Body Composition in Patients With Crohn’s Disease and Ulcerative Colitis

Abstract

-Background -The nutritional status of individuals with inflammatory bowel diseases is directly related to the severity of the disease and is associated with poor prognosis and the deterioration of immune competence. Objective -To assess the nutritional status and the body composition of outpatients with inflammatory bowel diseases. Methods -A cross-sectional study was conducted with clinical and nutritional assessment of patients with Crohn's disease and ulcerative colitis. Patients were classified according to the clinical activity through Crohn's Disease Activity Index and Mayo Score. Nutritional assessment consisted of anthropometric measurements of current weight, height, mid-arm circumference, triceps skinfold thickness and thickness of adductor policis muscle, with subsequent calculation of BMI, arm muscle circumference and the mid-arm muscle area (MAMA

Assessment of bioelectrical phase angle as a predictor of nutritional status in patients with Crohn's disease: A cross sectional study

“…Similar results were reported by Yadav et al [33], who showed a progressive, though not statistically significant, decline in BMI and FM (expressed as absolute and percentage values) with an increase in disease severity, but there was no effect on FFM. Still, the results from Back et al [34] showed lower BMI and mid-arm circumference in active CD patients than quiescent patients.…”

“…Back et al [34] did not find any differences in PhA values between active and quiescent CD patients (p ¼ 0.75), while Wiech et al [35] showed that PhA was reduced in adolescent CD patients compared to the values of the controls. Interestingly, we found that PhA was inversely correlated with CDAI, age and FM, while it was positively associated with FFM and HGS, which was in accordance with previous results [5].…”

Obesity and Crohn’s disease: what comes first, the egg or the chicken?

“…Most of the patients from the study were in remission. Active IBD lead to worsening in nutritional parameters, mostly in CD patients as compared to UC, mainly in inflammatory markers as Haemoglobin and erythrocyte sedimentation rate (ESR) (1) . Obesity represents a real challenge in IBD patients.…”

“…What is known is that obesity is being observed more frequently in IBD outpatient clinics (1,6) . This emphasizes the alarm lead by this important paper by Back et al, that demonstrated important rates of overweight and obese patients in an IBD cohort, defined with strict and detailed technical measurements.…”

Ostomy Complications in Crohn's Disease

“…With obesity being realized at epidemic proportions in the general population of United States and developed countries, similar trends are evidenced in inflammatory bowel disease (IBD) patients as well, with up to 41% of Crohn's patients meeting criteria as overweight or obese. 9 Obese patients suffer from higher complication rates from colorectal surgery, including higher risks of wound dehiscence, wound infection, and anastomotic leakage. They also suffer from higher stoma-related complications such as parastomal hernia, mucocutaneous separation, stoma retraction, and stomal prolapse.…”