Occurrence of dietary risk factors in inflammatory bowel disease: Influence on the nutritional status of patients in clinical remission.


Journal

Advances in clinical and experimental medicine : official organ Wroclaw Medical University
ISSN: 1899-5276
Titre abrégé: Adv Clin Exp Med
Pays: Poland
ID NLM: 101138582

Informations de publication

Date de publication:
05 2019
Historique:
pubmed: 8 8 2018
medline: 10 8 2019
entrez: 8 8 2018
Statut: ppublish

Résumé

Among the complex factors that may favor the occurrence of inflammatory bowel disease (IBD), genetic, immunological and environmental initiators, including nutritional factors, are listed. So far, there have been no previous studies on the type and frequency of dietary risk factors for IBD in Poland and their effect on the nutritional status of patients. The aim of the study was to assess the influence of the frequency and type of dietary risk factors for IBD on the nutritional status of patients with ulcerative colitis (UC) and Crohn's disease (CD). In the study, the dietary habits and nutritional status of patients were assessed using the cross-check dietary history method and the Mini Nutritional Assessment (MNA) questionnaire. The study group consisted of 162 IBD patients: 61 individuals with CD and 101 with UC. The data was compared to the results of a control group (129 healthy volunteers). The results obtained showed that IBD patients during a period of remission disclosed such dietary risk factors as inadequate consumption of fiber and excessive consumption of red meat and meat products, animal fats, and sugars in comparison to the control group. Only low fiber intake was associated with a worse nutritional status of patients with UC. No consistent influence of the number of IBD dietary risk factors on the nutritional status of patients was found. The nutritional status of IBD patients in remission was related to the type of dietary risk factors, but did not depend on the number of them.

Sections du résumé

BACKGROUND
Among the complex factors that may favor the occurrence of inflammatory bowel disease (IBD), genetic, immunological and environmental initiators, including nutritional factors, are listed. So far, there have been no previous studies on the type and frequency of dietary risk factors for IBD in Poland and their effect on the nutritional status of patients.
OBJECTIVES
The aim of the study was to assess the influence of the frequency and type of dietary risk factors for IBD on the nutritional status of patients with ulcerative colitis (UC) and Crohn's disease (CD).
MATERIAL AND METHODS
In the study, the dietary habits and nutritional status of patients were assessed using the cross-check dietary history method and the Mini Nutritional Assessment (MNA) questionnaire. The study group consisted of 162 IBD patients: 61 individuals with CD and 101 with UC. The data was compared to the results of a control group (129 healthy volunteers).
RESULTS
The results obtained showed that IBD patients during a period of remission disclosed such dietary risk factors as inadequate consumption of fiber and excessive consumption of red meat and meat products, animal fats, and sugars in comparison to the control group. Only low fiber intake was associated with a worse nutritional status of patients with UC. No consistent influence of the number of IBD dietary risk factors on the nutritional status of patients was found.
CONCLUSIONS
The nutritional status of IBD patients in remission was related to the type of dietary risk factors, but did not depend on the number of them.

Identifiants

pubmed: 30085433
doi: 10.17219/acem/78590
doi:

Substances chimiques

Dietary Fiber 0

Types de publication

Journal Article

Langues

eng

Pagination

587-592

Auteurs

Joanna Pieczyńska (J)

Department of Food Science and Dietetics, Faculty of Pharmacy, Wroclaw Medical University, Poland.

Anna Prescha (A)

Department of Food Science and Dietetics, Faculty of Pharmacy, Wroclaw Medical University, Poland.

Katarzyna Zabłocka-Słowińska (K)

Department of Food Science and Dietetics, Faculty of Pharmacy, Wroclaw Medical University, Poland.

Katarzyna Neubauer (K)

Department of Gastroenterology and Hepatology, Faculty of Medicine, Wroclaw Medical University, Poland.

Adam Smereka (A)

Department of Gastroenterology and Hepatology, Faculty of Medicine, Wroclaw Medical University, Poland.

Halina Grajeta (H)

Department of Food Science and Dietetics, Faculty of Pharmacy, Wroclaw Medical University, Poland.

Jadwiga Biernat (J)

Department of Human Nutrition, Faculty of Biotechnology and Food Science, Wrocław University of Environmental and Life Sciences, Poland.

Leszek Paradowski (L)

Department of Gastroenterology and Hepatology, Faculty of Medicine, Wroclaw Medical University, Poland.

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