Malnutrition and quality of life among adult inflammatory bowel disease patients.

Crohn's disease inflammatory bowel disease malnutrition quality of life ulcerative colitis

Journal

JGH open : an open access journal of gastroenterology and hepatology
ISSN: 2397-9070
Titre abrégé: JGH Open
Pays: Australia
ID NLM: 101730833

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 21 10 2019
accepted: 28 10 2019
entrez: 10 6 2020
pubmed: 10 6 2020
medline: 10 6 2020
Statut: epublish

Résumé

Inflammatory bowel diseases (IBD) are chronic inflammatory conditions of the gut resulting in a significant risk for malnutrition. The reported prevalence of malnutrition in inflammatory disease patients varies from 5.7 to 82.8%. The aim of this study was to measure the prevalence of malnutrition and its association with quality of life (QOL) in a cohort of Australian IBD outpatients. A total of 107 consecutive patients (68 Crohn's disease, 35 ulcerative colitis, 4 indeterminate colitis) were enrolled in this cross-sectional study. Demographic data were collected, and patients underwent a malnutrition assessment using the patient-generated subjective global assessment. The RAND 36-item health survey was used to measure QOL. Mild to moderate malnutrition was detected in 17 patients (16%). Malnourished patients were more likely to be underweight ( The malnutrition prevalence for this population was 16%. Malnutrition was associated with being underweight, active disease, and increased number of hospital admissions. Disease activity and malnutrition were associated with poorer QOL.

Sections du résumé

BACKGROUND AND AIM OBJECTIVE
Inflammatory bowel diseases (IBD) are chronic inflammatory conditions of the gut resulting in a significant risk for malnutrition. The reported prevalence of malnutrition in inflammatory disease patients varies from 5.7 to 82.8%. The aim of this study was to measure the prevalence of malnutrition and its association with quality of life (QOL) in a cohort of Australian IBD outpatients.
METHODS METHODS
A total of 107 consecutive patients (68 Crohn's disease, 35 ulcerative colitis, 4 indeterminate colitis) were enrolled in this cross-sectional study. Demographic data were collected, and patients underwent a malnutrition assessment using the patient-generated subjective global assessment. The RAND 36-item health survey was used to measure QOL.
RESULTS RESULTS
Mild to moderate malnutrition was detected in 17 patients (16%). Malnourished patients were more likely to be underweight (
CONCLUSIONS CONCLUSIONS
The malnutrition prevalence for this population was 16%. Malnutrition was associated with being underweight, active disease, and increased number of hospital admissions. Disease activity and malnutrition were associated with poorer QOL.

Identifiants

pubmed: 32514453
doi: 10.1002/jgh3.12278
pii: JGH312278
pmc: PMC7273715
doi:

Types de publication

Journal Article

Langues

eng

Pagination

454-460

Informations de copyright

© 2019 The Authors. JGH Open: An open access journal of gastroenterology and hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

Références

Curr Opin Gastroenterol. 2007 Jul;23(4):400-5
pubmed: 17545776
Br J Nutr. 2009 Mar;101(5):676-9
pubmed: 18631418
J Crohns Colitis. 2014 Jul;8(7):598-606
pubmed: 24345767
Scand J Gastroenterol. 2013 Jan;48(1):51-7
pubmed: 22577851
Dig Dis Sci. 2010 Jan;55(1):137-44
pubmed: 19229617
Inflamm Bowel Dis. 2008 Aug;14(8):1105-11
pubmed: 18302272
J Crohns Colitis. 2014 Feb;8(2):93-106
pubmed: 23746864
Am J Clin Nutr. 2014 Apr;99(4):875-90
pubmed: 24452240
Int J Colorectal Dis. 2014 Oct;29(10):1291-6
pubmed: 25034592
Clin Nutr. 2013 Dec;32(6):904-10
pubmed: 23602613
J Clin Nurs. 2011 Jun;20(11-12):1578-87
pubmed: 21418363
Nutrition. 2008 Jul-Aug;24(7-8):694-702
pubmed: 18499398
Curr Drug Targets. 2014;15(11):1030-8
pubmed: 25266810
Eur J Gastroenterol Hepatol. 2014 Jan;26(1):1-5
pubmed: 24216568
Nutrition. 2010 Apr;26(4):432-40
pubmed: 19954929
Nutrition. 1996 Jan;12(1 Suppl):S15-9
pubmed: 8850213
Ann Med. 2001 Jul;33(5):350-7
pubmed: 11491194
Qual Life Res. 2010 Sep;19(7):1069-76
pubmed: 20440565
Inflamm Bowel Dis. 2008 Apr;14(4):554-65
pubmed: 17973299
Inflamm Bowel Dis. 2010 Sep;16(9):1550-6
pubmed: 20803698
J Health Psychol. 2013 Jul;18(7):972-83
pubmed: 23027780
Best Pract Res Clin Gastroenterol. 2006;20(3):561-73
pubmed: 16782529
Health Econ. 1993 Oct;2(3):217-27
pubmed: 8275167
Eur J Clin Nutr. 2002 Aug;56(8):779-85
pubmed: 12122555
Aliment Pharmacol Ther. 2014 Apr;39(8):811-22
pubmed: 24612278
JPEN J Parenter Enteral Nutr. 2011 Sep;35(5):571-80
pubmed: 21825089
Gut. 2004 Sep;53 Suppl 5:V1-16
pubmed: 15306569
J Gastroenterol Hepatol. 2007 Aug;22(8):1306-12
pubmed: 17559375
Surg Clin North Am. 2011 Aug;91(4):787-803, viii
pubmed: 21787968
World J Gastroenterol. 2006 Jun 7;12(21):3380-5
pubmed: 16733855
World J Gastroenterol. 2009 May 7;15(17):2081-8
pubmed: 19418580
Eur J Intern Med. 2010 Aug;21(4):315-9
pubmed: 20603043
Indian J Gastroenterol. 2008 Sep-Oct;27(5):195-200
pubmed: 19112190
Nephrology (Carlton). 2013 Dec;18(12):790-7
pubmed: 24118237

Auteurs

Jessica Pulley (J)

Department of Nutrition and Dietetics Mater Health Services Brisbane Queensland Australia.

Alwyn Todd (A)

Department of Nutrition and Dietetics Mater Health Services Brisbane Queensland Australia.
Menzies Health Institute Griffith University Gold Coast Queensland Australia.
Mater Research Institute The University of Queensland Brisbane Queensland Australia.

Christopher Flatley (C)

Mater Research Institute The University of Queensland Brisbane Queensland Australia.

Jakob Begun (J)

Mater Research Institute The University of Queensland Brisbane Queensland Australia.
Department of Gastroenterology Mater Health Services Brisbane Queensland Australia.
Translational Research Institute Brisbane Queensland Australia.

Classifications MeSH