Nutritional follow-up of patients with ulcerative colitis during periods of intestinal inflammatory activity and remission

Abstract

Patients with ulcerative colitis followed up on an outpatient basis tend to be well nourished. However, the nutritional aspects studied tend to worsen during the period of inflammatory disease activity.

Associations among body composition, inflammatory profile and disease extent in ulcerative colitis patients

“…4,[22][23][24] Malnutrition is especially common in active UC patients after long-term hospitalization; 11,25 however, few studies have evaluated the nutritional status in patients with UC during remission. 4,12,26,27 Only one trial found a more compromised nutritional status (body weight and BMI) in UC patients during remission than in a control group. 28 In our study, we identified a low incidence of calorie malnutrition.…”

Nutritional support and dietary interventions for patients with ulcerative colitis: current insights

“…While all patients had active disease, this ranged from mild to severe, and relationships between albumin and disease activity were not reported; that is, it is unknown if those patients classified as well nourished according to serum albumin were those with milder disease, or alternatively, those who were severely malnourished also had severely active disease, or whether disease activity categories were equally distributed across categories of malnutrition. In the study of Ripoli et al, 19 no differences in serum albumin between active disease and remission states were reported. These studies highlight the difficultly of using serum albumin as a marker of nutritional status as it may be mediated by the inflammatory response rather than malnutrition.…”

“…20 Tsiountsioura et al 9 found iron intakes below the lower level of recommended intakes in 18% of patients with UC, and Ripoli et al 19 reported significantly lower iron intake during periods of disease exacerbation. Although not statistically significant, there was a trend to reduced intake of meat during active disease, and this may have, in part, influenced the significant reduction in iron.…”

Excessive Weight – Muscle Depletion Paradox and Cardiovascular Risk Factors in Outpatients With Inflammatory Bowel Disease

“…Based in those studies, overweight is frequently seen in patients during the remission phase, with a tend to a worse in the nutritional status and development of malnutrition just during the period of inflammatory DOI: 10.1590/S0004-28032015000100009 disease activity. Despite this evidence, the prevalence of the excessive weight in IBD patients is not possible to determine due to the lack of a patterning on the presentation of anthropometric data in Brazilian studies, turning into difficult the comparisons between studies due to methodological changes adopted by the authors (10,30,31,35,42) . The aim of the present study was to determine the nutritional status and occurrence of risk factors associated with the development of CVD in patients with IBD.…”