Malnutrition and impaired muscle strength in patients with Crohn's disease and ulcerative colitis in remission

Valentini, Luzia; Schaper, L.; Büning, Carsten; Hengstermann, S.; Koernicke, Thomas; Tillinger, Wolfgang; Guglielmi, Francesco William; Norman, Kristina; Bühner, Sabine; Ockenga, Johann; Pirlich, Matthias; Lochs, Herbert

doi:10.1016/j.nut.2008.03.018

Cited by 181 publications

(300 citation statements)

References 23 publications

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“…In this issue, Salacinski et al [5] have objectively demonstrated reduced lower limb muscle strength in subjects with Crohn's disease (CD) compared to healthy controls, confirming the work of previous studies [6,7]. However, the study was unable to show that this reduced strength was directly attributable to lower vitamin D (25-(OH) or vitamin D3) levels in CD subjects as originally hypothesized.…”

Section: Introductionsupporting

confidence: 59%

Maintaining Muscle Strength in Crohn’s Disease: Can a Vitamin D Daily Keep Muscle Loss Away?

Langenberg

2013

Dig Dis Sci

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Section: Introductionsupporting

confidence: 59%

Maintaining Muscle Strength in Crohn’s Disease: Can a Vitamin D Daily Keep Muscle Loss Away?

Langenberg

2013

Dig Dis Sci

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“…Por outro lado, no estudo com 18 pacientes com DC e 16 RCUI em remissão, sem uso de corticosteóides há pelo menos seis meses, não apresentaram diferença na gordura corporal (kg) e massa magra (kg) entre si e nem com os controles 5 . Essa semelhança na composição corporal entre pacientes com DC (n=94) e RCUI (n=50) em remissão persistiu quando o número de pacientes avaliados foi maior, em que também não houve diferença na gordura corporal (kg) entre os grupos 28 . No estudo com 54 pacientes com DC em remissão clínica há pelo menos três meses apresentaram gordura corporal (kg) menor que os controles saudáveis, sem diferença em outros parâmetros como peso e massa livre de gordura 8 .…”

Section: Discussionunclassified

Relação entre estado nutricional e atividade inflamatória em pacientes com doença inflamatória intestinal

Silva

Schieferdecker

Rocco

et al. 2010

ABCD, arq. bras. cir. dig.

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DESCRITORES -Doença InflamatóriaIntestinal. Avaliação nutricional. Obesidade. ABSTRACT -Background -The inflammatory bowel diseases are characterized by multiple digestive tract symptoms and therefore may interfere with nutritional status. Aim -To assess the nutritional status of patients with inflammatory bowel disease in different stages of inflammatory activity. Methods -Fifty five patients with inflammatory bowel disease were demographically evaluated with weight measurement, height, arm circumference and triceps skinfold and had their body composition determined by bioelectrical impedance. For determination of inflammatory activity of the disease were used serum C-reactive protein and the index of Harvey and Bradshaw. To compare means it was used the unpaired t test, and the average non-parametric, the Mann-Whitney test, level of significance p <0.05. Results -Among the patients, 28 had Crohn's disease and 27 ulcerative colitis, aged between 19 and 63 years and time since diagnosis 1-22 years. There was no difference in anthropometric measurements and body composition of patients whose disease was inflammatory activity or in remission. Patients who used glucocorticoids in the six months preceding the assessment showed body fat percentage of 23.4 ± 8.2% whilst those who did not use the percentage was 30.7 ± 11.3 (p <0.0199). The most common gastrointestinal symptoms were abdominal distension (41%), diarrhea (18%), nausea (13%), constipation (12%), anorexia (11%) and vomiting (5%). All symptoms were more common in patients with higher body mass index and body fat. Conclusion -There were more patients with excess weight and body fat, and these patients were more symptomatic and had higher values of C-reactive protein. RESUMO -Racional

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“…Although no definite data exist to support a specific diet in Crohn's disease (CD) or ulcerative colitis (UC) patients,7 patients with IBD are seen to have a wide range of nutritional deficiencies, even those who are in clinical remission 8, 9, 10. Those with IBD often report of certain food items to have caused an exacerbation of their symptoms.…”

Section: Introductionmentioning

confidence: 99%

Impact of dietary beliefs and practices on patients with inflammatory bowel disease: An observational study from India

et al. 2017

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Background and AimPatients with inflammatory bowel disease (IBD) are at a risk of nutritional deficits because of poor dietary beliefs and practices. There are no data on this aspect from Asia, which is experiencing a rise in IBD incidence. We aimed to establish dietary beliefs and practices in patients of IBD from India.MethodsPatients with ulcerative colitis (UC) and Crohn's disease (CD) followed up between November 2016 and March 2017 were included. A questionnaire extracted information on the patients' sociodemographic, nutritional and disease profile, smoking and drinking habits, dietary beliefs and practices, current dietary preferences, intake and avoidance, dietary changes made after diagnosis of IBD, dietary changes made during relapse, frequency of consumption of major food groups, and the attitudes toward dietary advice.ResultsA total of 316 patients (218 UC and 98 CD; mean age: 38.5 ± 12.2 years) were included. Forty‐four percent patients perceived food as a risk factor for IBD, 52% felt dietary habits to have a more important role than medicines in disease control, 77% reported certain foods improve symptoms during relapse, 86% had modified their diet since the diagnosis of IBD (UC > CD, P = 0.04), 90% imposed food restrictions, and <50% had received dietary counseling. About 40% of patients could not meet their dietary requirements and 66% had decreased their dietary intake since diagnosis, which further decreased during relapse (85%).ConclusionDietary beliefs and practices play a central role in perception of disease in IBD patients. A large majority of them make dietary changes which can lead to undernutrition. Proper dietary counseling is required in these patients to prevent malnutrition.

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Malnutrition and impaired muscle strength in patients with Crohn's disease and ulcerative colitis in remission

Cited by 181 publications

References 23 publications

Maintaining Muscle Strength in Crohn’s Disease: Can a Vitamin D Daily Keep Muscle Loss Away?

Maintaining Muscle Strength in Crohn’s Disease: Can a Vitamin D Daily Keep Muscle Loss Away?

Relação entre estado nutricional e atividade inflamatória em pacientes com doença inflamatória intestinal

Impact of dietary beliefs and practices on patients with inflammatory bowel disease: An observational study from India

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