp Univ Alava, Vitoria, Spain

[27] Hosp Univ Rio Hortega, Valladolid, Spain

[28] Hosp Univ Fuenlabrada, Madrid, Spain

[29] Parc Sanitari St Joan de Deu, Barcelona, Spain

[30] Hosp Merida, Merida, Venezuela

[31] Hosp Univ Fdn Alcorcon, Madrid, Spain

[32] Hosp Univ Infanta Sofia, Madrid, Spain

[33] Hosp Comarcal Bidasoa, Guipuzkoa, Spain

[34] Hosp Gen Cataluna, Barcelona, Spain

[35] Hosp Lucus Augusti, Lugo, Spain

[36] Hosp Marina Baixa, Alicante, Spain

来源：

JOURNAL OF CROHNS & COLITIS | 2017年 / 11卷 / 12期

关键词：

Inflammatory bowel disease; malnutrition; body composition; CROHNS-DISEASE; ULCERATIVE-COLITIS; PROSPECTIVE COHORT; DIETARY BELIEFS; NUTRIENT INTAKE; POPULATION; SYMPTOMS; STRENGTH; HEALTH; FOOD;

D O I：

10.1093/ecco-jcc/jjx102

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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.

引用

页码：1430 / 1439

页数：10

共 50 条

[1] Prevalence of malnutrition and nutritional characteristics of patients with inflammatory bowel disease
Casanova, M.
Chaparro, M.
Molina, B.
Merino, O.
Nuevo-Siguairo, O.
Duenas-Sadornil, C.
Garcia-Albert, A. M.
Hervias, D.
Calvet, X.
Bujanda, L.
Rodriguez, G. E.
Montoro, M.
Castro-Laria, L.
Barreiro-de Acosta, M.
Van Domselaar, M.
Huguet, J. M.
Ramirez de la Piscina, P.
Barrio, J.
Algaba, A.
Avila, A. D.
Torra, S.
Pozzati, L.
Martinez-Cerezo, F. J.
Calvo, M.
Charro, M.
Lopez-Serrano, P.
Arribas-Lopez, M. R.
Munoz Vicente, M.
Rincon, M. L.
Pelaez, A. C.
Castro, E.
Garcia-Herola, A.
Batanero, R.
Castano-Garcia, A.
Robledo-Andres, P.
Gomez-Sanchez, M. B.
Figuerola, A.
Banales, J. M.
Diaz-Hernandez, L.
Vazquez, I.
Arguelles-Arias, F.
Marti-Bonmati, E.
Bermejo, F.
Serrano, P.
Megias-Rangil, I.
Campdera, M.
Barragan, A.
Merchante, A.
Gisbert, J. P.
[J]. JOURNAL OF CROHNS & COLITIS, 2016, 10 : S208 - S209
[2] Prevalence of Malnutrition and Nutritional Characteristics of Patients With Inflammatory Bowel Disease (IBD)
Casanova, Maria Jose
Chaparro, Maria
Molina, Begona
Merino, Olga
Nuevo-Siguairo, O. K.
Duenas-Sadornil, C.
Garcia-Albert, A. M.
Hervias, Daniel
Calvet, Xavier
Bujanda, Luis
Rodriguez, G. E.
Montoro, Miguel A.
Castro-Laria, L.
Lopez-Diaz, J.
Van Domselaar, Manuel
Huguet, Jose Maria
de La Piscina, Patricia Ramirez
Barrio, Jesus
Algaba, Alicia
Avila, A. D.
Torra, S.
Pozzati, Liliana
Martinez-Cerezo, F. J.
Calvo, Marta
Charro, Mara
Lopez-Serrano, P.
Arribas-Lopez, M. R.
Vicente, M. Munoz
Rincon, M. L.
Pelaez, A. C.
Castro, Elena
Garcia-Herola, A.
Batanero, R.
Castano-Garcia, A.
Gisbert, Javier P.
[J]. GASTROENTEROLOGY, 2016, 150 (04) : S89 - S89
[3] PREVALENCE OF MALNUTRITION IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE
Canicoba, Marisa
Colon, Carolina
Spiazzi, Renata
Milano, Claudia
[J]. ANNALS OF NUTRITION AND METABOLISM, 2017, 71 : 1146 - 1147
[4] Nutritional status in patients with active inflammatory bowel disease: Prevalence of malnutrition and methods for routine nutritional assessment
Mijac, Dragana D.
Jankovic, Goran L. J.
Jorga, Jagoda
Krstic, Miodrag N.
[J]. EUROPEAN JOURNAL OF INTERNAL MEDICINE, 2010, 21 (04) : 315 - 319
[5] Prevalence of malnutrition, risk of malnutrition and quality of life among patients with Inflammatory Bowel Disease
Korwel, K. M.
Hjortswang, H.
Eberhardson, M.
Lesnovska, K. Pihl
[J]. JOURNAL OF CROHNS & COLITIS, 2022, 16 : I147 - I148
[6] NATIONWIDE ANALYSIS OF MALNUTRITION AND NUTRITIONAL SUPPORT IN HOSPITALIZED PATIENTS WITH INFLAMMATORY BOWEL DISEASE
Dua, Anoushka
Corson, Melissa
Sauk, Jenny S.
Limketkai, Berkeley N.
[J]. GASTROENTEROLOGY, 2022, 162 (07) : S76 - S77
[7] Nutritional screening in patients with inflammatory bowel disease: a challenge in the timely diagnosis of malnutrition and sarcopenia
Izquierdo, L. V. Parra
Orduz-Diaz, G.
Frias-Ordonez, J.
Hoyos-Rondon, S.
Reatiga-Pedraza, A.
Sarmiento-Navarro, J.
Bohorquez, L. E.
Cano, D. F.
Pinto, O.
Duarte, A.
Florez-Sarmiento, C.
Cuadros, C.
Garces, J.
Acevedo, J. J.
Barco, A. G.
Flechas-Amaya, S. M.
[J]. JOURNAL OF CROHNS & COLITIS, 2024, 18 : I1093 - I1093
[8] High Prevalence of Malnutrition and Micronutrient Deficiencies in Patients With Inflammatory Bowel Disease Early in Disease Course
Gold, Stephanie L.
Rabinowitz, Loren G.
Manning, Laura
Keefer, Laurie
Rivera-Carrero, William
Stanley, Stephanie
Sherman, Alexis
Castillo, Ana
Tse, Stacy
Hyne, Amanda
Matos, Kristina
Cohen, Benjamin
Grinspan, Ari
Colombel, Jean-Frederic
Sands, Bruce E.
Dubinsky, Marla C.
Ungaro, Ryan C.
[J]. INFLAMMATORY BOWEL DISEASES, 2023, 29 (03) : 423 - 429
[9] Prevalence of malnutrition in patients with Inflammatory Bowel Disease - a Romanian National Register based study
Ispas, M.
Lupu, A.
Gheorghe, L.
Dobru, D.
Tantau, A.
Goldis, A.
Ilie, M.
Gheorghe, C.
Ciocirlan, M.
Cijevschi, C.
Mihai, C.
Iacob, R.
Diculescu, M.
[J]. JOURNAL OF CROHNS & COLITIS, 2015, 9 : S276 - S276
[10] Prevalence of undernutrition in patients with inflammatory bowel disease and improvement after nutritional advice
Kutar, M.
Dharap, V.
Dhoble, P.
Trinidade, S.
Gupta, T.
Abraham, P.
Desai, D.
[J]. JOURNAL OF CROHNS & COLITIS, 2024, 18 : I2058 - I2058

← 1 2 3 4 5 →