Body composition assessment of Crohn’s outpatients and comparison with gender- and age-specific multiple matched control pairs

Molnár, Andrea; Csontos, Á; Kovács, István; Anton, Alexandru; Pálfi, Erzsébet; Miheller, Pál

doi:10.1038/ejcn.2017.99

Cited by 14 publications

(23 citation statements)

References 23 publications

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“…A study carried out to assess the nutritional status of Crohn's disease outpatients and healthy control pairs reported a higher prevalence of low FFMI than that of low BMI in patients with Crohn's disease. 17 Similar results have also been reported in other studies. 18 …”

Section: Discussionsupporting

confidence: 88%

Assessment of nutritional status in paediatric outpatients using bioelectrical impedance analysis and anthropometric z‐scores

Zhu

Feng

et al. 2021

J Paediatrics Child Health

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Aim To investigate paediatric outpatients' nutritional status using bioelectrical impedance analysis and anthropometric z‐scores. Methods A retrospective data analysis of tertiary paediatric hospital outpatients from 2017 to 2019 was conducted. Patients were categorised into three groups (non‐illness, illness and simple obesity) according to clinical diagnoses. The nutritional status was evaluated using anthropometric and bioelectrical impedance analysis. In addition, body composition measurements of patients in three subgroups of the illness group and age‐ and gender‐matched healthy controls were compared. Results A total of 2015 paediatric outpatients were enrolled. According to body mass index z‐scores, undernutrition prevalence among participants was 14.0% (non‐illness group, 21.3%; illness group, 11.4%). Body composition measurements indicated that 41.6% of participants had a low fat‐free mass index, and the proportions of participants with a low fat‐free mass index in the non‐illness, illness and simple obesity groups were 48.4, 47.0 and 10.7%, respectively. Compared with healthy controls, the haematology and oncology subgroup had a significantly lower fat‐free mass index and fat mass index; the nephrology and rheumatology subgroup had significantly lower height‐for‐age z‐scores but higher fat mass index; and the gastroenterology subgroups had lower fat mass index, fat‐free mass index and body mass index z‐scores. Conclusions The results suggested the low fat‐free mass index prevalence was greater than the low body mass index z‐score prevalence among paediatric outpatients, and body composition parameters varied across different illnesses. Body composition analysis is recommended in nutrition clinics for accurate paediatric outpatient nutritional assessment, thereby providing timely individualised nutritional interventions.

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Section: Discussionsupporting

confidence: 88%

Assessment of nutritional status in paediatric outpatients using bioelectrical impedance analysis and anthropometric z‐scores

Zhu

Feng

et al. 2021

J Paediatrics Child Health

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“…Thirty studies reported BMI, 11 studies matched healthy controls and IBD patients for BMI so were excluded from the GRADE analysis 7–17 . The remaining 19 studies included 1077 patients with Crohn's disease (CD), 426 patients with UC and 4255 healthy controls 18–36 …”

Section: Nutrition Assessment: Anthropometry and Body Compositionmentioning

confidence: 99%

“…[7][8][9][10][11][12][13][14][15][16][17] The remaining 19 studies included 1077 patients with Crohn's disease (CD), 426 patients with UC and 4255 healthy controls. [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] Crohn's disease Eight studies reported BMI in remission in CD. [18][19][20][21][22]26,33,35 Four studies found BMI was similar between patients with CD in remission (n = 151) and healthy controls (n = 193) 21,22,26,35 and four studies found BMI was lower in patients with CD in remission (n = 266) compared to healthy controls (n = 225) [18][19][20]33 One study reported BMI in active CD 18 and a further six studies in active CD and CD in remission.…”

Section: Bmimentioning

confidence: 99%

British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

Lomer

Wilson

Wall

2022

J Human Nutrition Diet

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Background: Despite increased awareness of diet and nutrition being integral to the management of patients with inflammatory bowel disease (IBD), there are gaps in the knowledge of IBD healthcare providers regarding nutrition. Furthermore, high quality evidence on nutritional assessment and dietary management of IBD is limited. A Delphi consensus from a panel of experts allows for best-practice guidelines to be developed, especially where high quality evidence is limited. The aim was to develop guidelines for the nutritional assessment and dietary management of IBD using an eDelphi online consensus agreement platform. Methods: Seventeen research topics related to IBD and nutrition were systematically reviewed. Searches in Cochrane, Embase ® , Medline ® and Scopus ® electronic databases were performed. GRADE was used to develop recommendations. Experts from the IBD community (healthcare professionals and patients with IBD) were invited to vote anonymously on the recommendations in a custom-built online platform. Three rounds of voting were carried out with updated iterations of the recommendations and evaluative text based on feedback from the previous round. Results: From 23,824 non-duplicated papers, 167 were critically appraised. Fifty-five participants completed three rounds of voting and 14 GRADE statements and 42 practice statements achieved 80% consensus. Comprehensive guidance related to nutrition assessment, nutrition screening and dietary management is provided. Conclusions: Guidelines on the nutritional assessment and dietary management of IBD have been developed using evidence-based consensus to improve equality of care. The statements and practice statements developed demonstrate the level of agreement and the quality and strength of the guidelines. K E Y W O R D S diet, Crohn's disease, inflammatory bowel disease, nutritional assessment, ulcerative colitis Key points • Comprehensive guidelines related to nutrition assessment, nutrition screening and dietary management of inflammatory bowel disease have been developed.

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“…11,15,16,25,29,30,34,39 Where significant differences in BMI existed (n=12), it was always lower in patients with Crohn's disease compared with HC. [40][41][42][43][44][45][46][47][48][49][50][51] However, studies rarely assessed clinically significant differences in BMI, as BMI tended to be reported as a mean rather than as the proportion of patients that had a clinically underweight BMI (less than 18.5kg/m 2 ). 52 Only one study assessed this, and the prevalence of underweight BMI was 21% in Crohn's disease and 2-4% in HC.…”

Section: Body Mass Indexmentioning

confidence: 99%

“…Eleven studies used BIA to determine body composition (Table 1). 13,15,16,25,39,41,42,[44][45][46][47] In contrast to DEXA, the majority of BIA studies observed a lower FM in patients with Crohn's disease compared with HC 15,39,[45][46][47]55 but, as Table 1 demonstrates, the results were not consistent. 13,16,25 For FFM, there were no consistent differences between groups.…”

Section: Bioelectrical Impedance (Bia)mentioning

confidence: 99%

Nutrition Assessment in Crohn’s Disease using Anthropometric, Biochemical, and Dietary Indexes: A Narrative Review

Sandall¹,

Wall²,

Lomer³

2020

Journal of the Academy of Nutrition and Dietetics

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Body composition assessment of Crohn’s outpatients and comparison with gender- and age-specific multiple matched control pairs

Abstract: This study confirmed the higher prevalence of low FFMI than that of low BMI among the subjects. We recommend implementing the assessment of BC into routine clinical care to diagnose low FFMI and to start intervention in time.

Cited by 14 publications

References 23 publications

Assessment of nutritional status in paediatric outpatients using bioelectrical impedance analysis and anthropometric z‐scores

Assessment of nutritional status in paediatric outpatients using bioelectrical impedance analysis and anthropometric z‐scores

British Dietetic Association consensus guidelines on the nutritional assessment and dietary management of patients with inflammatory bowel disease

Nutrition Assessment in Crohn’s Disease using Anthropometric, Biochemical, and Dietary Indexes: A Narrative Review

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