1. Prevalence of Malnutrition and Nutritional Characteristics of Patients With Inflammatory Bowel Disease
- Author
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Daniel Hervías, Javier Santos-Fernández, Mariana Campderá, Patricia Ramirez de la Piscina, Ricardo Batanero, Maria Del Roser Trallero, Manuel Barreiro-de Acosta, Albert Villoria, Amaya Barragán, Maria Bienvenida Gómez-Sánchez, Iria Vázquez, Ansel David Ávila, P Robledo, Tamara Monedero, María José Casanova, Olivia Karina Nuevo-Siguairo, José María Huguet, Francisco Martínez-Cerezo, Javier P. Gisbert, Ana M. Garcia-Albert, Moisés Hernández-Alonso, Gloria Esther Rodriguez, Javier López-Díaz, María Chaparro, Ariadna Figuerola, María Gómez-Lozano, Mara Charro, Pilar López-Serrano, Noelia García-Talavera, Liliana Pozzati, Carmen Dueñas-Sadornil, Andrés Castaño-García, Sabino Riestra, Luisa Castro-Laria, Elisa Martín-Noguerol, Manuel Van Domselaar, Federico Argüelles-Arias, Begoña Molina, Ezequiel Marti-Bonmati, Miguel Montoro, Andrés Camilo Peláez, Pilar Serrano-Aguayo, Marta Calvo, Sandra Torra, Xavier Calvet, Cecilio Santander, Angel Merchante, Isabel Megias-Rangil, Antonio García-Herola, Laura Díaz-Hernández, Ruth de Francisco, Elena Castro, Alicia Algaba, Olga Merino, Maria Luisa Rincón, Margarita Muñoz-Vicente, Luis Bujanda, Maria Del Rosario Arribas, Jesus M. Banales, and Isabel Pérez-Martínez
- Subjects
0301 basic medicine ,Male ,Health Knowledge, Attitudes, Practice ,Disease ,Inflammatory bowel disease ,Body Mass Index ,0302 clinical medicine ,Crohn Disease ,Risk Factors ,Electric Impedance ,Prevalence ,Outpatient clinic ,Prospective Studies ,Irritable bowel syndrome ,Aged, 80 and over ,Hand Strength ,Gastroenterology ,General Medicine ,Middle Aged ,Symptom Flare Up ,Ulcerative colitis ,Body Composition ,030211 gastroenterology & hepatology ,Female ,Bioelectrical impedance analysis ,Adult ,medicine.medical_specialty ,Adolescent ,Nutritional Status ,malnutrition ,03 medical and health sciences ,Young Adult ,Internal medicine ,medicine ,Humans ,Aged ,body composition ,030109 nutrition & dietetics ,business.industry ,Malnutrition ,Feeding Behavior ,medicine.disease ,Inflammatory Bowel Diseases ,Diet ,Nutrition Assessment ,Food ,Spain ,Physical therapy ,business ,Body mass index - 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.
- Published
- 2017